دورية أكاديمية
A standardized method to measure the membranous urethral length (MUL) on MRI of the prostate with high inter- and intra-observer agreement.
| العنوان: | A standardized method to measure the membranous urethral length (MUL) on MRI of the prostate with high inter- and intra-observer agreement. |
|---|---|
| المؤلفون: | Veerman H; Department of Urology, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066CX, Amsterdam, the Netherlands. h.veerman@nki.nl.; Department of Urology, Amsterdam University Medical Centers location Boelelaan, Amsterdam, the Netherlands. h.veerman@nki.nl.; Prostate Cancer Network Netherlands, Amsterdam, the Netherlands. h.veerman@nki.nl., Hagens MJ; Department of Urology, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066CX, Amsterdam, the Netherlands.; Department of Urology, Amsterdam University Medical Centers location Boelelaan, Amsterdam, the Netherlands.; Prostate Cancer Network Netherlands, Amsterdam, the Netherlands., Hoeks CM; Department of Radiology, Diakonessenhuis Utrecht, Utrecht, the Netherlands., van der Poel HG; Department of Urology, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066CX, Amsterdam, the Netherlands.; Department of Urology, Amsterdam University Medical Centers location Boelelaan, Amsterdam, the Netherlands.; Prostate Cancer Network Netherlands, Amsterdam, the Netherlands., van Leeuwen PJ; Department of Urology, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066CX, Amsterdam, the Netherlands.; Prostate Cancer Network Netherlands, Amsterdam, the Netherlands., Vis AN; Department of Urology, Amsterdam University Medical Centers location Boelelaan, Amsterdam, the Netherlands.; Prostate Cancer Network Netherlands, Amsterdam, the Netherlands., Heijmink SWTJP; Department of Radiology, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands., Schoots IG; Department of Radiology, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands.; Department of Radiology, Erasmus Medical Center, Rotterdam, the Netherlands., de Haan MC; Department of Radiology, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands., Boellaard TN; Department of Radiology, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands. |
| المصدر: | European radiology [Eur Radiol] 2023 May; Vol. 33 (5), pp. 3295-3302. Date of Electronic Publication: 2022 Dec 13. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer International Country of Publication: Germany NLM ID: 9114774 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-1084 (Electronic) Linking ISSN: 09387994 NLM ISO Abbreviation: Eur Radiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Berlin : Springer International, c1991- |
| مواضيع طبية MeSH: | Prostate*/diagnostic imaging , Prostate*/pathology , Prostatic Neoplasms*/diagnostic imaging , Prostatic Neoplasms*/surgery , Prostatic Neoplasms*/pathology, Male ; Humans ; Retrospective Studies ; Observer Variation ; Urethra/diagnostic imaging ; Prostatectomy/methods ; Magnetic Resonance Imaging/methods |
| مستخلص: | Objectives: The membranous urethral length (MUL), defined as the length between the apex and penile base as measured on preoperative prostate magnetic resonance imaging (MRI), is an important predictor for urinary incontinence after radical prostatectomy. Literature on inter- and intra - observer agreement of MUL measurement is limited. We studied the inter- and intra-observer agreement between radiologists using a well-defined method to measure the MUL on the prostate MRI. Methods: Prostate cancer patients underwent a preoperative MRI and robot-assisted radical prostatectomy (RARP) at one high-volume RARP center. MUL measurement was based on well-defined landmarks on sagittal T2-weighted (anatomical) images. Three radiologists independently performed MUL measurements retrospectively in 106 patients blinded to themselves, to each other, and to clinical outcomes. The inter- and intra-observer agreement of MUL measurement between the radiologists were calculated, expressed as intra-class correlation coefficient (ICC). Results: The initial inter-observer agreement was ICC 0.63; 95% confidence interval (CI) 0.28-0.81. Radiologist 3 measured the MUL mean 3.9 mm (SD 3.3) longer than the other readers, interpreting the caudal point of the MUL (penile base) differently. After discussion on the correct anatomical definition, radiologist 3 re-assessed all scans, which resulted in a high inter-observer agreement (ICC 0.84; 95% CI 0.66-0.91). After a subsequent reading by radiologists 1 and 2, the intra-observer agreements were ICC 0.93; 95% CI 0.89-0.96, and ICC 0.98; 95% CI 0.97-0.98, respectively. Limitation is the monocenter design. Conclusions: The MUL can be measured reliably with high agreement among radiologists. Key Points: • After discussion on the correct anatomical definition, the inter- and intra - observer agreements of membranous urethral length (MUL) measurement on magnetic resonance imaging (MRI) were high. • A reproducible method to measure the MUL can improve the clinical usefulness of prediction models for urinary continence after RARP which may benefit patient counselling. (© 2022. The Author(s), under exclusive licence to European Society of Radiology.) |
| References: | Ficarra V, Novara G, Rosen RC et al (2012) Systematic review and meta-analysis of studies reporting urinary continence recovery after robot-assisted radical prostatectomy. Eur Urol 62:405–417. https://doi.org/10.1016/j.eururo.2012.05.045. (PMID: 10.1016/j.eururo.2012.05.04522749852) van Stam M-A, Aaronson NK, Bosch JLHR et al (2020) Patient-reported Outcomes Following Treatment Of Localised Prostate Cancer And Their Association With Regret About Treatment Choices. Eur Urol Oncol 3:21–31. https://doi.org/10.1016/j.euo.2018.12.004. (PMID: 10.1016/j.euo.2018.12.00431411965) Lardas M, Grivas N, Debray TPA et al (2022) Patient- and tumour-related prognostic factors for urinary incontinence after radical prostatectomy for nonmetastatic prostate cancer: a systematic review and meta-analysis. Eur Urol Focus 8:674–689. https://doi.org/10.1016/j.euf.2021.04.020. (PMID: 10.1016/j.euf.2021.04.02033967010) Mungovan SF, Sandhu JS, Akin O, Smart NA, Graham PL, Patel MI (2017) Preoperative membranous urethral length measurement and continence recovery following radical prostatectomy: a systematic review and meta-analysis. Eur Urol 71:368–378. https://doi.org/10.1016/j.eururo.2016.06.023. (PMID: 10.1016/j.eururo.2016.06.02327394644) van Dijk-de Haan MC, Boellaard TN, Tissier R, et al (2022) Value of different magnetic resonance imaging-based measurements of anatomical structures on preoperative prostate imaging in predicting urinary continence after radical prostatectomy in men with prostate cancer: a systematic review and meta-analysis. Eur Urol Focus. https://doi.org/10.1016/j.euf.2022.01.015. Wenzel M, Preisser F, Mueller M et al (2021) Effect of prostatic apex shape (Lee types) and urethral sphincter length in preoperative MRI on very early continence rates after radical prostatectomy. Int Urol Nephrol 53:1297–1303. https://doi.org/10.1007/S11255-021-02809-7. (PMID: 10.1007/S11255-021-02809-7336061558192356) Hoeh B, Wenzel M, Müller M et al (2022) Urethral sphincter length but not prostatic apex shape in preoperative MRI is associated with mid-term continence rates after radical prostatectomy. Diagnostics 12:701. https://doi.org/10.3390/diagnostics12030701. (PMID: 10.3390/diagnostics12030701353282548947169) Schlomm T, Heinzer H, Steuber T et al (2011) Full functional-length urethral sphincter preservation during radical prostatectomy. Eur Urol 60:320–329. https://doi.org/10.1016/j.eururo.2011.02.040. (PMID: 10.1016/j.eururo.2011.02.04021458913) Koraitim MM (2008) The male urethral sphincter complex revisited: an anatomical concept and its physiological correlate. J Urol 179:1683–1689. https://doi.org/10.1016/J.JURO.2008.01.010. (PMID: 10.1016/J.JURO.2008.01.01018343449) Grivas N, van der Roest R, Schouten D et al (2018) Quantitative assessment of fascia preservation improves the prediction of membranous urethral length and inner levator distance on continence outcome after robot-assisted radical prostatectomy. Neurourol Urodyn 37:417–425. https://doi.org/10.1002/nau.23318. (PMID: 10.1002/nau.2331828586158) Jeong SJ, Yeon JS, Lee JK et al (2014) Development and validation of nomograms to predict the recovery of urinary continence after radical prostatectomy: comparisons between immediate, early, and late continence. World J Urol 32:437–444. https://doi.org/10.1007/S00345-013-1127-Y/FIGURES/2. (PMID: 10.1007/S00345-013-1127-Y/FIGURES/223832420) Matsushita K, Kent MT, Vickers AJ et al (2015) Preoperative predictive model of recovery of urinary continence after radical prostatectomy. BJU Int 116:577–583. https://doi.org/10.1111/bju.13087. (PMID: 10.1111/bju.13087256827824768861) Tillier CN, Vromans RD, Boekhout AH et al (2021) Individual risk prediction of urinary incontinence after prostatectomy and impact on treatment choice in patients with localized prostate cancer. Neurourol Urodyn 40:1550–1558. https://doi.org/10.1002/NAU.24703. (PMID: 10.1002/NAU.2470334004044) Fukui S, Kagebayashi Y, Iemura Y, Matsumura Y, Samma S (2019) Preoperative MRI parameters predict urinary continence after robot-assisted laparoscopic prostatectomy in prostatic cancer patients. Diagnostics 9:102. https://doi.org/10.3390/diagnostics9030102. (PMID: 10.3390/diagnostics9030102314506576787587) Kohjimoto Y, Yamashita S, Kikkawa K, Iba A, Matsumura N, Hara I (2020) The association of length of the resected membranous urethra with urinary incontinence after radical prostatectomy. Urol J 17:146–151. https://doi.org/10.22037/UJ.V0I0.4753. (PMID: 10.22037/UJ.V0I0.475330882170) Kottner J, Audigé L, Brorson S et al (2011) Guidelines for reporting reliability and agreement studies (GRRAS) were proposed. J Clin Epidemiol 64:96–106. https://doi.org/10.1016/j.jclinepi.2010.03.002. (PMID: 10.1016/j.jclinepi.2010.03.00221130355) Lee H, Kim K, Hwang S Il, et al (2014) Impact of prostatic apical shape and protrusion on early recovery of continence after robot-assisted radical prostatectomy. Urology 84:844–849. https://doi.org/10.1016/j.urology.2014.06.011. Ranganathan P, Pramesh C, Aggarwal R (2017) Common pitfalls in statistical analysis: measures of agreement. Perspect Clin Res 8:187. https://doi.org/10.4103/PICR.PICR_123_17. (PMID: 10.4103/PICR.PICR_123_17291099375654219) Cohen J (1960) A coefficient of agreement for nominal scales. Educ Psychol Meas 20:37–46. https://doi.org/10.1177/001316446002000104. (PMID: 10.1177/001316446002000104) Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159. https://doi.org/10.2307/2529310. (PMID: 10.2307/2529310843571) von Bodman C, Matsushita K, Savage C et al (2012) Recovery of urinary function after radical prostatectomy: predictors of urinary function on preoperative prostate magnetic resonance imaging. J Urol 187:945–950. https://doi.org/10.1016/j.juro.2011.10.143. (PMID: 10.1016/j.juro.2011.10.143) Lamberg H, Shankar PR, Singh K et al (2022) Preoperative prostate MRI predictors of urinary continence following radical prostatectomy. Radiology 303:99–109. https://doi.org/10.1148/radiol.210500. (PMID: 10.1148/radiol.21050035040671) Sauer M, Tennstedt P, Berliner C et al (2019) Predictors of short and long term urinary incontinence after radical prostatectomy in prostate MRI: Significance and reliability of standardized measurements. Eur J Radiol 120:108668. https://doi.org/10.1016/j.ejrad.2019.108668. (PMID: 10.1016/j.ejrad.2019.10866831546125) Greenberg SA, Cowan JE, Lonergan PE et al (2022) The effect of preoperative membranous urethral length on likelihood of postoperative urinary incontinence after robot-assisted radical prostatectomy. Prostate Cancer Prostatic Dis 25:344–350. https://doi.org/10.1038/s41391-022-00527-4. (PMID: 10.1038/s41391-022-00527-435352026) Kim LHC, Patel A, Kinsella N, Sharabiani MTA, Ap Dafydd D, Cahill D (2020) Association between preoperative magnetic resonance imaging–based urethral parameters and continence recovery following robot-assisted radical prostatectomy. Eur Urol Focus 6:1013–1020. https://doi.org/10.1016/j.euf.2019.01.011. (PMID: 10.1016/j.euf.2019.01.01130691961) Song W, Kim CK, Park BK et al (2017) Impact of preoperative and postoperative membranous urethral length measured by 3 Tesla magnetic resonance imaging on urinary continence recovery after robotic-assisted radical prostatectomy. Can Urol Assoc J 11:E93–E99. https://doi.org/10.5489/cuaj.4035. (PMID: 10.5489/cuaj.4035283609545365396) Lim TJ, Lee JH, Lim JW, Moon SK, Jeon SH, Chang SG (2012) Preoperative factors predictive of continence recovery after radical retropubic prostatectomy. Korean J Urol 53:524–530. https://doi.org/10.4111/kju.2012.53.8.524. (PMID: 10.4111/kju.2012.53.8.524229499953427835) Tienza A, Hevia M, Benito A, Pascual JI, Zudaire JJ, Robles JE (2015) MRI factors to predict urinary incontinence after retropubic/laparoscopic radical prostatectomy. Int Urol Nephrol 47:1343–1349. https://doi.org/10.1007/s11255-015-1019-8. (PMID: 10.1007/s11255-015-1019-826049974) Aguayo R (1990) Dr. Deming : the American who taught the Japanese about quality, 1st ed. Simon & Schuster, Inc., New York, New York, USA. |
| فهرسة مساهمة: | Keywords: Magnetic resonance imaging; Observer variation; Prostatic neoplasms; Urethra; Urinary incontinence |
| تواريخ الأحداث: | Date Created: 20221213 Date Completed: 20230425 Latest Revision: 20230425 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1007/s00330-022-09320-2 |
| PMID: | 36512044 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1432-1084 |
|---|---|
| DOI: | 10.1007/s00330-022-09320-2 |