Taking PI-QUAL beyond the prostate: Towards a standardized radiological image quality score (RI-QUAL) Journal Article


Authors: Becker, A. S.; Giganti, F.; Purysko, A. S.; Fainberg, J.; Vargas, H. A.; Woo, S.
Article Title: Taking PI-QUAL beyond the prostate: Towards a standardized radiological image quality score (RI-QUAL)
Abstract: Purpose: To compare the interreader agreement of a novel quality score, called the Radiological Image Quality Score (RI-QUAL), to a slighly modified version of the existing Prostate Imaging Quality (mPI-QUAL) score for magnetic resonance imaging (MRI) of the prostate. Methods: A total of 43 consecutive scans were evaluated by two subspecialized radiologists who assigned scores using both the RI-QUAL and mPI-QUAL methods. The interreader agreement was analyzed using three statistical methods: concordance correlation coefficient (CCC), intraclass correlation coefficient (ICC), and Cohen's kappa. Time needed to arrive at a quality judgment was measured and compared using the Wilcoxon signed rank test. Results: The interreader agreement for RI-QUAL and mPI-QUAL scores was comparable, as evidenced by the high CCC (0.76 vs. 0.77, p = 0.93), ICC (0.86 vs. 0.87, p = 0.93), and moderate Cohen's kappa (0.61 vs. 0.64, p = 0.85) values. Moreover, RI-QUAL assessment was faster than mPI-QUAL (19 vs. 40 s, p = 0.001). Conclusion: RI-QUAL is a new quality score that has comparable interreader agreement to the mPI-QUAL score, but with the potential to be applied to different MRI protocols and even different modalities. Like PI-QUAL, RI-QUAL may also facilitate communication about quality to referring physicians, as it provides a standardized and easily interpretable score. Further studies are warranted to validate the usefulness of RI-QUAL in larger patient cohorts and for other imaging modalities. © 2023
Keywords: adult; clinical article; controlled study; retrospective studies; nuclear magnetic resonance imaging; magnetic resonance imaging; reproducibility; quality control; reproducibility of results; observer variation; clinical assessment; cohort analysis; pathology; diagnostic imaging; retrospective study; prostatic neoplasms; prostate; correlation coefficient; radiologist; quality assurance; image quality; prostate tumor; physician; procedures; wilcoxon signed ranks test; humans; human; male; article; prostate mri; standardized reporting; health care operations
Journal Title: European Journal of Radiology
Volume: 165
ISSN: 0720-048X
Publisher: Elsevier B.V  
Date Published: 2023-08-01
Start Page: 110955
Language: English
DOI: 10.1016/j.ejrad.2023.110955
PUBMED: 37421773
PROVIDER: scopus
PMCID: PMC10404469
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF -- Source: Scopus
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  1. Sungmin Woo
    62 Woo
  2. Anton Sebastian Becker
    40 Becker