Introduction
Methods
The Delphi method
Results
Consensus process and background of participants
mpMRI in clinical urological practice
Focal therapy planning
mpMRI during and in the follow-up of focal therapy
Discussion
Recommendation | Online or panel agreement |
---|---|
mpMRI should be performed in patients with prior negative biopsies if clinical suspicion remains | Online |
mpMRI should not be performed as stand-alone diagnostic tool or with mpMRI-targeted biopsies only | Online |
mpMRI should be performed following standard biopsy-based PCa diagnosis in both the planning and follow-up of FT | Online |
MRI-TRUS fusion is the recommended technique to perform biopsies following mpMRI | Online |
Systematic biopsies are still required for FT planning in biopsy-naïve patients and patients with residual PCa after FT | Online |
Repeat biopsies should be taken during the follow-up of FT | Online |
The final decision to perform FT should be based on histopathology and not be based on mpMRI results alone | Online |
Only in expert centers, where the quality is assured and own results are monitored, mpMRI may be performed in all patients suspected of PCa | Panel |
Only in expert centers, deferral of repeat biopsy may be considered in case of a negative mpMRI | Panel |
It should be our goal to guarantee high-quality mpMRI throughout the urological community before implementing it as standard of care | Panel |