Sanmugalingam, Nimalan;
Sushentsev, Nikita;
Lee, Kang-Lung;
Caglic, Iztok;
Englman, Cameron;
Moore, Caroline;
Giganti, Francesco;
(2023)
The PRECISE Recommendations for Prostate MRI in Patients on Active Surveillance for Prostate Cancer: A Critical Review.
American Journal of Roentgenology
10.2214/AJR.23.29518.
(In press).
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Abstract
The Prostate Cancer Radiological Estimation of Change in sequential Evaluation (PRECISE) recommendations were published in 2016 to standardize the reporting of MRI examinations performed to assess for disease progression in patients on active surveillance (AS) for prostate cancer. Although a limited number of studies have reported outcomes from use of PRECISE in clinical practice, the available studies have demonstrated PRECISE to have high pooled NPV but low pooled PPV for predicting progression. Our experience in using PRECISE in clinical practice at two teaching hospitals has highlighted issues with its application and areas requiring clarification. This Clinical Perspective critically appraises PRECISE based on this experience, focusing on the system's key advantages and disadvantages and exploring potential changes to improve the system's utility. These include consideration of image quality when applying PRECISE scoring, incorporation of quantitative thresholds for disease progression, adoption of a PRECISE 3F subcategory for progression not qualifying as substantial, and comparisons with both the baseline and most recent prior examinations. Items requiring clarification include derivation of a patient-level score in patients with multiple lesions, intended application of PRECISE score 5 (i.e., if requiring development of non organ-confined disease), and categorization of new lesions in patients with prior MRI-invisible disease.
| Type: | Article |
|---|---|
| Title: | The PRECISE Recommendations for Prostate MRI in Patients on Active Surveillance for Prostate Cancer: A Critical Review |
| Location: | United States |
| DOI: | 10.2214/AJR.23.29518 |
| Publisher version: | https://doi.org/10.2214/AJR.23.29518 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10173034 |
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