Evidence map›Paper›PMID 29967944›Full record

ReviewWorld journal of urology2019

Positive pre-biopsy MRI: are systematic biopsies still useful in addition to targeted biopsies?

Guillaume Ploussard, Hendrik Borgmann, Alberto Briganti, Pieter de Visschere, Jurgen J Fütterer, Giorgio Gandaglia, Isabel Heidegger, Alexander Kretschmer, Romain Mathieu, Piet Ost and 7 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in World journal of urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
5.3field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 51 citations in OpenAlex.

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  11. [Systematic or targeted fusion-guided biopsy].Urologie (Heidelberg, Germany) · 2023
    Review
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  17. Patient-reported pain, discomfort, and anxiety during magnetic resonance imaging-targeted prostate biopsy.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2020
    Article
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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

17 authors at 11 institutions in 9 countries.

Guillaume PloussardDepartment of Urology, Saint Jean Languedoc/La Croix du Sud Hospital, 20, route de Revel, 31400, Toulouse, France. g.ploussard@gmail.com.
Hendrik BorgmannDepartment of Urology, University Hospital of Mainz, Mainz, Germany.
Alberto BrigantiDepartment of Urology, Urological Research Institute, Vita-Salute University and San Raffaele Hospital, Milan, Italy.
Pieter de VisschereDepartment of Radiology, Ghent University Hospital, Ghent, Belgium.
Jurgen J FüttererDepartment of Radiology and Nuclear Medicine, Radboudumc, Nijmegen, The Netherlands.
Giorgio GandagliaDepartment of Urology, Urological Research Institute, Vita-Salute University and San Raffaele Hospital, Milan, Italy.
Isabel HeideggerDepartment of Urology, University Hospital of Innsbrück, Innsbrück, Austria.
Alexander KretschmerDepartment of Urology, Ludwig-Maximilians-University of Munich, Munich, Germany.
Romain MathieuDepartment of Urology, CHU Rennes, Rennes, France.
Piet OstDepartment of Radiation Oncology and Experimental Cancer Research, Ghent University Hospital, Ghent, Belgium.
Prasanna SooriakumaranDepartment of Urology, University College London Hospital, London, UK.
Cristian SurcelDepartment of Urology, Fundeni Clinical Institute, Bucharest, Romania.
Derya TilkiDepartment of Urology, Martini Klinik, Hamburg, Germany.
Igor TsaurDepartment of Urology, University Hospital of Mainz, Mainz, Germany.
Massimo ValerioDepartment of Urology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Roderick van den BerghDepartment of Urology, Antonius Hospital, Utrecht, The Netherlands.
EAU-YAU Prostate Cancer Working Group
Johannes Gutenberg University Mainz · DEVita-Salute San Raffaele University · ITRadboud University Nijmegen · NLUniversity College Hospital · GBCentre Hospitalier Universitaire de Rennes · FRClinique Saint Jean Languedoc · FRGhent University Hospital · BEMartini-Klinik · DESt. Antonius Ziekenhuis · NLUniversity Hospital Innsbruck · ATUniversity Hospital of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe diagnostic strategy implementing multiparametric magnet resonance tomography (mpMRI) and targeted biopsies (TB) improves the detection and characterization of significant prostate cancer (PCa). We aimed to assess the clinical usefulness of systematic biopsies (SB) in the setting of patients having a pre-biopsy positive MRI.

methodsA review of the literature was performed in March 2018. All studies investigating the performance of SB in addition to TB (all techniques) were assessed, both in the biopsy-naïve and repeat biopsy setting.

resultsEvidence demonstrates that TB improves the detection of index-significant PCa compared with SB alone, in both initial and repeat biopsy settings. However, the combination of both TB and SB improved the overall (around 30%) and significant (around 10%) PCa detection rates as compared with TB alone. Significant differences between both biopsy approaches exist regarding cancer location favoring SB for the far lateral sampling, and TB for the anterior zone. Main current pitfalls of pure TB strategy are the learning curve and experience required for mpMRI reading and biopsy targeting, as well as the precision assessment in TB techniques.

conclusionA pure TB strategy omitting SB leads to the risk of missing up to 15% of significant cancer, due to limitations of mpMRI performance/reading and of precision during lesion targeting. SB remain necessary, in addition to the TB, to obtain the most accurate assessment of the entire prostate gland in this sub-group of patients at risk of significant disease.

Indexed as

BiopsyHumansImage-Guided BiopsyMagnetic Resonance ImagingMagnetic Resonance Imaging, InterventionalMaleProstateProstatic NeoplasmsBiopsyDetectionFusionMagnetic resonance imagingProstate cancerTargeted

Identifiers

PMID29967944
OpenAlexW2811128593

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.