ESSENTIALS BEFORE STARTING PROSTATE MRI REPORTING

READ THIS BEFORE YOU START REPORTING PROSTATE MRI


 

  STEP 1. READ ABOUT PROSTATE Ca - PICK A GOOD CLINICAL ARTICLE

               https://www.ncbi.nlmhttps://www.ncbi.nlm.nih.gov/books/NBK470550/.nih.gov/books/NBK470550/


STEP 2. READ HISTOPATHOLOGY  OF PROSTATE  Ca

https://www.pathologyoutlines.com/topic/prostategrading.html


STEP 3. READ PIRADS 2.1 by ACR 

https://www.acr.org/-/media/ACR/Files/RADS/Pi-RADS/PIRADS-V2-1.pdf


STEP 4. READ A GOOD PICTORIAL REVIEW (below is one example)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8252188/


STEP 5. See multiple case of PIRADS 2 / PIRADS 4 & PROSTATITIS in various journal articles and  google search. Make sure you can identify the above 3 diagnosis. 

Attend CME's & workshop. Below is an opportunity:

https://isgar.org/5th-annual-conference/

4th and 5 th September 2022, Hilton and Hilton garden INN, Bengaluru


STEP 6. CREATE YOUR PROTOCOL

Discuss with other radiologist already running the program

Get in touch with MR Application specialist and involve your techs

 

      SAMPLE PROTOCOL

      Following is representative at 3 T. You can alter as per your MRI strength and 

      existing capabilities

       Key Sequences:                                                       

      1. T2 W TRA: Short axix / FOV  - 16 cm / Slice thickness - 3 mm 

       (modify parameters for sagittal and coronal)

       2. DWI: same plane as T2W / 3 to 4 mm / b = 50/1400/2000 

       3. ADC

       4. 3D T1 W FS - Gradient: 3 mm / 4 phases dynamic / < 15 seconds temporal  resolution


STEP 7. DO VOLUNTEER TRIAL  IN YOUNG HEALTHY MALE

                MASTER NORMAL PROSTATE ANATOMY

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6558623/


YOU ARE GOOD TO GO!!



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