Intra‐ and interreader reproducibility of PI‐RADSv2: A multireader study
Background The Prostate Imaging Reporting and Data System version 2 (PI‐RADSv2) has been in use since 2015; while interreader reproducibility has been studied, there has been a paucity of studies investigating the intrareader reproducibility of PI‐RADSv2. Purpose To evaluate both intra‐ and interrea...
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| Vydáno v: | Journal of magnetic resonance imaging Ročník 49; číslo 6; s. 1694 - 1703 |
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| Hlavní autoři: | , , , , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
Wiley Subscription Services, Inc
01.06.2019
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| ISSN: | 1053-1807, 1522-2586, 1522-2586 |
| On-line přístup: | Získat plný text |
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| Abstract | Background
The Prostate Imaging Reporting and Data System version 2 (PI‐RADSv2) has been in use since 2015; while interreader reproducibility has been studied, there has been a paucity of studies investigating the intrareader reproducibility of PI‐RADSv2.
Purpose
To evaluate both intra‐ and interreader reproducibility of PI‐RADSv2 in the assessment of intraprostatic lesions using multiparametric magnetic resonance imaging (mpMRI).
Study Type
Retrospective.
Population/Subjects
In all, 102 consecutive biopsy‐naïve patients who underwent prostate MRI and subsequent MR/transrectal ultrasonography (MR/TRUS)‐guided biopsy.
Field Strength/Sequences
Prostate mpMRI at 3T using endorectal with phased array surface coils (TW MRI, DW MRI with ADC maps and b2000 DW MRI, DCE MRI).
Assessment
Previously detected and biopsied lesions were scored by four readers from four different institutions using PI‐RADSv2. Readers scored lesions during two readout rounds with a 4‐week washout period.
Statistical Tests
Kappa (κ) statistics and specific agreement (Po) were calculated to quantify intra‐ and interreader reproducibility of PI‐RADSv2 scoring. Lesion measurement agreement was calculated using the intraclass correlation coefficient (ICC).
Results
Overall intrareader reproducibility was moderate to substantial (κ = 0.43–0.67, Po = 0.60–0.77), while overall interreader reproducibility was poor to moderate (κ = 0.24, Po = 46). Readers with more experience showed greater interreader reproducibility than readers with intermediate experience in the whole prostate (P = 0.026) and peripheral zone (P = 0.002). Sequence‐specific interreader agreement for all readers was similar to the overall PI‐RADSv2 score, with κ = 0.24, 0.24, and 0.23 and Po = 0.47, 0.44, and 0.54 in T2‐weighted, diffusion‐weighted imaging (DWI), and dynamic contrast‐enhanced (DCE), respectively. Overall intrareader and interreader ICC for lesion measurement was 0.82 and 0.71, respectively.
Data Conclusion
PI‐RADSv2 provides moderate intrareader reproducibility, poor interreader reproducibility, and moderate interreader lesion measurement reproducibility. These findings suggest a need for more standardized reader training in prostate MRI.
Level of Evidence: 2
Technical Efficacy: Stage 2 |
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| AbstractList | The Prostate Imaging Reporting and Data System version 2 (PI-RADSv2) has been in use since 2015; while interreader reproducibility has been studied, there has been a paucity of studies investigating the intrareader reproducibility of PI-RADSv2.
To evaluate both intra- and interreader reproducibility of PI-RADSv2 in the assessment of intraprostatic lesions using multiparametric magnetic resonance imaging (mpMRI).
Retrospective.
In all, 102 consecutive biopsy-naïve patients who underwent prostate MRI and subsequent MR/transrectal ultrasonography (MR/TRUS)-guided biopsy.
Prostate mpMRI at 3T using endorectal with phased array surface coils (TW MRI, DW MRI with ADC maps and b2000 DW MRI, DCE MRI).
Previously detected and biopsied lesions were scored by four readers from four different institutions using PI-RADSv2. Readers scored lesions during two readout rounds with a 4-week washout period.
Kappa (κ) statistics and specific agreement (P
) were calculated to quantify intra- and interreader reproducibility of PI-RADSv2 scoring. Lesion measurement agreement was calculated using the intraclass correlation coefficient (ICC).
Overall intrareader reproducibility was moderate to substantial (κ = 0.43-0.67, P
= 0.60-0.77), while overall interreader reproducibility was poor to moderate (κ = 0.24, P
= 46). Readers with more experience showed greater interreader reproducibility than readers with intermediate experience in the whole prostate (P = 0.026) and peripheral zone (P = 0.002). Sequence-specific interreader agreement for all readers was similar to the overall PI-RADSv2 score, with κ = 0.24, 0.24, and 0.23 and P
= 0.47, 0.44, and 0.54 in T
-weighted, diffusion-weighted imaging (DWI), and dynamic contrast-enhanced (DCE), respectively. Overall intrareader and interreader ICC for lesion measurement was 0.82 and 0.71, respectively.
PI-RADSv2 provides moderate intrareader reproducibility, poor interreader reproducibility, and moderate interreader lesion measurement reproducibility. These findings suggest a need for more standardized reader training in prostate MRI.
2 Technical Efficacy: Stage 2. Background The Prostate Imaging Reporting and Data System version 2 (PI‐RADSv2) has been in use since 2015; while interreader reproducibility has been studied, there has been a paucity of studies investigating the intrareader reproducibility of PI‐RADSv2. Purpose To evaluate both intra‐ and interreader reproducibility of PI‐RADSv2 in the assessment of intraprostatic lesions using multiparametric magnetic resonance imaging (mpMRI). Study Type Retrospective. Population/Subjects In all, 102 consecutive biopsy‐naïve patients who underwent prostate MRI and subsequent MR/transrectal ultrasonography (MR/TRUS)‐guided biopsy. Field Strength/Sequences Prostate mpMRI at 3T using endorectal with phased array surface coils (TW MRI, DW MRI with ADC maps and b2000 DW MRI, DCE MRI). Assessment Previously detected and biopsied lesions were scored by four readers from four different institutions using PI‐RADSv2. Readers scored lesions during two readout rounds with a 4‐week washout period. Statistical Tests Kappa (κ) statistics and specific agreement (Po) were calculated to quantify intra‐ and interreader reproducibility of PI‐RADSv2 scoring. Lesion measurement agreement was calculated using the intraclass correlation coefficient (ICC). Results Overall intrareader reproducibility was moderate to substantial (κ = 0.43–0.67, Po = 0.60–0.77), while overall interreader reproducibility was poor to moderate (κ = 0.24, Po = 46). Readers with more experience showed greater interreader reproducibility than readers with intermediate experience in the whole prostate (P = 0.026) and peripheral zone (P = 0.002). Sequence‐specific interreader agreement for all readers was similar to the overall PI‐RADSv2 score, with κ = 0.24, 0.24, and 0.23 and Po = 0.47, 0.44, and 0.54 in T2‐weighted, diffusion‐weighted imaging (DWI), and dynamic contrast‐enhanced (DCE), respectively. Overall intrareader and interreader ICC for lesion measurement was 0.82 and 0.71, respectively. Data Conclusion PI‐RADSv2 provides moderate intrareader reproducibility, poor interreader reproducibility, and moderate interreader lesion measurement reproducibility. These findings suggest a need for more standardized reader training in prostate MRI. Level of Evidence: 2 Technical Efficacy: Stage 2 BackgroundThe Prostate Imaging Reporting and Data System version 2 (PI‐RADSv2) has been in use since 2015; while interreader reproducibility has been studied, there has been a paucity of studies investigating the intrareader reproducibility of PI‐RADSv2.PurposeTo evaluate both intra‐ and interreader reproducibility of PI‐RADSv2 in the assessment of intraprostatic lesions using multiparametric magnetic resonance imaging (mpMRI).Study TypeRetrospective.Population/SubjectsIn all, 102 consecutive biopsy‐naïve patients who underwent prostate MRI and subsequent MR/transrectal ultrasonography (MR/TRUS)‐guided biopsy.Field Strength/SequencesProstate mpMRI at 3T using endorectal with phased array surface coils (TW MRI, DW MRI with ADC maps and b2000 DW MRI, DCE MRI).AssessmentPreviously detected and biopsied lesions were scored by four readers from four different institutions using PI‐RADSv2. Readers scored lesions during two readout rounds with a 4‐week washout period.Statistical TestsKappa (κ) statistics and specific agreement (Po) were calculated to quantify intra‐ and interreader reproducibility of PI‐RADSv2 scoring. Lesion measurement agreement was calculated using the intraclass correlation coefficient (ICC).ResultsOverall intrareader reproducibility was moderate to substantial (κ = 0.43–0.67, Po = 0.60–0.77), while overall interreader reproducibility was poor to moderate (κ = 0.24, Po = 46). Readers with more experience showed greater interreader reproducibility than readers with intermediate experience in the whole prostate (P = 0.026) and peripheral zone (P = 0.002). Sequence‐specific interreader agreement for all readers was similar to the overall PI‐RADSv2 score, with κ = 0.24, 0.24, and 0.23 and Po = 0.47, 0.44, and 0.54 in T2‐weighted, diffusion‐weighted imaging (DWI), and dynamic contrast‐enhanced (DCE), respectively. Overall intrareader and interreader ICC for lesion measurement was 0.82 and 0.71, respectively.Data ConclusionPI‐RADSv2 provides moderate intrareader reproducibility, poor interreader reproducibility, and moderate interreader lesion measurement reproducibility. These findings suggest a need for more standardized reader training in prostate MRI.Level of Evidence: 2Technical Efficacy: Stage 2 The Prostate Imaging Reporting and Data System version 2 (PI-RADSv2) has been in use since 2015; while interreader reproducibility has been studied, there has been a paucity of studies investigating the intrareader reproducibility of PI-RADSv2.BACKGROUNDThe Prostate Imaging Reporting and Data System version 2 (PI-RADSv2) has been in use since 2015; while interreader reproducibility has been studied, there has been a paucity of studies investigating the intrareader reproducibility of PI-RADSv2.To evaluate both intra- and interreader reproducibility of PI-RADSv2 in the assessment of intraprostatic lesions using multiparametric magnetic resonance imaging (mpMRI).PURPOSETo evaluate both intra- and interreader reproducibility of PI-RADSv2 in the assessment of intraprostatic lesions using multiparametric magnetic resonance imaging (mpMRI).Retrospective.STUDY TYPERetrospective.In all, 102 consecutive biopsy-naïve patients who underwent prostate MRI and subsequent MR/transrectal ultrasonography (MR/TRUS)-guided biopsy.POPULATION/SUBJECTSIn all, 102 consecutive biopsy-naïve patients who underwent prostate MRI and subsequent MR/transrectal ultrasonography (MR/TRUS)-guided biopsy.Prostate mpMRI at 3T using endorectal with phased array surface coils (TW MRI, DW MRI with ADC maps and b2000 DW MRI, DCE MRI).FIELD STRENGTH/SEQUENCESProstate mpMRI at 3T using endorectal with phased array surface coils (TW MRI, DW MRI with ADC maps and b2000 DW MRI, DCE MRI).Previously detected and biopsied lesions were scored by four readers from four different institutions using PI-RADSv2. Readers scored lesions during two readout rounds with a 4-week washout period.ASSESSMENTPreviously detected and biopsied lesions were scored by four readers from four different institutions using PI-RADSv2. Readers scored lesions during two readout rounds with a 4-week washout period.Kappa (κ) statistics and specific agreement (Po ) were calculated to quantify intra- and interreader reproducibility of PI-RADSv2 scoring. Lesion measurement agreement was calculated using the intraclass correlation coefficient (ICC).STATISTICAL TESTSKappa (κ) statistics and specific agreement (Po ) were calculated to quantify intra- and interreader reproducibility of PI-RADSv2 scoring. Lesion measurement agreement was calculated using the intraclass correlation coefficient (ICC).Overall intrareader reproducibility was moderate to substantial (κ = 0.43-0.67, Po = 0.60-0.77), while overall interreader reproducibility was poor to moderate (κ = 0.24, Po = 46). Readers with more experience showed greater interreader reproducibility than readers with intermediate experience in the whole prostate (P = 0.026) and peripheral zone (P = 0.002). Sequence-specific interreader agreement for all readers was similar to the overall PI-RADSv2 score, with κ = 0.24, 0.24, and 0.23 and Po = 0.47, 0.44, and 0.54 in T2 -weighted, diffusion-weighted imaging (DWI), and dynamic contrast-enhanced (DCE), respectively. Overall intrareader and interreader ICC for lesion measurement was 0.82 and 0.71, respectively.RESULTSOverall intrareader reproducibility was moderate to substantial (κ = 0.43-0.67, Po = 0.60-0.77), while overall interreader reproducibility was poor to moderate (κ = 0.24, Po = 46). Readers with more experience showed greater interreader reproducibility than readers with intermediate experience in the whole prostate (P = 0.026) and peripheral zone (P = 0.002). Sequence-specific interreader agreement for all readers was similar to the overall PI-RADSv2 score, with κ = 0.24, 0.24, and 0.23 and Po = 0.47, 0.44, and 0.54 in T2 -weighted, diffusion-weighted imaging (DWI), and dynamic contrast-enhanced (DCE), respectively. Overall intrareader and interreader ICC for lesion measurement was 0.82 and 0.71, respectively.PI-RADSv2 provides moderate intrareader reproducibility, poor interreader reproducibility, and moderate interreader lesion measurement reproducibility. These findings suggest a need for more standardized reader training in prostate MRI.DATA CONCLUSIONPI-RADSv2 provides moderate intrareader reproducibility, poor interreader reproducibility, and moderate interreader lesion measurement reproducibility. These findings suggest a need for more standardized reader training in prostate MRI.2 Technical Efficacy: Stage 2.LEVEL OF EVIDENCE2 Technical Efficacy: Stage 2. |
| Author | Shih, Joanna H. Smith, Clayton P. Mehralivand, Sherif Law, Yan Mee Czarniecki, Marcin Bittencourt, Leonardo K. Coskun, Mehmet Harmon, Stephanie A. Shebel, Haytham An, Julie Y. Choyke, Peter L. Barrett, Tristan Turkbey, Baris Pinto, Peter A. Wood, Bradford J. |
| Author_xml | – sequence: 1 givenname: Clayton P. orcidid: 0000-0002-8509-6237 surname: Smith fullname: Smith, Clayton P. organization: Georgetown University School of Medicine – sequence: 2 givenname: Stephanie A. surname: Harmon fullname: Harmon, Stephanie A. organization: Frederick National Laboratory for Cancer Research sponsored by the National Cancer Institute – sequence: 3 givenname: Tristan surname: Barrett fullname: Barrett, Tristan organization: Addenbrooke's Hospital and the University of Cambridge – sequence: 4 givenname: Leonardo K. orcidid: 0000-0001-9175-9626 surname: Bittencourt fullname: Bittencourt, Leonardo K. organization: CDPI Clinics, DASA – sequence: 5 givenname: Yan Mee surname: Law fullname: Law, Yan Mee organization: Singapore General Hospital – sequence: 6 givenname: Haytham surname: Shebel fullname: Shebel, Haytham organization: Mansoura University – sequence: 7 givenname: Julie Y. surname: An fullname: An, Julie Y. organization: Northeast Ohio Medical University – sequence: 8 givenname: Marcin orcidid: 0000-0002-6786-9910 surname: Czarniecki fullname: Czarniecki, Marcin organization: Molecular Imaging Program, National Cancer Institute, NIH – sequence: 9 givenname: Sherif surname: Mehralivand fullname: Mehralivand, Sherif organization: University Medical Center – sequence: 10 givenname: Mehmet surname: Coskun fullname: Coskun, Mehmet organization: University of Health Sciences – sequence: 11 givenname: Bradford J. surname: Wood fullname: Wood, Bradford J. organization: National Cancer Institute, NIH – sequence: 12 givenname: Peter A. surname: Pinto fullname: Pinto, Peter A. organization: National Cancer Institute, NIH – sequence: 13 givenname: Joanna H. surname: Shih fullname: Shih, Joanna H. organization: Biometric Research Program, National Cancer Institute, NIH – sequence: 14 givenname: Peter L. surname: Choyke fullname: Choyke, Peter L. organization: Molecular Imaging Program, National Cancer Institute, NIH – sequence: 15 givenname: Baris orcidid: 0000-0003-0853-6494 surname: Turkbey fullname: Turkbey, Baris email: turkbeyi@mail.nih.gov organization: Molecular Imaging Program, National Cancer Institute, NIH |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30575184$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Copyright | 2018 International Society for Magnetic Resonance in Medicine 2018 International Society for Magnetic Resonance in Medicine. 2019 International Society for Magnetic Resonance in Medicine |
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| Keywords | prostate cancer reader reproducibility MRI PI-RADS |
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| References_xml | – year: 2018 article-title: A magnetic resonance imaging‐based prediction model for prostate biopsy risk stratification publication-title: JAMA Oncol – volume: 22 start-page: 746 year: 2012 end-page: 757 article-title: ESUR prostate MR guidelines 2012 publication-title: Eur Radiol – volume: 25 start-page: 2939 year: 2016 end-page: 2958 article-title: Choice of agreement indices for assessing and improving measurement reproducibility in a core laboratory setting publication-title: Stat Methods Med Res – volume: 195 start-page: 1421 year: 2016 end-page: 1427 article-title: Serial magnetic resonance imaging in active surveillance of prostate cancer: incremental value publication-title: J Urol – volume: 184 start-page: 925 year: 2012 end-page: 929 article-title: Interreader agreement of multi‐parametric MR imaging for the detection of prostate cancer: evaluation of a scoring system publication-title: Rofo – volume: 206 start-page: 1119 year: 2016 end-page: 1123 article-title: Assessment of interradiologist agreement regarding mammographic breast density classification using the Fifth Edition of the BI‐RADS Atlas publication-title: AJR Am J Roentgenol – volume: 194 start-page: 364 year: 2015 end-page: 370 article-title: Image guided focal therapy for magnetic resonance imaging visible prostate cancer: defining a 3‐dimensional treatment margin based on magnetic resonance imaging histology co‐registration analysis publication-title: J Urol – volume: 67 start-page: 771 year: 2015 end-page: 777 article-title: Focal therapy: patients, interventions, and outcomes—a report from a consensus meeting publication-title: Eur Urol – volume: 115 start-page: 772 year: 2015 end-page: 779 article-title: Comparison of magnetic resonance imaging and ultrasound (MRI‐US) fusion‐guided prostate biopsies obtained from axial and sagittal approaches publication-title: BJU Int – volume: 201 start-page: W612 year: 2013 end-page: 18 article-title: Comparison of interreader reproducibility of the prostate imaging reporting and data system and Likert scales for evaluation of multiparametric prostate MRI publication-title: AJR Am J Roentgenol – volume: 39 start-page: 264 year: 2015 end-page: 269 article-title: Association between changes in suspicious prostate lesions on serial MRI examinations and follow‐up biopsy results publication-title: Clin Imaging – volume: 85 start-page: 1465 year: 2012 end-page: 1470 article-title: Inter‐ and intraradiologist variability in the BI‐RADS assessment and breast density categories for screening mammograms publication-title: Br J Radiol – volume: 45 start-page: 579 year: 2017 end-page: 585 article-title: Accuracy and agreement of PIRADSv2 for prostate cancer mpMRI: A multireader study publication-title: J Magn Reson Imaging – year: 2018 article-title: All over the map: An interobserver agreement study of tumor location based on the PI‐RADSv2 sector map publication-title: J Magn Reson Imaging – volume: 280 start-page: 793 year: 2016 end-page: 804 article-title: Interobserver reproducibility of the PI‐RADS Version 2 Lexicon: A multicenter study of six experienced prostate radiologists publication-title: Radiology – volume: 194 start-page: 1234 year: 2015 end-page: 1240 article-title: Natural history of pathologically benign cancer suspicious regions on multiparametric magnetic resonance imaging following targeted biopsy publication-title: J Urol – volume: 23 start-page: 3185 year: 2013 end-page: 3190 article-title: Interreader agreement of the ESUR score for prostate MRI using in‐bore MRI‐guided biopsies as the reference standard publication-title: Eur Radiol – volume: 59 start-page: 477 year: 2011 end-page: 494 article-title: Magnetic resonance imaging for the detection, localisation, and characterisation of prostate cancer: recommendations from a European consensus meeting publication-title: Eur Urol – volume: 186 start-page: 1281 year: 2011 end-page: 1285 article-title: Magnetic resonance imaging/ultrasound fusion guided prostate biopsy improves cancer detection following transrectal ultrasound biopsy and correlates with multiparametric magnetic resonance imaging publication-title: J Urol – volume: 280 start-page: 108 year: 2016 end-page: 116 article-title: Prostate cancer: PI‐RADS Version 2 helps preoperatively predict clinically significant cancers publication-title: Radiology – volume: 12 start-page: 897 year: 1988 end-page: 906 article-title: Zonal distribution of prostatic adenocarcinoma. 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The Prostate Imaging Reporting and Data System version 2 (PI‐RADSv2) has been in use since 2015; while interreader reproducibility has been studied,... The Prostate Imaging Reporting and Data System version 2 (PI-RADSv2) has been in use since 2015; while interreader reproducibility has been studied, there has... BackgroundThe Prostate Imaging Reporting and Data System version 2 (PI‐RADSv2) has been in use since 2015; while interreader reproducibility has been studied,... |
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| SubjectTerms | Adult Aged Aged, 80 and over Algorithms Biopsy Biopsy - methods Contrast Media Correlation coefficient Correlation coefficients Diffusion Magnetic Resonance Imaging Field strength Humans Image-Guided Biopsy Lesions Magnetic Resonance Imaging Male Mathematical analysis Medical imaging Middle Aged MRI Multiparametric Magnetic Resonance Imaging NMR Nuclear magnetic resonance Observer Variation PI‐RADS Population (statistical) Population studies Prostate Prostate - pathology Prostate cancer Prostate-Specific Antigen - analysis Prostatic Neoplasms - diagnostic imaging reader reproducibility Readers Reference Standards Reproducibility Reproducibility of Results Retrospective Studies Statistical analysis Statistical tests Ultrasonography Ultrasound |
| Title | Intra‐ and interreader reproducibility of PI‐RADSv2: A multireader study |
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