DIAGNOSTIC VALUE OF THE PI-QUAL v2 IMAGING QUALITY SCORE ON 3.0T MRI IN THE DETECTION OF PROSTATE CANCER BASED ON PI-RADS v2.1 CLASSIFICATION

Ngân Hà Hoàng, Quang Lộc Trần, Thành Nhân Dư, Hữu Chung Nguyễn, Đình Minh Nguyễn

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Abstract

Objective: To evaluate the impact of magnetic resonance imaging (MRI) image quality on the diagnostic performance for prostate cancer (PCa). Materials and Methods: A cross-sectional descriptive study was conducted at Viet Duc University Hospital from September 2019 to June 2025. The study included 124 male patients over 50 years old with suspected prostate cancer. Data collection included clinical examination findings, PSA levels, prostate MRI images, PI-RADS v2.1 scores, and image quality assessment using the PI-QUAL v2 scoring system. Results: The mean age of patients was 69.1 ± 8.3 years. Among the 124 patients, 39 were confirmed to have prostate cancer. The cancer detection rates for PI-RADS 4 and 5 lesions were 77% and 100%, respectively. The diagnostic yield significantly increased with improved image quality based on PI-QUAL v2, particularly in PI-RADS 5 lesions, where the cancer detection rate reached 100%. Conclusion: MRI image quality, as assessed by the PI-QUAL v2 scoring system, has a significant impact on the diagnostic accuracy of prostate cancer using the PI-RADS v2.1 classification

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References

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