Review outlines stepwise approach to implementing PI-QUAL for prostate MRI

This Special Series Review describes the rationale for PI-QUAL, a standardized system for assessing diagnostic adequacy of prostate MRI, refined by the European Society of Urogenital Radiology for use with multiparametric and biparametric exams. The authors summarize evidence linking image quality to prostate MRI performance and patient management, noting that suboptimal quality can reduce cancer detection, increase equivocal PI-RADS assessments, compromise staging, and undermine referring clinician confidence. They propose a stepwise implementation approach including multidisciplinary training, retrospective audits, protocol optimization, structured reporting, quality dashboards, benchmark development, and artificial intelligence tools.

Most relevant for: Relevant to imaging centers and radiology practices performing or overseeing prostate MRI across the full spectrum of prostate cancer diagnosis, staging, surveillance, and treatment planning.

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