ArticleThe British journal of radiology2022
Prostate MRI quality: clinical impact of the PI-QUAL score in prostate cancer diagnostic work-up.
Article in The British journal of radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06482489 (Comparing Prostate Cancer Screening Between Standardized 3T MRI Screening Protocol and Low-Field MRI in a Prospective Study), which is not on this map. Cited by 44 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Comparing Prostate Cancer Screening Between Standardized 3T MRI Screening Protocol and Low-Field MRI in a Prospective Study
Who cites it
44 citing papers in PubMed, 82 citations in OpenAlex.
- Impact of prostate mpMRI quality on diagnostic accuracy in prostate cancer: a prospective study.BJU international · 2026Article
- Impact of MRI quality on the accuracy of targeted prostate biopsy: A prospective PI-QUAL analysis.European journal of radiology · 2026Article
- Delphi consensus of specialist radiologists on imaging criteria for gadolinium contrast use and whole-body MRI in prostate cancer.Insights into imaging · 2026Article
- Standardizing serial prostate MRI in active surveillance: a practical review of PRECISE scoring.Abdominal radiology (New York) · 2026Review
- Impact of central review and MRI image quality on prostate cancer diagnosis and biopsy decision-making in referred patients.Abdominal radiology (New York) · 2026Article
- Accelerating prostate MRI: a practical review of modern acquisition strategies.Abdominal radiology (New York) · 2026Review
- Diffusion-weighted Imaging Distortion in Prostate MRI: A Cross-sectional Study Comparing Supine and Prone Positioning.Investigative radiology · 2026Article
- Prostate MRI quality improvement: a Roadmap from the ESUR Prostate MRI Working Group.European radiology · 2026Review
- The effects of prostate volume and PI-RADS category on optimal PSA-density thresholds for biopsy decision-making.European radiology · 2026Article
- Real-world Inter-rater Agreement of PI-QUAL Version 2 for Prostate Magnetic Resonance Imaging Quality Assessment and Its Association with Diagnostic Accuracy.European urology open science · 2026Article
- Advances in prostate cancer imaging: from detection to post-treatment.Abdominal radiology (New York) · 2026Review
- Improving prostate MRI quality and its diagnostic impact: a prospective quality improvement initiative.Abdominal radiology (New York) · 2025Article
- Multi-reader evaluation of the prostate imaging quality score system version 2 (PI-QUAL V2) and its clinical application.European radiology · 2025Article
- Prostate MRI cancer detection rate by deep learning-assisted image quality categorization: gas-induced susceptibility artifacts in diffusion-weighted imaging.Insights into imaging · 2025Article
- On-table monitoring of prostate MRI could enable tailored utilisation of gadolinium contrast.European radiology · 2025Observational
- Multicenter analysis for inter reader agreement of PIQUAL score v2 for basic readers in prostate MRI.Scientific reports · 2025Article
- Performing liver imaging at a high level: quality and adequacy in LI-RADS.Abdominal radiology (New York) · 2025Review
- PI-QUAL version 2 image quality categorisation and inter-reader agreement compared to version 1.European radiology · 2025Article
- Deep learning for quality assessment of axial T2-weighted prostate MRI: a tool to reduce unnecessary rescanning.European radiology experimental · 2025Article
- Micro-enema immediately prior to prostate MRI: effects on rectal gas, image quality and PI-QUAL score.Abdominal radiology (New York) · 2025Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the reproducibility and impact of prostate imaging quality (PI-QUAL) scores in a clinical cohort undergoing prostate multiparametric MRI.
methodsPI-QUAL scores were independently recorded by three radiologists (two senior, one junior). Readers also recorded whether MRI was sufficient to rule-in/out cancer and if repeat imaging was required. Inter-reader agreement was assessed using Cohen's κ. PI-QUAL scores were further correlated to PI-RADS score, number of biopsy procedures, and need for repeat imaging.
resultsImage quality was sufficient (≥PI-QUAL-3) in 237/247 (96%) and optimal (≥PI-QUAL-4) in 206/247 (83%) of males undergoing 3T-MRI. Overall PI-QUAL scores showed moderate inter-reader agreement for senior (
conclusionHigher PI-QUAL scores for image quality are associated with decreased uncertainty in MRI decision-making and improved efficiency of diagnostic pathway delivery. ADVANCES IN KNOWLEDGE: This study demonstrates moderate inter-reader agreement for PI-QUAL scoring and validates the score in a clinical setting, showing correlation of image quality to certainty of decision making and clinical outcomes of repeat imaging and biopsy of low-to-intermediate risk cases.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.