Radiologist revolutionizing prostate cancer imaging. Introduced PI-RADS, global standard for prostate MRI. Changed EU/Dutch guidelines: MRI before biopsy. First non-urologist to win EAU Innovators in Urology Award. 40-year career pushing medical boudarieshttps://bsky.app/profile/jellemri.bsky.socialhttps://bsky.app/profile/jellemri.bsky.social/post/3lsg4iur6rs2pDOI:10.1001/jamaoncol.2025.1594 -MRI-screening reduces unnecessary Bx. -Aggressive PCa detection increase with MRI. -Overdiagnosis of insign PCa drops -Benefit/harm improves with each screening round. -MRI sustains efficiency+safety over repeated rounds. -Fewer Bx’s in subsequent screening rounds.25 Jun 2025 07:44 +0000at://did:plc:dzuc2plymorlvan3ec5krerj/app.bsky.feed.post/3lsg4iur6rs2phttps://bsky.app/profile/jellemri.bsky.social/post/3lkpvqh4mvk223 Papers about PI-QUAL v2 (Prostate MR Image Quality Assessment) The original paper (1st image) is open access. Please find images from the other 2: Eur Rad and Eur Urol Original de Rooij et al. European Radiology (2024) 34:7068–7079 https://doi.org/10.1007/s00330-024-10795-4 #QualityMatters #Prostate #ProstateMRI19 Mar 2025 09:48 +0000at://did:plc:dzuc2plymorlvan3ec5krerj/app.bsky.feed.post/3lkpvqh4mvk22https://bsky.app/profile/jellemri.bsky.social/post/3lkpv6hsmrs22Image Quality in Radiology19 Mar 2025 09:38 +0000at://did:plc:dzuc2plymorlvan3ec5krerj/app.bsky.feed.post/3lkpv6hsmrs22https://bsky.app/profile/jellemri.bsky.social/post/3lj3hvhhbak2oGiorgio Bembrilla @ECR2025 - Always do a PI-QUAL check in a prostate MRI - Adhere to PI-RADS technical standards26 Feb 2025 13:22 +0000at://did:plc:dzuc2plymorlvan3ec5krerj/app.bsky.feed.post/3lj3hvhhbak2ohttps://bsky.app/profile/jellemri.bsky.social/post/3liybr3rzo22kVoor mijn podcast #TegenHetLicht over #ProstaatMRI luister: https://open.spotify.com/episode/5sxsylmDAUuyoVa5fW7h7c?si=PAQWVCxtRBCVcixzdx8NxQ25 Feb 2025 06:54 +0000at://did:plc:dzuc2plymorlvan3ec5krerj/app.bsky.feed.post/3liybr3rzo22khttps://bsky.app/profile/jellemri.bsky.social/post/3libtsoija227Biopsy result: 65 yrs, PSA 21, PSAD 0.54, cT2 --> PI-RADS 5, mT3a, DCE ++ Pathology: - GS: 4+3, with invasive cribriform growth16 Feb 2025 08:46 +0000at://did:plc:dzuc2plymorlvan3ec5krerj/app.bsky.feed.post/3libtsoija227https://bsky.app/profile/jellemri.bsky.social/post/3libtpsmwt227Answer to yesterday's case: - PI-RADS 5: internal invasive growth, >15 mm Score: T2W/DWI/DCE: 5/5/+  PI-RADS 5 - MRI stage T3a (mT3a): bulge, broad contact, invasive - Value of DCE: early enhancement, arterial curve-like  high probability of Gleason 4 component16 Feb 2025 08:44 +0000at://did:plc:dzuc2plymorlvan3ec5krerj/app.bsky.feed.post/3libtpsmwt227https://bsky.app/profile/jellemri.bsky.social/post/3li7rlggev22f65 yrs, PSA 21, PSAD 0.54, cT2 PI-RADS assessment? MRI stage (mT?) Value of DCE?15 Feb 2025 13:01 +0000at://did:plc:dzuc2plymorlvan3ec5krerj/app.bsky.feed.post/3li7rlggev22fhttps://bsky.app/profile/jellemri.bsky.social/post/3lhj4noifbc2f• PI-QUALv2 standardized system for prostate MRI quality • High quality is essential: 30% mp and 50% of bpMR are not adequate in NL • Certified radiologists key for PI-QUALv2 standards • Implementing PI-QUALv2 in research (papers) and clinics is crucial rdcu.be/d8NBe06 Feb 2025 12:48 +0000at://did:plc:dzuc2plymorlvan3ec5krerj/app.bsky.feed.post/3lhj4noifbc2fhttps://bsky.app/profile/jellemri.bsky.social/post/3lhfzpjybns2bhttps://www.linkedin.com/posts/jelle-barentsz_radiology-prostate-quality-activity-7292799528926130176-1-0F?utm_source=share Important Update on Prostate MRI Quality! Push for higher-quality prostate MRI is essential for accurate diagnosis and patient care! ✅ Include PI-QUAL in all reports ✅ Quality Control should in the guidelines ✅ Scientific papers should mention PI-QUAL05 Feb 2025 07:17 +0000at://did:plc:dzuc2plymorlvan3ec5krerj/app.bsky.feed.post/3lhfzpjybns2bhttps://bsky.app/profile/jellemri.bsky.social/post/3lff4l7u6qc2f 83 yr PSA 13,2 PSAD 0,29 DRE T2R Answer: PI-RADS 5 in d.d.: granulomatous prostatitis (GP) Always biopsy to exclude sign-PCa T2W: Patchy organized chaos + some erased charcoal DWI: Patchy areas of low ADC (minimal 467) DCE: areas of central lack of enhancement Diagnosis: GP + central necrosis10 Jan 2025 11:45 +0000at://did:plc:dzuc2plymorlvan3ec5krerj/app.bsky.feed.post/3lff4l7u6qc2fhttps://bsky.app/profile/jellemri.bsky.social/post/3lff4azcypk2fDiagnosis? Male 83 yrs; PSA 13,2; PSAD 0,29; DRE: T2R What are your thoughts? - significant cancer? - something else? - must a biopsy be performed?10 Jan 2025 11:39 +0000at://did:plc:dzuc2plymorlvan3ec5krerj/app.bsky.feed.post/3lff4azcypk2fhttps://bsky.app/profile/jellemri.bsky.social/post/3lczp2x3coc2aIt’s inverted! Sadly, many of us exhibit high Ego, high Euro, and low Empathy. Let’s strive to restore the pyramid to its proper orientation By doing so, we’ll create a far better world for all.11 Dec 2024 11:54 +0000at://did:plc:dzuc2plymorlvan3ec5krerj/app.bsky.feed.post/3lczp2x3coc2ahttps://bsky.app/profile/jellemri.bsky.social/post/3lczozu2qbk2aThe Three E’s: - Ego - Euro - Empathy (Human = E3) We’re all unique due to our varying proportions of these traits. What’s wrong with this pyramid?11 Dec 2024 11:53 +0000at://did:plc:dzuc2plymorlvan3ec5krerj/app.bsky.feed.post/3lczozu2qbk2ahttps://bsky.app/profile/jellemri.bsky.social/post/3lbkfmtkwqc22Summary of recent literature on AI in PCa: • AI improves less experienced radiologist • AI models reduce unnecessary biopsies by better identifying low-risk PCa. • Challenges are standardization, and clinical integration of AI • Prospective clinical validation of AI is needed22 Nov 2024 16:30 +0000at://did:plc:dzuc2plymorlvan3ec5krerj/app.bsky.feed.post/3lbkfmtkwqc22https://bsky.app/profile/jellemri.bsky.social/post/3lbjr2nzvx222Our 3-day PI-RADS workshop in South Africa was a big success! Passionate participants learned to use prostate MRI. We’re proud to have trained half of all radiologists here. Big thank you to everyone who made this possible! Bring this course to your region, just contact me: j.barentsz@andros.nl22 Nov 2024 10:22 +0000at://did:plc:dzuc2plymorlvan3ec5krerj/app.bsky.feed.post/3lbjr2nzvx222