Interactive dedicated training curriculum improves accuracy in the interpretation of MR imaging of prostate cancer.

European Radiology
Oguz AkinHedvig Hricak

Abstract

To assess the effect of interactive dedicated training on radiology fellows' accuracy in assessing prostate cancer on MRI. Eleven radiology fellows, blinded to clinical and pathological data, independently interpreted preoperative prostate MRI studies, scoring the likelihood of tumour in the peripheral and transition zones and extracapsular extension. Each fellow interpreted 15 studies before dedicated training (to supply baseline interpretation accuracy) and 200 studies (10/week) after attending didactic lectures. Expert radiologists led weekly interactive tutorials comparing fellows' interpretations to pathological tumour maps. To assess interpretation accuracy, receiver operating characteristic (ROC) analysis was conducted, using pathological findings as the reference standard. In identifying peripheral zone tumour, fellows' average area under the ROC curve (AUC) increased from 0.52 to 0.66 (after didactic lectures; p<0.0001) and remained at 0.66 (end of training; p<0.0001); in the transition zone, their average AUC increased from 0.49 to 0.64 (after didactic lectures; p=0.01) and to 0.68 (end of training; p=0.001). In detecting extracapsular extension, their average AUC increased from 0.50 to 0.67 (after didactic lectures; ...Continue Reading

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Citations

Sep 11, 2010·Radiology·Hedvig HricakSteven M Larson
Nov 22, 2014·AJR. American Journal of Roentgenology·Andreas WibmerHedvig Hricak
Oct 14, 2011·Abdominal Imaging·Nelly TanSteven S Raman
Mar 4, 2011·European Urology·Alessandro SciarraJ Alfred Witjes
Aug 2, 2015·Clinical Radiology·T BarrettP L Choyke
Mar 21, 2015·Academic Radiology·Andrew B Rosenkrantz, Samir S Taneja
Jun 17, 2015·Current Urology Reports·Andrea S KieransAndrew B Rosenkrantz
Sep 21, 2016·Future Oncology·Shaun A Wahab, Sadhna Verma
Dec 28, 2016·AJR. American Journal of Roentgenology·Andrew B RosenkrantzSamir S Taneja
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Jan 24, 2017·Scientific Reports·Jakob Nikolas KatherFrank Gerrit Zöllner
Feb 23, 2018·Abdominal Radiology·Nicole E CurciMatthew S Davenport
Aug 3, 2018·Abdominal Radiology·Andreas M HötkerOguz Akin
May 1, 2019·AJR. American Journal of Roentgenology·Francesco GigantiCaroline M Moore
Sep 17, 2015·Current Opinion in Urology·Philippe PuechArnauld Villers
Mar 8, 2019·Prostate Cancer and Prostatic Diseases·Daniel HalstuchDavid Margel
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Oct 10, 2019·The British Journal of Radiology·Shuai WangYing-Shi Sun
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Jan 28, 2021·AJR. American Journal of Roentgenology·Renato CuocoloArnaldo Stanzione
Apr 27, 2021·European Urology Open Science·Hyunseon C KangHaesun Choi
Jan 1, 2016·Urology·Florian R Schroeck, Brenda E Sirovich

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