Top Tweets for #ARRSChat
If you missed Monday's #ARRSChat on Prostate MRI Qualification with @sghafoormd and @KatarzynaMacura, you can read the transcript here:
https://t.co/FPHCXqQKJV

@KatarzynaMacura @ARRS_Radiology Agree,the process needs to be more tailored to the specific circumstances in prostate MRI! Assessing the rate of assigned PI-RADS 3 scores has been discussed as a potential quality metric to gauge radiologist performance similar to „recall rate“ in mammography screening #ARRSChat
Thanks to @NickSchiedaMD and @ARRS_Radiology for organizing this #ARRSChat during this Men's Health Awareness month. Thanks to ALL for being part of the conversation on Prostate MRI certification. Grateful to @sghafoormd for co-moderating with me today!
Thank you all for joining @KatarzynaMacura and myself on this #ARRSChat. Prostate certification sure is a “hot topic” which can and should be discussed controversially. Thank you for participating! Also, thank you @NickSchiedaMD and @ARRS_Radiology for the kind invitation.
@sghafoormd #ARRSChat @VUMCradiology used fellow power. Discrepant cases & path results were emailed to attendings. @twloehfelm @panorad_io @Purysko @StevenSRaman_MD have much more sophisticated data tracking at their institutions - something to aspire too -but again time and money.
Thank you all for joining @KatarzynaMacura and myself on this #ARRSChat. Prostate certification sure is a “hot topic” which can and should be discussed controversially. Thank you for participating! Also, thank you @NickSchiedaMD and @ARRS_Radiology for the kind invitation.
Thanks to all who contributed today. The conversation doesn’t have to end. Continue tweeting your ideas on Prostate MRI Qualification! #ARRSChat @ARRS_Radiology @RadiologyACR
Thanks to everyone for joining our #ARRSChat, be sure to reach @sghafoormd & @KatarzynaMacura's article on Prostate MRI Qualification in November's issue of AJR.
https://t.co/ixMJxErP6S
How to get the feedback to the individual radiologist after RadPath review in Prostate tumor board? How to calculate accuracy per radiologist?
Requires time and money.
#ARRSChat
A3. Developing universal performance measures is challenging. Workshops and CME offerings are the easiest to account for. But, the most important is Rad-Path feedback for improving the learning curve. #ARRSChat
Final Thoughts?
There are many opportunities for leveraging technology in helping us achieve the goal of improving image quality and image processing, and tracking results with pathology correlations. Imaging and Tech partners should engage more in this domain! #ARRSChat
@KatarzynaMacura @RadiologyACR A4: In Germany where a two-tiered system (Level 1, Level 2) certification process for prostate MRI is established, the minimum requirements are 50 and 500 in the last 3 and 5 years, respectively #ARRSChat
A4. Currently proposed @RadiologyACR Designation Center for Prostate MRI https://t.co/zNkafMdvIu requires that radiologists must interpret 150 prostate MRIs independently or 100 under supervision over 36 months. This is a modest target considering 50 cases/year #ARRSChat
Q4. Prostate MRI has a known learning curve for interpretation. What is the number of prostate MRIs read per year that you believe is the minimum for a radiologist to qualify as a competent reader? #ARRSChat

@ARRS_Radiology A4: Also - the definition of "case" may be controversial too - what should we count as "cases"? All MRI's or just MRI's in biopsy-naive men with suspected PCa? (without established dianosis) #ARRSChat
@ARRS_Radiology A4: Difficult & area of active debate in the literature and among experts. Literature suggests 200–300 cases should be reported to achieve expertise, and another 50–100 cases/year to maintain competence...maybe a tiered certification system is the way to go? #ARRSChat
@KatarzynaMacura A3: And may not be accessible to a wide range of radiologists depending on where you work (tertiary care center vs. smaller hospital or private practice) #ARRSChat
#arrschat Q4 I think 50 is the bare minimum to get started, but the literature supports a learning curve into the 100’s. As Kasia mentioned in the last Q, continuous feedback is crucial to refine ones ROC.
Q4. Prostate MRI has a known learning curve for interpretation. What is the number of prostate MRIs read per year that you believe is the minimum for a radiologist to qualify as a competent reader? #ARRSChat

A3. Multidisciplinary conferences are certainly the best way to reconcile discrepancies between interpretations and pathology results, and discuss challenging cases. But, these important activities rarely count towards Rads productivity #ARRSChat
@KatarzynaMacura A3: Rad-path feedback can be done either individually (QA'ing own reports post-biopsy) or in the setting of MDTs. I've found visual pathology maps from template biopsies where positive cores were highlighted very helpful to correlate my personal reports with pathology. #ARRSChat
Q4. Prostate MRI has a known learning curve for interpretation. What is the number of prostate MRIs read per year that you believe is the minimum for a radiologist to qualify as a competent reader? #ARRSChat

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