Evidence map›Paper›PMID 30566264›Full record

ArticleJournal of magnetic resonance imaging : JMRI2019

Simplified Luminal Water Imaging for the Detection of Prostate Cancer From Multiecho T

William Devine, Francesco Giganti, Edward W Johnston, Harbir S Sidhu, Eleftheria Panagiotaki, Shonit Punwani, Daniel C Alexander, David Atkinson

Abstract read
In one paragraph

Article in Journal of magnetic resonance imaging : JMRI, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Quantitative Prostate MRI, From theAJR. American journal of roentgenology · 2025
    Review
  6. Article
  7. Review
  8. MRI-based virtual pathology of the prostate.Magma (New York, N.Y.) · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Observational
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. New prostate MRI techniques and sequences.Abdominal radiology (New York) · 2020
    Review
  20. 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

8 authors.

William DevineCentre for Medical Imaging, University College London, London, United Kingdom.ORCID 0000-0001-5301-1852
Francesco GigantiDepartment of Radiology, University College London Hospital NHS Foundation Trust, London, United Kingdom.ORCID 0000-0001-5218-6431
Edward W JohnstonCentre for Medical Imaging, University College London, London, United Kingdom.
Harbir S SidhuCentre for Medical Imaging, University College London, London, United Kingdom.
Eleftheria PanagiotakiCentre for Medical Image Computing, Department of Computer Science, University College London, London, United Kingdom.
Shonit PunwaniCentre for Medical Imaging, University College London, London, United Kingdom.
Daniel C AlexanderCentre for Medical Image Computing, Department of Computer Science, University College London, London, United Kingdom.
David AtkinsonCentre for Medical Imaging, University College London, London, United Kingdom.

Funding

Cancer Research UK 16463Prostate Cancer UK
6 · The paper itself

Abstract

backgroundLuminal water imaging (LWI) suffers less from imaging artifacts than the diffusion-weighted imaging used in multiparametric MRI of the prostate. LWI obtains multicompartment tissue information from a multiecho T PURPOSE: To compare a simplified LWI technique with apparent diffusion coefficient (ADC) in classifying lesions based on groupings of PI-RADS v2 scores. Secondary aims were to investigate whether LWI differentiates between histologically confirmed tumor and normal tissue as effectively as ADC, and whether LWI is correlated with the multicompartment parameters of the vascular, extracellular, and restricted diffusion for cytometry in tumors (VERDICT) diffusion model. STUDY TYPE: A subset of a larger prospective study. POPULATION: In all, 65 male patients aged 49-79 were scanned. FIELD STRENGTH/SEQUENCE: A 32-echo T ASSESSMENT: Regions of interest were placed by a board-certified radiologist in areas of lesion and benign tissue and given PI-RADS v2 scores. STATISTICAL TESTS: Receiver operating characteristic and logistic regression analyses were performed.

resultsLWI classifies tissue as PI-RADS 1,2 or PI-RADS 3,4,5 with an area under curve (AUC) value of 0.779, compared with 0.764 for ADC. LWI differentiated histologically confirmed malignant from nonmalignant tissue with AUC, sensitivity, and specificity values of 0.81, 75%, and 87%, compared with 0.75, 83%, and 67% for ADC. The microstructural basis of the LWI technique is further suggested by the correspondence with the VERDICT diffusion-based microstructural imaging technique, with α, A DATA

conclusionLWI alone can predict PI-RADS v2 score groupings and detect histologically confirmed tumors with an ability similar to ADC alone without the limitations of diffusion-weighted MRI. This is important, given that ADC has an advantage in these tests as it already informs PI-RADS v2 scoring. LWI also provides multicompartment information that has an explicit biophysical interpretation, unlike ADC. LEVEL OF EVIDENCE: 3 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2019;50:910-917.

Indexed as

AgedHumansImage Interpretation, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedProspective StudiesProstateProstatic Neoplasmscancermicrostructuremodelingmultiecho T2prostate

Identifiers

PMID30566264
PMCPMC6767562

What OpenQuestion holds

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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.