eprintid: 10190430 rev_number: 7 eprint_status: archive userid: 699 dir: disk0/10/19/04/30 datestamp: 2024-04-10 15:29:14 lastmod: 2024-04-10 15:29:14 status_changed: 2024-04-10 15:29:14 type: article metadata_visibility: show sword_depositor: 699 creators_name: Englman, Cameron creators_name: Maffei, Davide creators_name: Allen, Clare creators_name: Kirkham, Alex creators_name: Albertsen, Peter creators_name: Kasivisvanathan, Veeru creators_name: Baroni, Ronaldo Hueb creators_name: Briganti, Alberto creators_name: De Visschere, Pieter creators_name: Dickinson, Louise creators_name: Gómez Rivas, Juan creators_name: Haider, Masoom A creators_name: Kesch, Claudia creators_name: Loeb, Stacy creators_name: Macura, Katarzyna J creators_name: Margolis, Daniel creators_name: Mitra, Anita M creators_name: Padhani, Anwar R creators_name: Panebianco, Valeria creators_name: Pinto, Peter A creators_name: Ploussard, Guillaume creators_name: Puech, Philippe creators_name: Purysko, Andrei S creators_name: Radtke, Jan Philipp creators_name: Rannikko, Antti creators_name: Rastinehad, Art creators_name: Renard-Penna, Raphaele creators_name: Sanguedolce, Francesco creators_name: Schimmöller, Lars creators_name: Schoots, Ivo G creators_name: Shariat, Shahrokh F creators_name: Schieda, Nicola creators_name: Tempany, Clare M creators_name: Turkbey, Baris creators_name: Valerio, Massimo creators_name: Villers, Arnauld creators_name: Walz, Jochen creators_name: Barrett, Tristan creators_name: Giganti, Francesco creators_name: Moore, Caroline M title: PRECISE Version 2: Updated Recommendations for Reporting Prostate Magnetic Resonance Imaging in Patients on Active Surveillance for Prostate Cancer ispublished: inpress divisions: UCL divisions: B02 divisions: C10 divisions: D16 keywords: Active surveillance, Consensus, Prostate cancer, Prostate magnetic resonance imaging note: This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). abstract: BACKGROUND AND OBJECTIVE: The Prostate Cancer Radiological Estimation of Change in Sequential Evaluation (PRECISE) recommendations standardise the reporting of prostate magnetic resonance imaging (MRI) in patients on active surveillance (AS) for prostate cancer. An international consensus group recently updated these recommendations and identified the areas of uncertainty. METHODS: A panel of 38 experts used the formal RAND/UCLA Appropriateness Method consensus methodology. Panellists scored 193 statements using a 1-9 agreement scale, where 9 means full agreement. A summary of agreement, uncertainty, or disagreement (derived from the group median score) and consensus (determined using the Interpercentile Range Adjusted for Symmetry method) was calculated for each statement and presented for discussion before individual rescoring. KEY FINDINGS AND LIMITATIONS: Participants agreed that MRI scans must meet a minimum image quality standard (median 9) or be given a score of 'X' for insufficient quality. The current scan should be compared with both baseline and previous scans (median 9), with the PRECISE score being the maximum from any lesion (median 8). PRECISE 3 (stable MRI) was subdivided into 3-V (visible) and 3-NonV (nonvisible) disease (median 9). Prostate Imaging Reporting and Data System/Likert ≥3 lesions should be measured on T2-weighted imaging, using other sequences to aid in the identification (median 8), and whenever possible, reported pictorially (diagrams, screenshots, or contours; median 9). There was no consensus on how to measure tumour size. More research is needed to determine a significant size increase (median 9). PRECISE 5 was clarified as progression to stage ≥T3a (median 9). CONCLUSIONS AND CLINICAL IMPLICATIONS: The updated PRECISE recommendations reflect expert consensus opinion on minimal standards and reporting criteria for prostate MRI in AS. PATIENT SUMMARY: The Prostate Cancer Radiological Estimation of Change in Sequential Evaluation (PRECISE) recommendations are used in clinical practice and research to guide the interpretation and reporting of magnetic resonance imaging for patients on active surveillance for prostate cancer. An international panel has updated these recommendations, clarified the areas of uncertainty, and highlighted the areas for further research. date: 2024-03-30 date_type: published publisher: Elsevier BV official_url: http://dx.doi.org/10.1016/j.eururo.2024.03.014 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 2266473 doi: 10.1016/j.eururo.2024.03.014 pii: S0302-2838(24)02232-2 lyricists_name: Giganti, Francesco lyricists_id: FGIGA51 actors_name: Flynn, Bernadette actors_id: BFFLY94 actors_role: owner full_text_status: public publication: European Urology event_location: Switzerland citation: Englman, Cameron; Maffei, Davide; Allen, Clare; Kirkham, Alex; Albertsen, Peter; Kasivisvanathan, Veeru; Baroni, Ronaldo Hueb; ... Moore, Caroline M; + view all <#> Englman, Cameron; Maffei, Davide; Allen, Clare; Kirkham, Alex; Albertsen, Peter; Kasivisvanathan, Veeru; Baroni, Ronaldo Hueb; Briganti, Alberto; De Visschere, Pieter; Dickinson, Louise; Gómez Rivas, Juan; Haider, Masoom A; Kesch, Claudia; Loeb, Stacy; Macura, Katarzyna J; Margolis, Daniel; Mitra, Anita M; Padhani, Anwar R; Panebianco, Valeria; Pinto, Peter A; Ploussard, Guillaume; Puech, Philippe; Purysko, Andrei S; Radtke, Jan Philipp; Rannikko, Antti; Rastinehad, Art; Renard-Penna, Raphaele; Sanguedolce, Francesco; Schimmöller, Lars; Schoots, Ivo G; Shariat, Shahrokh F; Schieda, Nicola; Tempany, Clare M; Turkbey, Baris; Valerio, Massimo; Villers, Arnauld; Walz, Jochen; Barrett, Tristan; Giganti, Francesco; Moore, Caroline M; - view fewer <#> (2024) PRECISE Version 2: Updated Recommendations for Reporting Prostate Magnetic Resonance Imaging in Patients on Active Surveillance for Prostate Cancer. European Urology 10.1016/j.eururo.2024.03.014 <https://doi.org/10.1016/j.eururo.2024.03.014>. (In press). Green open access document_url: https://discovery-pp.ucl.ac.uk/id/eprint/10190430/1/1-s2.0-S0302283824022322-main.pdf