Fortschr Röntgenstr 2018; 190(05): 419-426
DOI: 10.1055/s-0043-118128
Urogenital Tract
© Georg Thieme Verlag KG Stuttgart · New York

Current Utilization and Acceptance of Multiparametric MRI in the Diagnosis of Prostate Cancer. A Regional Survey

Article in several languages: English | deutsch
Tim Ullrich
University Dusseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology, Dusseldorf, Germany
,
Lars Schimmöller
University Dusseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology, Dusseldorf, Germany
,
Mathias Oymanns
University Dusseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology, Dusseldorf, Germany
,
Dirk Blondin
University Dusseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology, Dusseldorf, Germany
,
Frederic Dietzel
University Dusseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology, Dusseldorf, Germany
,
Julian Kirchner
University Dusseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology, Dusseldorf, Germany
,
Christian Arsov
University Dusseldorf, Medical Faculty, Department of Urology, Dusseldorf, Germany
,
Robert Rabenalt
University Dusseldorf, Medical Faculty, Department of Urology, Dusseldorf, Germany
,
Peter Albers
University Dusseldorf, Medical Faculty, Department of Urology, Dusseldorf, Germany
,
Gerald Antoch
University Dusseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology, Dusseldorf, Germany
,
Michael Quentin
University Dusseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology, Dusseldorf, Germany
› Author Affiliations
Further Information

Publication History

27 November 2016

25 July 2017

Publication Date:
21 September 2017 (eFirst)

Abstract

Purpose To assess the current regional acceptance, valuation, and clinical role of multiparametric MRI (mp-MRI) in prostate cancer diagnostics by patients and physicians.

Materials and Methods Of 482 distributed standardized questionnaires, 328 patient and 31 physician questionnaires (urological and general practitioners in and around Düsseldorf) were analyzed over a period of 11 months. Questions were asked concerning general knowledge about prostate cancer, current diagnostic procedures, and knowledge about mp-MRI and MRI-guided biopsy.

Results 70 % of the patients regarded accurate and exact diagnostics of prostate carcinomas as very important and 68 % considered MP-MRI a useful technique. 28 % of the patients with elevated PSA levels and negative transrectal ultrasound-guided biopsy (TRUS-GB) received MP-MRI as a secondary diagnostic. More than half of the patients estimated their overall knowledge about prostate cancer mediocre or worse and wished for more information about MR diagnostics. The majority of physicians (55 %) ordered MP-MRI studies of the prostate and 68 % saw their basic role in secondary diagnostics.

Conclusion In this regional assessment mp-MRI of the prostate was considered useful by patients and practitioners. Currently, there still is a considerable discrepancy between recommended and the actual number of conducted MP-MRI studies, particularly in patients after previous negative TRUS-GB, although practitioners already see the benefit in this patient collective. Even though the use of prostate MRI is frequently more established than suggested in the current German S3-guideline, its full potential has not yet been exploited. More comprehensive information about the applications and diagnostic benefits of prostate MRI is needed and desired among patients and physicians.

Key Points

  • The use of prostate MRI is frequently more established than suggested in the current German S3-guideline (12/2016)

  • The full potential of mp-MRI of the prostate has not been exploited

  • More information about the clinical benefit and potential of prostate MRI is necessary and desired by patients and clinicians

Citation Format

  • Ullrich T, Schimmöller L, Oymanns M et al. Current Utilization and Acceptance of Multiparametric MRI in the Diagnosis of Prostate Cancer. A Regional Survey. Fortschr Röntgenstr 2018; 190: 419 – 426