TABLE OF CONTENTS
- Background
- Project Planning
- Collaborative Measure
- Current State Analysis
- Key Drivers
- Additional Resources
Background
Prostate cancer is the most common solid noncutaneous cancer and the second most common cause of cancer-related death in men. When prostate MRI is used as a pre-biopsy triage method, there is increased detection of clinically significant cancers, reduced number of unnecessary biopsies and decreased healthcare costs.
Overview
RSNA 2024 Presentation - ACR Learning Network Prostate MR Image Quality Improvement Collaborative
Project Management Template
Prostate Project Charter, A3, and Sustain Plan (Click Here to Download Project Set)
Project Planning
| Project Title | Improving Prostate MR Image Quality at {Organization} |
| Global Aim | To improve clinically significant prostate cancer detection and localization |
| Problem Statement | Prostate MR Image quality is inconsistent and unreliable possibly leading to missed diagnosis of cancer and an inability to use the image in subsequent procedures. |
| Potential Team Members | Radiologist with a focused interest in prostate imaging MRI supervisor or manager MRI technologistMRI scheduler Referring physician representative |
Collaborative Measure
Measure Specification Documents | |
| PI-QUAL Reference Article | Understanding PI-QUAL for prostate MRI quality: a practical primer for radiologists https://pubmed.ncbi.nlm.nih.gov/33932167/-Pi-Qual |
SMART Goal | PIQUAL: Increase the percentage of prostate MRI exams that receive a PI-QUAL score of >4 from of (baseline) to (goal), by July 2024 DWI: Increase the percentage of prostate MRI exams with at least one DWI sequence(s) rated optimal from (baseline) to (goal), by July 2024 |
Exam Scoring and Control Chart Template | Excel: LN Mammography Exam Review and Control Chart Template |
Data Submission | HUB: Prostate MR Image Quality: Data Collection and Control Chart in the Learning Network Hub |
Current State Analysis
Use these Mammography Positioning Current State Analysis Questions to plan your Gemba walk. Observations should be recorded on a cause-and-effect or fishbone diagram and root causes prioritized in a pareto chart.
Prostate Current State Analysis Questions (Click Here to Download CSA Question)
Key Drivers
MR protocol must match the latest PI-RADS guidelines
Clear and appropriate patient preparation
Agreement on image quality
Effective and reliable protocol management
Developing and maintaining tech skill
Timely and effective communication between techs and rads
Sustainable way to measure and report image quality
Clear and effective communication with patients
Additional Resources
- Comparison of 5 Rectal Preparation Strategies for Prostate MRI and Impact on Image Quality
- Effect of hyoscine butylbromide on prostate multiparametric MRI anatomical and functional image quality
- Gas-induced susceptibility artefacts on diffusion-weighted MRI of the rectum at 1.5T – Effect of applying a micro-enema to improve image quality
- How to improve image quality of DWI of the prostate--enema or catheter preparation?
- Impact of 18-french rectal tube placement on image quality of multiparametric prostate MRI
- Value of bowel preparation techniques for prostate MRI: a preliminary study
- Does a cleansing enema improve image quality of 3T surface coil multiparametric prostate MRI
- Do antispasmodics or rectal enemas improve image quality on multiparametric prostate MRI: An Evidence-Based Practice review of the literature
- Hyoscine butylbromide significantly decreases motion artefacts and allows better delineation of anatomic structures in mp-MRI of the prostate
- Impact of bowel preparation with Fleet's enema on prostate MRI quality
- Influence of enema and dietary restrictions on prostate MR image quality: A multireader study
- Rectal gas-induced susceptibility artefacts on prostate diffusion-weighted MRI with epi read-out at 3.0T_does a preparatory micro-enema improve image quality