Evidence map›Paper›PMID 25226842›Full record

ArticleEuropean radiology2015

Logistic regression model for diagnosis of transition zone prostate cancer on multi-parametric MRI.

Nikolaos Dikaios, Jokha Alkalbani, Harbir Singh Sidhu, Taiki Fujiwara, Mohamed Abd-Alazeez, Alex Kirkham, Clare Allen, Hashim Ahmed, Mark Emberton, Alex Freeman and 4 more

Abstract read
In one paragraph

Article in European radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  10. Combining Magnetic Resonance Diffusion-Weighted Imaging with Prostate-Specific Antigen to Differentiate Between Malignant and Benign Prostate Lesions.Medical science monitor : international medical journal of experimental and clinical research · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Nikolaos DikaiosCentre for Medical Imaging, University College London, 3rd Floor East Wing, 250 Euston Road, London, UK, NW1 2PG.
Jokha Alkalbani
Harbir Singh Sidhu
Taiki Fujiwara
Mohamed Abd-Alazeez
Alex Kirkham
Clare Allen
Hashim Ahmed
Mark Emberton
Alex Freeman
Steve Halligan
Stuart Taylor
David Atkinson
Shonit Punwani

Funding

Cancer Research UK 16463Medical Research Council G0701302Medical Research Council G1002509
6 · The paper itself

Abstract

objectivesWe aimed to develop logistic regression (LR) models for classifying prostate cancer within the transition zone on multi-parametric magnetic resonance imaging (mp-MRI).

methodsOne hundred and fifty-five patients (training cohort, 70 patients; temporal validation cohort, 85 patients) underwent mp-MRI and transperineal-template-prostate-mapping (TPM) biopsy. Positive cores were classified by cancer definitions: (1) any-cancer; (2) definition-1 [≥Gleason 4 + 3 or ≥ 6 mm cancer core length (CCL)] [high risk significant]; and (3) definition-2 (≥Gleason 3 + 4 or ≥ 4 mm CCL) cancer [intermediate-high risk significant]. For each, logistic-regression mp-MRI models were derived from the training cohort and validated internally and with the temporal cohort. Sensitivity/specificity and the area under the receiver operating characteristic (ROC-AUC) curve were calculated. LR model performance was compared to radiologists' performance.

resultsTwenty-eight of 70 patients from the training cohort, and 25/85 patients from the temporal validation cohort had significant cancer on TPM. The ROC-AUC of the LR model for classification of cancer was 0.73/0.67 at internal/temporal validation. The radiologist A/B ROC-AUC was 0.65/0.74 (temporal cohort). For patients scored by radiologists as Prostate Imaging Reporting and Data System (Pi-RADS) score 3, sensitivity/specificity of radiologist A 'best guess' and LR model was 0.14/0.54 and 0.71/0.61, respectively; and radiologist B 'best guess' and LR model was 0.40/0.34 and 0.50/0.76, respectively.

conclusionsLR models can improve classification of Pi-RADS score 3 lesions similar to experienced radiologists. KEY POINTS: • MRI helps find prostate cancer in the anterior of the gland • Logistic regression models based on mp-MRI can classify prostate cancer • Computers can help confirm cancer in areas doctors are uncertain about.

Indexed as

Logistic ModelsAdultAgedBiopsyDiagnosis, DifferentialHumansMagnetic Resonance ImagingMaleMiddle AgedProstateProstatic NeoplasmsReproducibility of ResultsROC Curve

Identifiers

PMID25226842
PMCPMC4291517

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.