Evidence map›Paper›PMID 26335497›Full record

ArticleUrology2015

Prebiopsy MRI and MRI-ultrasound Fusion-targeted Prostate Biopsy in Men With Previous Negative Biopsies: Impact on Repeat Biopsy Strategies.

Neil Mendhiratta, Xiaosong Meng, Andrew B Rosenkrantz, James S Wysock, Michael Fenstermaker, Richard Huang, Fang-Ming Deng, Jonathan Melamed, Ming Zhou, William C Huang and 2 more

Abstract read
In one paragraph

Article in Urology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–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

32 citing papers in PubMed.

  1. Review
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  9. Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2020
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  14. Review
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  19. Focal Ablation of Prostate Cancer.Reviews in urology · 2018
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Neil MendhirattaSchool of Medicine, NYU Langone Medical Center, New York, NY.
Xiaosong MengDepartment of Urology, NYU Langone Medical Center, New York, NY.
Andrew B RosenkrantzDepartment of Radiology, NYU Langone Medical Center, New York, NY.
James S WysockDepartment of Urology, NYU Langone Medical Center, New York, NY.
Michael FenstermakerSchool of Medicine, NYU Langone Medical Center, New York, NY.
Richard HuangDepartment of Urology, NYU Langone Medical Center, New York, NY.
Fang-Ming DengDepartment of Pathology, NYU Langone Medical Center, New York, NY.
Jonathan MelamedDepartment of Pathology, NYU Langone Medical Center, New York, NY.
Ming ZhouDepartment of Pathology, NYU Langone Medical Center, New York, NY.
William C HuangDepartment of Urology, NYU Langone Medical Center, New York, NY.
Herbert LeporDepartment of Urology, NYU Langone Medical Center, New York, NY.
Samir S TanejaDepartment of Urology, NYU Langone Medical Center, New York, NY; Department of Radiology, NYU Langone Medical Center, New York, NY. Electronic address: samir.taneja@nyumc.org.

Funding

Vaccine FacilityP30CA016087 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ADRIANA HEGUY · 1985 to 2026
$83.1M
NCI NIH HHS P30 CA016087
6 · The paper itself

Abstract

objectiveTo report outcomes of magnetic resonance imaging (MRI)-ultrasound fusion-targeted biopsy (MRF-TB) and 12-core systematic biopsy (SB) over a 26-month period in men with prior negative prostate biopsy. MATERIALS AND

methodsBetween June 2012 and August 2014, 210 men presenting to our institution for prostate biopsy with ≥1 prior negative biopsy underwent multiparametric MRI followed by MRF-TB and SB and were entered into a prospective database. Clinical characteristics, maximum mpMRI suspicion scores (mSS), and biopsy results were queried from the database, and the detection rates of Gleason ≥7 prostate cancer (PCa) and overall PCa were compared between biopsy techniques using McNemar's test.

resultsForty seven (29%) of 161 men meeting inclusion criteria (mean age, 65 ± 8 years; mean prostate-specific antigen, 8.9 ± 8.9) were found to have PCa. MRF-TB and SB had overall cancer detection rates (CDRs) of 21.7% and 18.6% (P = .36), respectively, and CDR for Gleason score (GS) ≥7 disease of 14.9% and 9.3% (P = .02), respectively. Of 26 men with GS ≥7 disease, MRF-TB detected 24 (92.3%) whereas SB detected 15 (57.7%; P < .01). Using UCSF-CAPRA criteria, only 1 man was restratified from low risk to higher risk based on SB results compared to MRF-TB alone. Among men with mSS <4, 72% of detected cancers were low risk by UCSF-CAPRA criteria.

conclusionIn men with previous negative biopsies and persistent suspicion of PCa, SB contributes little to the detection of GS ≥7 disease by MRF-TB, and avoidance of SB bears consideration. Based on the low likelihood of detecting GS ≥7 cancer and overall low-risk features of PCa in men with mSS <4, limiting biopsy to men with mSS ≥4 warrants further investigation.

Indexed as

Magnetic Resonance Imaging, InterventionalUltrasonography, InterventionalAgedHumansImage-Guided BiopsyMaleMiddle AgedMultimodal ImagingNeoplasm GradingProstateProstate-Specific AntigenProstatic NeoplasmsReoperationRisk AssessmentProstate-Specific Antigen

Identifiers

PMID26335497
PMCPMC4726647

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.