Evidence map›Paper›PMID 25749312›Full record

ArticleContemporary clinical trials2015

PROMIS--Prostate MR imaging study: A paired validating cohort study evaluating the role of multi-parametric MRI in men with clinical suspicion of prostate cancer.

A El-Shater Bosaily, C Parker, L C Brown, R Gabe, R G Hindley, R Kaplan, M Emberton, H U Ahmed, PROMIS Group

Abstract read
In one paragraph

Article in Contemporary clinical trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing 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

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

  1. Pooled it
  2. Trial
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  8. Integrating Artificial Intelligence into Prostate MR Imaging: Technical Foundations, Clinical Applications, and Workflow Implications.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Biopsy strategies in the era of mpMRI: a comprehensive review.Prostate cancer and prostatic diseases · 2025
    Review
  13. Comparison of mpMRI andDiagnostics (Basel, Switzerland) · 2025
    Article
  14. Evaluation of 3D ARFI imaging of prostate cancer: diagnostic reliability and concordance with MpMRI.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
    Article
  15. Review
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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

9 authors.

A El-Shater BosailyDivision of Surgery and Interventional Science, University College London, UK; Department of Urology, UCLH NHS Foundation Trust, UK.
C ParkerDepartment of Academic Urology, Royal Marsden Hospital, Sutton, UK.
L C BrownMRC Clinical Trials Unit at UCL, UK.
R GabeDepartment of Health Sciences, University of York, UK.
R G HindleyDepartment of Urology, Hampshire Hospitals NHS Foundation Trust, UK.
R KaplanMRC Clinical Trials Unit at UCL, UK.
M EmbertonDivision of Surgery and Interventional Science, University College London, UK; Department of Urology, UCLH NHS Foundation Trust, UK.
H U AhmedDivision of Surgery and Interventional Science, University College London, UK; Department of Urology, UCLH NHS Foundation Trust, UK. Electronic address: hashim.ahmed@ucl.ac.uk.
PROMIS Group

Funding

Cancer Research UK 19727Department of Health 09/22/67Medical Research Council G0701302Medical Research Council G1002509Medical Research Council MC_U122861330Medical Research Council MC_UU_12023/20Medical Research Council MC_UU_12023/28Medical Research Council MC_UU_12023/6Medical Research Council MR/M009092/1
6 · The paper itself

Abstract

backgroundTransrectal ultrasound-guided prostate biopsies are prone to detection errors. Multi-parametric MRI (MP-MRI) may improve the diagnostic pathway.

methodsPROMIS is a prospective validating paired-cohort study that meets criteria for level 1 evidence in diagnostic test evaluation. PROMIS will investigate whether multi-parametric (MP)-MRI can discriminate between men with and without clinically-significant prostate cancer who are at risk prior to first biopsy. Up to 714 men will have MP-MRI (index), 10-12 core TRUS-biopsy (standard) and 5mm transperineal template mapping (TPM) biopsies (reference). The conduct and reporting of each test will be blinded to the others.

resultsPROMIS will measure and compare sensitivity, specificity, and positive and negative predictive values of both MP-MRI and TRUS-biopsy against TPM biopsies. The MP-MRI results will be used to determine the proportion of men who could safely avoid biopsy without compromising detection of clinically-significant cancers. For the primary outcome, significant cancer on TPM is defined as Gleason grade >/= 4+3 and/or maximum cancer core length of ≥ 6 mm. PROMIS will also assess inter-observer variability among radiologists among other secondary outcomes. Cost-effectiveness of MP-MRI prior to biopsy will also be evaluated.

conclusionsPROMIS will determine whether MP-MRI of the prostate prior to first biopsy improves the detection accuracy of clinically-significant cancer.

Indexed as

Research DesignCost-Benefit AnalysisHumansImage-Guided BiopsyMagnetic Resonance ImagingMaleNeoplasm GradingObserver VariationProspective StudiesProstateProstate-Specific AntigenProstatic NeoplasmsRisk FactorsProstate-Specific AntigenMagnetic resonance imagingMulti-parametric MRIProstate cancerTemplate transperineal mapping biopsyTransrectal ultrasound guided biopsyTriage diagnostic test

Identifiers

PMID25749312
PMCPMC4460714

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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.