Evidence map›Paper›PMID 26675385›Full record

ArticleJournal of ultrasonography2015

New aspects in shear-wave elastography of prostate cancer.

Markus Porsch, Johann Jakob Wendler, Uwe-Bernd Liehr, Anke Lux, Martin Schostak, Maciej Pech

Open access · diamondAbstract read
In one paragraph

Article in Journal of ultrasonography, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 8% of its field
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

7 citing papers in PubMed, 3 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Article
  7. Article
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

6 authors at 1 institution in 1 country.

Markus PorschKlinik für Urologie und Kinderurologie, Medizinische Fakultät der Otto-von-Guericke- Universität Magdeburg, Germany.
Johann Jakob WendlerKlinik für Urologie und Kinderurologie, Medizinische Fakultät der Otto-von-Guericke- Universität Magdeburg, Germany.
Uwe-Bernd LiehrKlinik für Urologie und Kinderurologie, Medizinische Fakultät der Otto-von-Guericke- Universität Magdeburg, Germany.
Anke LuxInstitut für Biometrie und Medizinische Informatik, Medizinische Fakultät, Otto-von-Guericke-Universität Magdeburg, Germany.
Martin SchostakKlinik für Urologie und Kinderurologie, Medizinische Fakultät der Otto-von-Guericke- Universität Magdeburg, Germany.
Maciej PechKlinik für Radiologie und Nuklearmedizin, Medizinische Fakultät der Otto-von- Guericke-Universität Magdeburg, Germany ; Medical University of Gdansk, 2 Department of Radiology, Gdańsk, Poland.
Otto-von-Guericke University Magdeburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study was designed to evaluate the performance of shear-wave elastography as a diagnostic tool for prostate cancer in a larger cohort of patients than previously reported. PATIENTS AND

methodsSeventy-three patients with suspected prostate carcinoma were investigated by ultrasound elastography followed by directed biopsy. The elastographic and histological results for all biopsies were compared.

resultsAfter exclusion of invalid and non-assessable results, 794 samples were obtained for which both a histological assessment and an elastometric result (tissue stiffness in kPa) were available: according to the histology 589 were benign and 205 were malignant. Tissue elasticity was found to be weakly correlated with patient's age, PSA level and gland volume. ROC analysis showed that, for the set of results acquired, elastometry did not fulfil literature claims that it could identify malignant neoplasia with high sensitivity and specificity. However, it did show promise in distinguishing between Gleason scores ≤6 and >6 when malignancy had already been identified. Unexpected observations were the finding of a smaller proportion of tumours in the lateral regions of the prostate than generally expected, and also the observation that the elasticity of benign prostate tissue is region-sensitive, the tissue being stiffest in the basal region and more elastic at the apex.

conclusionsShear-wave elastography was found to be a poor predictor of malignancy, but for malignant lesions an elasticity cut-off of 80 kPa allowed a fairly reliable distinction between lesions with Gleason ≤6 and those with Gleason >6. We demonstrate an increase in elasticity of benign prostate tissue from the basal to the apical region.

Indexed as

elastographyprostate biopsyprostate cancershear waveultrasound

Identifiers

PMID26675385
PMCPMC4579708
OpenAlexW2322922238

What OpenQuestion holds

Textmetadata
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.