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Learn Prostate MRI
1) According to PI-RADS version 2, which of the following is the dominant sequence for determining the overall assessment category for a peripheral zone lesion?
T2-weighted imaging
Diffusion-weighted imaging
Dynamic contrast-enhanced imaging
MR spectroscopy
Please provide an answer.
2) According the PI-RADS version 2, which of the following is the dominant sequence for determining the overall assessment category for a transition zone lesion?
T2-weighted imaging
Diffusion-weighted imaging
Dynamic contrast-enhanced imaging
MR spectroscopy
Please provide an answer.
3) According the PI-RADS version 2, what size threshold differentiates between sequence scores of 4 and 5 for both T2WI and DWI??
10 mm
15 mm
20 mm
25 mm
Please provide an answer.
4) According the PI-RADS version 2, positive DCE for a peripheral zone lesion is associated with which of the following changes in assessment category?
From 1 to 2
From 2 to 3
From 3 to 4
From 4 to 5
Please provide an answer.
5) Which of the following techniques is not incorporated in the PI-RADS version 2 system for deriving a lesion’s overall assessment category on MRI?
T2-weighted imaging
Diffusion-weighted imaging
Dynamic contrast-enhanced imaging
MR spectroscopy
Please provide an answer.
6) According to the lecture, which of the following may be an appropriate maximal b-value for prostate DWI?
100
500
1500
5000
Please provide an answer.
7) According to PI-RADS version 2, a peripheral zone lesion exhibiting focal marked hypointensity on the ADC map and marked hyperintensity on high b-value images, though measuring under 1.5 cm and not exhibiting definite extra-prostatic extension or invasive behavior, would receive what score on DWI?
1
2
3
4
5
Please provide an answer.
8) Achieving an empty rectum is of particular importance for minimizing artifacts on which of the following sequences?
T2-weighted imaging
Diffusion-weighted imaging
Dynamic contrast-enhanced imaging
Please provide an answer.
9) As the Gleason score of prostate tumors increase, the ADC value tends to:
Decrease
Increase
Please provide an answer.
10) PI-RADS version 2 suggests what threshold in terms of ADC value measurement for detecting clinically significant tumors? (units of µm2/sec)
500-650
750-900
1000-1200
1500-1800
Please provide an answer.
11) PI-RADS version 2 advises a temporal resolution for dynamic contrast-enhanced imaging of at least which of the following?
5 seconds
10 seconds
20 seconds
30 seconds
Please provide an answer.
12) According to PI-RADS version 2, which of the following scales is used for assessing DCE for a peripheral zone lesion?
Positive/Negative
Low/intermediate/high
1 through 5
1 through 10
Please provide an answer.
13) According to PI-RADS version 2, for a transition zone lesion, which of the following properties may raise the overall assessment category to a 4 for a lesion with a T2WI score of 3?
DWI score of 4
DWI score of 5
Positive DCE
Size of 15 mm
Please provide an answer.
14) According to PI-RADS version 2, which of the following morphologic features must a peripheral zone lesion exhibit to receive a score of at least 3 on DWI?
Indistinct
Focal
Linear
Wedge-shaped
Please provide an answer.
15) The prostatic pseudocapsule, or “surgical capsule,” separates which two zones?
Peripheral and transition zones
Peripheral and central zones
Transition and central zones
Please provide an answer.
16) When performing MRI/ultrasound fusion biopsy, the MRI-defined targets are marked during a planning session in advance of the biopsy.
True
False
Please provide an answer.
17) A potential benefit of MRI-targeted biopsy is reduced detection of clinically insignificant prostate cancer.
True
False
Please provide an answer.
18) According to PI-RADS v2, what length of abutment between a visualized tumor and the capsule raises suspicious for extra-prostatic extension?
5 mm
10 mm
15 mm
20 mm
Please provide an answer.
19) Obtaining subtraction images for DCE may help address which of the following interpretive pitfalls?
Prostatitis
Benign prostate hyperplasia
Post-biopsy hemorrhage
Prostatic atrophy
Please provide an answer.
20) Which of the following processes may cause decreased T2 signal in the peripheral zone?
Tumor
Hemorrhage
Inflammation
Post-inflammatory atrophy
All of the above
Please provide an answer.
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