ESUR prostate MR guidelines 2012

TLDR

The ESUR guidelines aim to promote high‑quality, evidence‑based multi‑parametric prostate MRI across Europe by synthesizing literature evidence and expert consensus. The guidelines discuss technical choices, comparing endorectal versus pelvic phased‑array coils and 1.5 T versus 3 T scanners. The result is a set of minimal and optimal imaging protocols for detection, staging, and node/bone assessment, along with clinical indications and a PI‑RADS structured reporting system. Key points include MRI guidelines for prostate cancer, defined clinical indications, minimal and optimal protocols, and a PI‑RADS reporting system.

Abstract

The aim was to develop clinical guidelines for multi-parametric MRI of the prostate by a group of prostate MRI experts from the European Society of Urogenital Radiology (ESUR), based on literature evidence and consensus expert opinion. True evidence-based guidelines could not be formulated, but a compromise, reflected by "minimal" and "optimal" requirements has been made. The scope of these ESUR guidelines is to promulgate high quality MRI in acquisition and evaluation with the correct indications for prostate cancer across the whole of Europe and eventually outside Europe. The guidelines for the optimal technique and three protocols for "detection", "staging" and "node and bone" are presented. The use of endorectal coil vs. pelvic phased array coil and 1.5 vs. 3 T is discussed. Clinical indications and a PI-RADS classification for structured reporting are presented. Key Points • This report provides guidelines for magnetic resonance imaging (MRI) in prostate cancer. • Clinical indications, and minimal and optimal imaging acquisition protocols are provided. • A structured reporting system (PI-RADS) is described.