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Evaluation of the inter-reader reproducibility of the PI-QUAL scoring system for prostate MRI quality
Francesco Giganti1, Eoin Dinneen1, Veeru Kasivisvanathan1, Aiman Haider2, Alex Freeman2, Mark Emberton1, Greg Shaw2, Caroline M Moore1, and Clare Allen2
1University College London, London, United Kingdom, 2University College London Hospital, London, United Kingdom
We found substantial agreement (κ = 0.77; percent agreement = 80%) between two expert radiologists when assessing prostate MRI quality for each single PI-QUAL score (1 to 5). The composition of the PI-QUAL will need to undergo further refinements.

Fig. 1: Three cases of PI-QUAL score.

From left to right for each row: axial T2-weighted, diffusion (b-values and ADC map) and dynamic-contrast enhanced imaging.

PI-QUAL 2: only one sequence is of acceptable diagnostic quality (T2-WI). It is not possible to rule in and to rule out all significant lesions.

PI-QUAL 3: two sequences taken together are of acceptable diagnostic quality. It is possible to rule in but not to rule out all significant lesions.

PI-QUAL 4: at least two sequences are independently of diagnostic quality, and it is possible to rule in and rule out all significant lesions.

Table 1: The PI-QUAL score.