Prostate Cancer : mpMRI Risk stratification

In the realm of prostate cancer diagnostics, two key systems are used in interpreting multiparametric MRI (mpMRI): PI-RADS (Prostate Imaging Reporting and Data System) and the Likert scale. As a primary care clinician, you may encounter these terms in specialist reports.

Key Points:

• PI-RADS and Likert: Both are structured systems for reporting prostate mpMRI findings.
• Diagnostic Performance: Each system has a high cancer detection rate but differs in approach.
• PI-RADS: More standardized, regularly updated to include new research and findings.
• Likert Scale: Offers flexibility and may be preferred by experienced radiologists.
• Clinical Communication: Both systems aid in clear communication with specialists and assist in decision-making.
• Relevance to Primary Care: Understanding these terms helps in interpreting specialist reports and discussing prostate cancer risks and diagnostics with patients.

In summary, both PI-RADS and Likert scales are crucial in interpreting mpMRI for prostate cancer, with each having unique advantages. As primary care clinicians, familiarity with these terms enhances your ability to understand specialist reports and communicate effectively with patients and other healthcare providers.

References

Harada T, Abe T, Kato F, Matsumoto R, Fujita H, Murai S, Miyajima N, Tsuchiya K, Maruyama S, Kudo K, Shinohara N. Five-point...