Abstract

AimTo investigate the associations between the hour of the day and Prostate Imaging–Reporting and Data System (PI-RADS) scores assigned by radiologists in prostate MRI reports. Materials and methodsRetrospective single-center collection of prostate MRI reports over an 8-year period. Mean PI-RADS scores assigned between 0800 and 1800 h were examined with a regression model. ResultsA total of 35′004 prostate MRI interpretations by 26 radiologists were included. A significant association between the hour of day and mean PI-RADS score was identified (β2 = 0.005, p < 0.001), with malignant scores more frequently assigned later in the day. ConclusionThese findings suggest chronobiological factors may contribute to variability in radiological assessments. Though the magnitude of the effect is small, this may potentially add variability and impact diagnostic accuracy.

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