Comparison of PI-RADS v2 and v1 classifica on of lesions detected

"
!
Emily Pang, MD, FRCPC
Department of Radiology
Vancouver General Hospital
CAR Annual Meeting 2015
• 
• 
&#&$ '%&'
#$
"
"
""#(
)$
• 
• 
!&! 0-2 1+,+0
)" !"./+!" !)!%!+
(" !"#!!
& ! !! "!.0-2/!
)!"!!
#%'#"
#!
• 
• 
• 
& ! !%#&" ) """! &%!%!
" ! '"&%!%!!'"&%
" ")! )%! !
#
$
" %"
2013%!
'!"
-!" "!" *#!& #"
%!#," "#, # !""
.
•  &&%",' !!
• 
• 
#
$!
• 
%"! ! " 2! ,'"
! &!(!
– 
– 
• 
!!!& ! !&%!%! !
– 
• 
" !"/! '"%!
&! !" !)
&)'""' !2 " !#* *
!! !#&)
"! %!# " !
!
! 6
#,!#%$$%$%,4 #5
6
#%,400 #5 3
)(
!
7
# #*3$!,! %$%, #($
,! %$%,.($(,$&%#
7
$&%,! %$ 6
, , 6
8
%# ($$%$%, # 3
#($#.# (. #%,! %$%,
1 %#$%% %"(,$7.9. #:
8
,2 #%,,! %$ $ %$2,,!#%$ 3
)(0
7
, , 7
8
, ;
8
9
#($#. ($ #%,! %$
($2$$ % !# $%%<60:
#%$%$ 9
#,,! %$ #,,!#%$ 3)(/<
60:#%$%$ 3
9
:
$9(%>60:#%$%$ #
%+%#!# $%&+%$ 2)$)) #
:
$9(%>60:#%$%$ #
%+%#!# $%&+%$ 2)$)
) #
! 6
($%#%$%$%,
4 #5
7
#($#,! %$ #%# ($
!$(% (4$545
8
%# ($$%$%,*% $(#
#$($ %#$%% %"(,$7.9.
#:
9
&(# # 3#($#. ($.
#%,,! %$.<60:#%$%
$ :
$9.(%>60:#%$%$ #
%+%#!# $%&+%$ 2)$)) #
4;5
9
, , 9
:
, , :
435
#,%. #
($% % ##$! % 72 # #
% ##$! % $ $%#&%(#$ 7
.##% # %! # ($,
*%% % #
!# $%&&$$($./ ##$! $% $($! ($ 72 #
!
6
, , 6
7
, , 7
8
, =9
:
8
9
9
, , 9
:
, , :
•  ++)*-
•  –  ""
–  •  "%
"
•  $&*%+$&-%.$
&,'!(
•  %'""
"
"
&
•  "$
–  %
"
–  !
"
" !#&'!!! &3123.3124
–  )((
!
" !*3),/1)511)21110))2+5)
"
!! -!!%!-&3! –  *
&)$+!
)(0!
'#
!#*(/
!
*
–  %)!
#"!'!""'
–  !
&
,
'
-,,
".,-.'.,-/
&&(!**&0"
3&
$
.,0
'%*
.&-
,!()0"
-11
(2-&-5)
-*!)&)0"
! #
4()*
5(&'
*
1
)
1
'
-&
2%+&&
!&%))%*'+"
!*$'
–  .4&04 !)%3*
–  .(./&.4 '01$1 '/$
':
–  !'
)"*
! &
$(#)!
$%
$&
!
4-%1;
4.%-;
!
14%0;
41%0;
..%5;
02%5;
51%0;
54%4;
!#
&('%
")
" %'&$
!%
!
"
#
$
&$&%
$& $#&
–  &% $#$)!
"*&*
,$*
+-&%)$
' –  *
–  •  !""#2.
$*""$'"3
–  "$'!*""2!"&#'!&$&"(#!!"
##!#""3
–  #*-(#!#"#7!86"#"#&#
•  &!"1
5#!#!"2/01'&
54443
•  &""*!"&#"#(*"&!#*!#&!*
#*
–  !#"""*"*-!*)"#(###
$
•  &!&$"#*""#"#!!""-!!+
""&!!!"#
•  –  !
–  –  &*#
#
)+(('
•  %
$
•  # %$-
/ #
/ %$%2
"#!$%%) $:89:2)#!4:89:5
::1>;=3><>
•  $%#/)(##
/*!#$ %292<
)&"#%#)$ 31#! ,#! ,$$%!!-% +3%)!#!"#!$%% #
"& %$) #! "#!$%%%!,2%!2
:89<"#0<=4;51<88399
•  #2!#/26#!$%% "!#& %,$%
4353# !!!,622"2/:89<2
29,:89<2