Novices in MRI-targeted prostate biopsy benefit from structured reporting of MRI findings

Abstract

Purpose

The aim of this study was to investigate whether structured reports (SRs) of prostate MRI results are more suitable than non-structured reports (NSRs) for promoting the more accurate assessment of the location of a single prostate cancer lesion by novices in MRI-targeted biopsy.

Methods

50 NSRs and 50 SRs describing a single prostatic lesion were presented to 5 novices in MRI-targeted biopsy. The participants were asked to plot the tumor location in a two-dimensional prostate diagram and to answer a questionnaire on the quality of the reports. The accuracy of the plotted tumor position was evaluated with a validated 30-point scoring system that distinguished between “major” and “minor” mistakes.

Results

The overall mean score for the accuracy of the tumor plotting was significantly higher for SRs than for NSRs (26.4 vs. 20.7, p < 0.01). The mean numbers of major (1.4 vs. 0.48, p < 0.01) and minor (3.05 vs. 1.15, p < 0.01) mistakes were significantly higher for NSRs than for SRs. Compared with NSRs, SRs received significantly higher ratings for the perceived quality of the summary (4.0 vs. 2.4, p < 0.01) as well as for the overall satisfaction with the report (4.1 vs. 2.1, p < 0.01).

Conclusion

Novices in MRI-targeted biopsy prefer structured reporting of prostate MRI as an information tool. SRs allow for a more accurate assessment of the location of single prostate cancer lesions. Therefore, structured reporting of prostate MRI may help to foster the learning process of novices in MRI-targeted biopsy.

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Acknowledgements

We thank Selina Ackermann from the University Hospital Basel for the editorial assistance.

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Authors

Contributions

CW: data collection or management, data analysis, manuscript writing/editing, protocol/project development. DJW: data collection or management, data analysis, protocol/project development, manuscript writing/editing. JRFG: data analysis, manuscript writing/editing. FL: data collection or management. TH: data collection or management. PS: data collection or management. SGD: data collection or management. LZ: data collection or management. CE: data collection or management. AH: data collection or management. HHS: manuscript writing/editing, protocol/project development. DTB: manuscript writing/editing, protocol/project development. JE: data analysis; manuscript writing/editing, protocol/project development

Corresponding author

Correspondence to David Jean Winkel.

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Conflict of interest

This work was supported by the Department of Surgery of the University Hospital Basel.

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Wetterauer, C., Winkel, D.J., Federer-Gsponer, J.R. et al. Novices in MRI-targeted prostate biopsy benefit from structured reporting of MRI findings. World J Urol 38, 1729–1734 (2020). https://doi.org/10.1007/s00345-019-02953-x

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Keywords

  • Prostate cancer
  • Magnetic resonance imaging
  • Novices
  • Structured report
  • MRI-targeted biopsy