The Role of the Radiologist in the Prostate Cancer Multidisciplinary Conference

Overview

Journal Abdom Radiol (NY)

Publisher Springer

Specialties Gastroenterology
Radiology

Date 2024 Jul 1

PMID 38951230

Authors

Daniel N Costa

Nghi Nguyen

Aurelie Garant

Xiaosong Meng

Kevin D Courtney

Rajal B Shah

Ivan Pedrosa

Affiliations

Soon will be listed here.

Abstract

The broad range of disease aggressiveness together with imperfect screening, diagnostic, and treatment options in prostate cancer (PCa) makes medical decision-making complex. The primary goal of a multidisciplinary conference is to improve patient outcomes by combining evidence-based data and expert opinion to discuss optimal management, including for those patients with challenging presentations. The primary purpose of the genitourinary imaging specialist in the prostate cancer multidisciplinary conference is to use imaging findings to reduce uncertainty by answering clinical questions. In this review, we discuss the role and the opportunities for an imaging specialist to add value in the care of men with prostate cancer discussed at multidisciplinary conferences.

References

Dawson N, Arkes H . Systematic errors in medical decision making: judgment limitations. J Gen Intern Med. 1987; 2(3):183-7. DOI: 10.1007/BF02596149. View

Redelmeier D, Rozin P, Kahneman D . Understanding patients' decisions. Cognitive and emotional perspectives. JAMA. 1993; 270(1):72-6. View

Schaeffer E, Srinivas S, Adra N, An Y, Barocas D, Bitting R . Prostate Cancer, Version 4.2023, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw. 2023; 21(10):1067-1096. DOI: 10.6004/jnccn.2023.0050. View

Spinks T, Albright H, Feeley T, Walters R, Burke T, Aloia T . Ensuring quality cancer care: a follow-up review of the Institute of Medicine's 10 recommendations for improving the quality of cancer care in America. Cancer. 2011; 118(10):2571-82. PMC: 3272132. DOI: 10.1002/cncr.26536. View

Pillay B, Wootten A, Crowe H, Corcoran N, Tran B, Bowden P . The impact of multidisciplinary team meetings on patient assessment, management and outcomes in oncology settings: A systematic review of the literature. Cancer Treat Rev. 2015; 42:56-72. DOI: 10.1016/j.ctrv.2015.11.007. View

Korman H, Lanni Jr T, Shah C, Parslow J, Tull J, Ghilezan M . Impact of a prostate multidisciplinary clinic program on patient treatment decisions and on adherence to NCCN guidelines: the William Beaumont Hospital experience. Am J Clin Oncol. 2012; 36(2):121-5. DOI: 10.1097/COC.0b013e318243708f. View

Sundi D, Cohen J, Cole A, Neuman B, Cooper J, Faisal F . Establishment of a new prostate cancer multidisciplinary clinic: Format and initial experience. Prostate. 2014; 75(2):191-9. PMC: 4270998. DOI: 10.1002/pros.22904. View

Larson D, Durand D, Siegal D . Understanding and Applying the Concept of Value Creation in Radiology. J Am Coll Radiol. 2017; 14(4):549-557. DOI: 10.1016/j.jacr.2016.12.023. View

Davenport M, Weinstein S . What Is It We Do Here?. AJR Am J Roentgenol. 2021; 218(1):184-185. DOI: 10.2214/AJR.21.26565. View

10.

Rosenkrantz A, Ginocchio L, Cornfeld D, Froemming A, Gupta R, Turkbey B . Interobserver Reproducibility of the PI-RADS Version 2 Lexicon: A Multicenter Study of Six Experienced Prostate Radiologists. Radiology. 2016; 280(3):793-804. PMC: 5006735. DOI: 10.1148/radiol.2016152542. View

11.

Ahmed H, El-Shater Bosaily A, Brown L, Gabe R, Kaplan R, Parmar M . Diagnostic accuracy of multi-parametric MRI and TRUS biopsy in prostate cancer (PROMIS): a paired validating confirmatory study. Lancet. 2017; 389(10071):815-822. DOI: 10.1016/S0140-6736(16)32401-1. View

12.

Kasivisvanathan V, Rannikko A, Borghi M, Panebianco V, Mynderse L, Vaarala M . MRI-Targeted or Standard Biopsy for Prostate-Cancer Diagnosis. N Engl J Med. 2018; 378(19):1767-1777. PMC: 9084630. DOI: 10.1056/NEJMoa1801993. View

13.

de Rooij M, Hamoen E, Witjes J, Barentsz J, Rovers M . Accuracy of Magnetic Resonance Imaging for Local Staging of Prostate Cancer: A Diagnostic Meta-analysis. Eur Urol. 2015; 70(2):233-45. DOI: 10.1016/j.eururo.2015.07.029. View

14.

Klotz L, Lughezzani G, Maffei D, Sanchez A, Pereira J, Staerman F . Comparison of micro-ultrasound and multiparametric magnetic resonance imaging for prostate cancer: A multicenter, prospective analysis. Can Urol Assoc J. 2020; 15(1):E11-E16. PMC: 7769516. DOI: 10.5489/cuaj.6712. View

15.

Radzina M, Tirane M, Roznere L, Zemniece L, Dronka L, Kalnina M . Accuracy of Ga-PSMA-11 PET/CT and multiparametric MRI for the detection of local tumor and lymph node metastases in early biochemical recurrence of prostate cancer. Am J Nucl Med Mol Imaging. 2020; 10(2):106-118. PMC: 7218697. View

16.

Sawicki L, Kirchner J, Buddensieck C, Antke C, Ullrich T, Schimmoller L . Prospective comparison of whole-body MRI and Ga-PSMA PET/CT for the detection of biochemical recurrence of prostate cancer after radical prostatectomy. Eur J Nucl Med Mol Imaging. 2019; 46(7):1542-1550. DOI: 10.1007/s00259-019-04308-5. View

17.

Donswijk M, van Leeuwen P, Vegt E, Cheung Z, Heijmink S, van der Poel H . Clinical impact of PSMA PET/CT in primary prostate cancer compared to conventional nodal and distant staging: a retrospective single center study. BMC Cancer. 2020; 20(1):723. PMC: 7409439. DOI: 10.1186/s12885-020-07192-7. View

18.

Evangelista L, Zattoni F, Cassarino G, Artioli P, Cecchin D, Dal Moro F . PET/MRI in prostate cancer: a systematic review and meta-analysis. Eur J Nucl Med Mol Imaging. 2020; 48(3):859-873. PMC: 8036222. DOI: 10.1007/s00259-020-05025-0. View

19.

Ploussard G, Rouviere O, Roupret M, van den Bergh R, Renard-Penna R . The current role of MRI for guiding active surveillance in prostate cancer. Nat Rev Urol. 2022; 19(6):357-365. DOI: 10.1038/s41585-022-00587-0. View

20.

Costa D, Meng X, Tverye A, Bagrodia A, Recchimuzzi D, Xi Y . Preoperative Multiparametric Prostate Magnetic Resonance Imaging Structured Report Informs Risk for Positive Apical Surgical Margins During Radical Prostatectomy. J Comput Assist Tomogr. 2022; 47(1):38-44. DOI: 10.1097/RCT.0000000000001377. View