Evidence map›Paper›PMID 25451832›Full record

ArticleThe Journal of urology2015

Impact of real-time elastography on magnetic resonance imaging/ultrasound fusion guided biopsy in patients with prior negative prostate biopsies.

Marko Brock, Björn Löppenberg, Florian Roghmann, Alexandré Pelzer, Martin Dickmann, Wolfgang Becker, Philipp Martin-Seidel, Florian Sommerer, Lena Schenk, Rein Jüri Palisaar and 2 more

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in The Journal of urology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Clinical practice guidelines for ultrasound elastography: prostate.Journal of medical ultrasonics (2001) · 2016
    Guideline
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  13. Feasibility of a 2European radiology · 2017
    Article
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  16. A Review of Imaging Methods for Prostate Cancer Detection.Biomedical engineering and computational biology · 2016
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Marko BrockDepartment of Urology, Marienhospital Herne, Ruhr University Bochum, Bochum, Germany.
Björn LöppenbergDepartment of Urology, Marienhospital Herne, Ruhr University Bochum, Bochum, Germany.
Florian RoghmannDepartment of Urology, Marienhospital Herne, Ruhr University Bochum, Bochum, Germany.
Alexandré PelzerDepartment of Urology, Klinikum Ingolstadt, Ingolstadt, Germany.
Martin DickmannDepartment of Urology, Klinikum Ingolstadt, Ingolstadt, Germany.
Wolfgang BeckerRadiologische Gemeinschaftspraxis Herne, Herne, Germany.
Philipp Martin-SeidelRadiologische Gemeinschaftspraxis Herne, Herne, Germany.
Florian SommererDepartment of Pathology, Berufsgenossenschaftliche Universitätsklinik Bergmannsheil GmbH, Ruhr University Bochum, Bochum, Germany.
Lena SchenkDepartment of Urology, Marienhospital Herne, Ruhr University Bochum, Bochum, Germany.
Rein Jüri PalisaarDepartment of Urology, Marienhospital Herne, Ruhr University Bochum, Bochum, Germany.
Joachim NoldusDepartment of Urology, Marienhospital Herne, Ruhr University Bochum, Bochum, Germany.
Christian von BodmanDepartment of Urology, Marienhospital Herne, Ruhr University Bochum, Bochum, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe fusion of multiparametric resonance imaging and ultrasound has been proven capable of detecting prostate cancer in different biopsy settings. The addition of real-time elastography promises to increase the precision of the outcome of targeted biopsies. We investigated whether real-time elastography improves magnetic resonance imaging/transrectal ultrasound fusion targeted biopsy in patients after previous negative biopsies. MATERIALS AND

methodsProspectively 121 men underwent 3T magnetic resonance imaging. Using magnetic resonance imaging/real-time elastography fusion every suspicious lesion was characterized according to its tissue density and sampled by 2 fusion guided targeted biopsies. Additionally, all patients underwent 12-core systematic biopsy. The detection rate of clinically significant and insignificant cancers was compared between targeted und systematic biopsies. The accuracy to predict high grade prostate cancer was evaluated for with the PI-RADS scoring system and compared to the magnetic resonance imaging/real-time elastography fusion score.

resultsOverall prostate cancer was detected in 52 patients (43%). Targeted fusion guided biopsy revealed prostate cancer in 32 men (26.4%) and systematic biopsy in 46 (38%). The proportion of clinically significant cancers was higher for targeted biopsy (90.6%) compared to systematic biopsy (73.9%). The detection rate per core was higher for targeted biopsies (14.7%) compared to systematic biopsies (6.5%, p <0.001). The prediction of biopsy result according to magnetic resonance imaging/real-time elastography fusion was better (AUC 0.86) than magnetic resonance imaging alone (AUC 0.79). Sensitivity and specificity for magnetic resonance imaging/real-time elastography fusion was 77.8% and 77.3% vs 74.1% and 62.9% for magnetic resonance imaging.

conclusionsMagnetic resonance imaging/transrectal ultrasound fusion enhances the likelihood of detecting clinically significant cancers in a repeat biopsy setting. Adding real-time elastography to magnetic resonance imaging supports the characterization of cancer suspicious lesions.

Indexed as

Magnetic Resonance Imaging, InterventionalMultimodal ImagingBiopsy, NeedleComputer SystemsElasticity Imaging TechniquesHumansImage-Guided BiopsyMaleMiddle AgedProspective StudiesProstateProstatic Neoplasmsbiopsyelasticity imaging techniquesfusionmagnetic resonance imagingprostatic neoplasms

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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.