Real-world Inter-rater Agreement of PI-QUAL Version 2 for Prostate Magnetic Resonance Imaging Quality Assessment and Its Association with Diagnostic Accuracy

We studied how doctors agree when judging the quality of prostate magnetic resonance imaging (MRI) scan using the Prostate Imaging Quality scoring system. When they focused too strictly on technical rules, agreement was poor; when scans were judged visually, agreement improved. Better-quality MRI scans led to fewer unclear ("indeterminate") results, helping doctors make clearer biopsy decisions.

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Publication Details

Journal
European Urology Open Science
Published
2026-01-06
DOI
https://doi.org/10.1016/j.euros.2025.12.019
Primary Topic
Reliability and Agreement in Measurement
Type
article
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article

Real-world Inter-rater Agreement of PI-QUAL Version 2 for Prostate Magnetic Resonance Imaging Quality Assessment and Its Association with Diagnostic Accuracy

Jorg R. Oddens, J. Reitsma, J. Barentsz, Arnoud W. Postema et al.
European Urology Open Science
Reliability and Agreement in Measurement
article

Real-world Inter-rater Agreement of PI-QUAL Version 2 for Prostate Magnetic Resonance Imaging Quality Assessment and Its Association with Diagnostic Accuracy

Jorg R. Oddens, J. Reitsma, J. Barentsz, Arnoud W. Postema, F. Giganti, Iztok Caglič, Maarten de Rooij, Sylvia Bösch, Daniël Van den Kroonenberg, Giorgio Brembilla, H.P.J. Raat, Joris-Jan Gijsbertsen, Bo J. Hamstra
article en

Abstract

We studied how doctors agree when judging the quality of prostate magnetic resonance imaging (MRI) scan using the Prostate Imaging Quality scoring system. When they focused too strictly on technical rules, agreement was poor; when scans were judged visually, agreement improved. Better-quality MRI scans led to fewer unclear ("indeterminate") results, helping doctors make clearer biopsy decisions.

European Urology Open ScienceVol. 84
University College London Hospitals NHS Foundation Trust (GB), Radboud University Nijmegen (NL), Vita-Salute San Raffaele University (IT), University of Cambridge (GB), Leiden University Medical Center (NL), Radboud University Medical Center (NL), University Medical Center Utrecht (NL), Andros Mannenkliniek (NL), Amsterdam University Medical Centers (NL), Laurentius Ziekenhuis (NL), Istituti di Ricovero e Cura a Carattere Scientifico (IT), Addenbrooke's Hospital (GB), University College London (GB)
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Openalex Percentile: Top 96%
Reliability and Agreement in Measurement
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Real-world Inter-rater Agreement of PI-QUAL Version 2 for Prostate Magnetic Resonance Imaging Quality Assessment and Its Association with Diagnostic Accuracy — Jorg R. Oddens, J. Reitsma, et al. · European Urology Open Science (2026) | TGRS Research Map | TGRS