This book is a basic, practical guide to performing and interpreting state-of-the-art prostate MRI, utilizing the latest guidelines in the field. Prostate MRI has become one of the fastest growing examinations in the radiology practice, and this demand has continuously increased within the past decade. Since it is relatively new, MRI of the prostate is predominantly being performed at academic institutions, however there is a growing demand within the lower-tier health care institutions to offer this examination to their patients. This is an ideal guide for radiologists who want to enhance or initiate prostate MRI service for their referring clinicians and as a manual for technologists and those who are in training.

Prostate cancer is the second leading cause of cancer death in men, exceeded only by lung cancer. The best predictor of disease outcome lies with correct diagnosis, which requires precise imaging and diagnostic procedures aided by prostate MRI. Urologists, medical oncologists and radiation oncologists all agree that multi-parametric prostate MRI is essential for evaluation of prostate cancer.  However, the technical aspects of prostate MR imaging are not as straightforward as for the other imaging modalities and constantly evolving. Its small size presents a real challenge to the radiologist, who needs to do the T2 and diffusion weighted images and perform a dynamic contrast enhanced sequence correctly.  These images may also need to be analyzed on an independent workstation. Due to the absence of a current reference manual, when a radiologist wants to establish a prostate imaging service, he/she needs to attend dedicated prostate MR workshops or dive into the literature search alone, only to get more confused about what to do and how to do it.

With this book, expert authors were asked to give clear guidance to those who want to enhance or initiate their prostate imaging service. With this much-needed, concise, practical guidance, radiologists can perform and interpret multi-parametric prostate MRI in a standardized fashion, in concordance with PI-RADS v2.1 that can be applicable to all available hardware platforms (GE, Philips, Siemens, Toshiba). Additionally, they can perform post-processing for possible targeted biopsy and interpret post-therapy and PET studies. The book discusses imaging protocols (planning and prescription) and sequence parameters with representative images for each MRI sequence. This handbook-style practical manual can be used in the radiology reading room by those interpreting the MR exam as a reference as well as at the MRI scanner by the technologists as a guide. Coverage of basic prostate anatomy, pathology, Urologists’ point of view, MRI guided radiation treatment planning and molecular imaging is also included. Throughout the book, authors will discuss basics, pitfalls, and provide tips in image acquisition and interpretation, alongside several case examples.

A practical guide for radiologists on providing high yield disease-specific reports

Multiple studies show that referring physicians have a clear preference for structured radiology reports due to clarity and ease of interpretation, yet a one-size-fits all approach does not address disease complexities. Concurrently, the use of structured radiology templates has increased, driven in part by the need to comply with big data and artificial intelligence as well as reimbursement. Standardization of reporting is one of the first essential steps in the transformation of radiology from «the art of imaging» to a robust data science.

Radiology Structured Reporting Handbook: Disease-Specific Templates and Interpretation Pearls by Professors Olga R. Brook, Wieland H. Sommer, and esteemed colleagues is a highly practical guide on structured reporting for every major area of radiology. Featuring disease-specific templates, the book is organized in six sections and 53 chapters. Section one covers core foundation topics, from different definitions of structured reporting and pros and cons to change management and how to build templates. Five disease-specific sections encompass specific cancers and a variety of abdominal, thoracic, neurological, and cardiovascular diseases and conditions.

Together, the templates and pearls provide an essential and unique practice resource for optimal and clinically relevant reporting. The book also serves as a succinct educational tool for radiology trainees and practicing radiologists who may not interpret specific highly specialized types of studies on a daily basis.