Does including histological outcomes in a multiparametric MRI report improve prostate biopsy decision making?

To see if inserting audited histological outcome data for each Likert score into prostate mpMRI reports was helpful for clinicians counselling patients and influenced prostate biopsy uptake. A single radiologist reported 791 mpMRI scans for query prostate cancer between 2017 and 2019. A structured template which included histological outcome data from this cohort was devised and included in 207 mpMRI reports between January and June 2021. The outcomes of the new cohort were compared with the historical cohort, and with 160 contemporaneous reports without histological outcome data from the four other radiologists in the department. The opinion of this template was sought from referring clinicians who counselled patients. The proportion of patients biopsied fell from 58.0 to 32.9% overall between the Fewer low-risk patients choose unnecessary biopsies when audited histological outcomes for the radiologist's Likert scores are included in mpMRI reports. Clinicians welcome reporter-specific audit information in mpMRI reports which could result in fewer biopsies.