MP74-09 MRI PRO: A GLOBAL ONLINE SOLUTION FOR CASE-BASED TRAINING IN PROSTATE MRI - THE INITIAL LEARNER ANALYSIS

You have accessJournal of UrologyImaging/Radiology: Uroradiology II (MP74)1 Apr 2019MP74-09 MRI PRO: A GLOBAL ONLINE SOLUTION FOR CASE-BASED TRAINING IN PROSTATE MRI - THE INITIAL LEARNER ANALYSIS Jeremy Grummet*, Rowan Miller, Antonio Westphalen, Spencer Behr, Derek Sun, Sonn Geoffrey, Nancy Wang, Jeries Zawaideh, Dorota Czyzewska, Iztok Caglic, Nienke Hansen, Tristan Barrett, Christof Kastner, Shengfei Oon, Renu Eapen, Wayland Wang, Boris Hadaschik, Lukas Puellen, Hiroshi Sasaki, Svenja Dieffenbacher, Muhammad Kahloon, Samir Taneja, Caroline Moore, and Jelle Barentsz Jeremy Grummet*Jeremy Grummet* More articles by this author , Rowan MillerRowan Miller More articles by this author , Antonio WestphalenAntonio Westphalen More articles by this author , Spencer BehrSpencer Behr More articles by this author , Derek SunDerek Sun More articles by this author , Sonn GeoffreySonn Geoffrey More articles by this author , Nancy WangNancy Wang More articles by this author , Jeries ZawaidehJeries Zawaideh More articles by this author , Dorota CzyzewskaDorota Czyzewska More articles by this author , Iztok CaglicIztok Caglic More articles by this author , Nienke HansenNienke Hansen More articles by this author , Tristan BarrettTristan Barrett More articles by this author , Christof KastnerChristof Kastner More articles by this author , Shengfei OonShengfei Oon More articles by this author , Renu EapenRenu Eapen More articles by this author , Wayland WangWayland Wang More articles by this author , Boris HadaschikBoris Hadaschik More articles by this author , Lukas PuellenLukas Puellen More articles by this author , Hiroshi SasakiHiroshi Sasaki More articles by this author , Svenja DieffenbacherSvenja Dieffenbacher More articles by this author , Muhammad KahloonMuhammad Kahloon More articles by this author , Samir TanejaSamir Taneja More articles by this author , Caroline MooreCaroline Moore More articles by this author , and Jelle BarentszJelle Barentsz More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000557274.81836.e4AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: The use of prostate MRI in prostate cancer diagnosis is increasing rapidly as high level evidence mounts favouring its diagnostic accuracy over random biopsy. It is now suggested that MRI is used upfront to determine if prostate biopsy is even necessary. As this practice becomes widespread, the demand for prostate MRI globally will be massive. It is therefore imperative that both radiologists and urologists become skilled at reading prostate MRI accurately. We hypothesised that the best way to address this unmet need for global scale training in prostate MRI is through a rigorous online program. We developed MRI Pro to fulfill this need. Here we present our initial learner data analysis. METHODS: MRI Pro is a proprietary online training program consisting of 300 multiparametric MRI cases all reported to PIRADS v.2 standard. Every case has histological verification with a template transperineal biopsy for negative cases or wholemount radical prostatectomy histology for positive cases. After reading each MRI, learners submit their assessment including PIRADS score, number and location of lesions, and stage of disease. Learners are then given instant feedback with the correct answer for rapid learning. The program’s software was deliberately designed to capture granular learner data and a timer was built-in to enable learners to accrue CME points per hour of use. MRI Pro went live online at www.mripro.io in May 2018. A CSV spreadsheet was exported in October 2018 for this initial analysis. RESULTS: 151 learners across the world accessed MRI Pro’s main program of 300 cases between May and October 2018. Of these, 21 learners performed more than 20 cases each (range 21 - all 300) for a total of 1,750 cases with a mean of 84.1 cases per learner. Prior MRI reading experience varied from 0 to >1000 cases. The mean proportion of cases reported correctly by these 21 learners was 62.2% (range 39 - 74%). Mean concordance between these 21 learners for the first 21 cases of the program (which all of them completed) was 0.74 (range 0.5 - 0.91 per case). The mean time spent per case was 4.9 minutes. CONCLUSIONS: MRI Pro is an online case-based prostate MRI training program. This initial learner data analysis supports the need for such a program with learners who completed more than 20 cases on the program reading the MRI cases correctly only 62.2% of the time. It also supports the reporting variation found in other studies with the concordance rate of 0.74. We will report on a further analysis, including improvement in diagnostic accuracy of learners whilst on this program, as our dataset increases. Source of Funding: none Melbourne, Australia; San Francisco, CA; Stanford, CA; Cambridge, United Kingdom; Melbourne, Australia; Essen, Germany; Tokyo, Japan; Heidelberg, Germany; Canberra, Australia; New York City, NY; London, United Kingdom; Nijmegen, Netherlands© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e1076-e1076 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jeremy Grummet* More articles by this author Rowan Miller More articles by this author Antonio Westphalen More articles by this author Spencer Behr More articles by this author Derek Sun More articles by this author Sonn Geoffrey More articles by this author Nancy Wang More articles by this author Jeries Zawaideh More articles by this author Dorota Czyzewska More articles by this author Iztok Caglic More articles by this author Nienke Hansen More articles by this author Tristan Barrett More articles by this author Christof Kastner More articles by this author Shengfei Oon More articles by this author Renu Eapen More articles by this author Wayland Wang More articles by this author Boris Hadaschik More articles by this author Lukas Puellen More articles by this author Hiroshi Sasaki More articles by this author Svenja Dieffenbacher More articles by this author Muhammad Kahloon More articles by this author Samir Taneja More articles by this author Caroline Moore More articles by this author Jelle Barentsz More articles by this author Expand All Advertisement PDF downloadLoading ...