Implementing PI-QUAL: A Step-by-Step Guide to Prostate MRI Quality Assessment

The Prostate Imaging Quality (PI-QUAL) system provides a standardized framework to assess prostate MRI diagnostic adequacy. A new review outlines a stepwise implementation approach including multidisciplinary training, retrospective audits, protocol optimization, structured repo…

• PI-QUAL, initially developed from the PRECISION trial and refined by the European Society of Urogenital Radiology, applies to both multiparametric and biparametric MRI.
• Suboptimal prostate MRI quality can reduce cancer detection, increase equivocal PI-RADS assessments, and compromise staging and longitudinal assessment.
• Clinical implementation involves multidisciplinary training, retrospective audits, protocol optimization, structured reporting, quality dashboards, benchmark development, and artificial intelligence tools.

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