Evidence map›Paper›PMID 30988407›Full record

Trial reportProstate cancer and prostatic diseases2019

A predictive model based on biparametric magnetic resonance imaging and clinical parameters for improved risk assessment and selection of biopsy-naïve men for prostate biopsies.

Lars Boesen, Frederik B Thomsen, Nis Nørgaard, Vibeke Løgager, Ingegerd Balslev, Rasmus Bisbjerg, Henrik S Thomsen, Henrik Jakobsen

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Prostate cancer and prostatic diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.0field-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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Lars BoesenDepartment of Urology and Urological Research, Herlev Gentofte University Hospital, Herlev Ringvej 75, 2730, Herlev, Denmark. lars.boesen@dadlnet.dk.ORCID http://orcid.org/0000-0003-2414-962X
Frederik B ThomsenDepartment of Urology and Urological Research, Herlev Gentofte University Hospital, Herlev Ringvej 75, 2730, Herlev, Denmark.
Nis NørgaardDepartment of Urology and Urological Research, Herlev Gentofte University Hospital, Herlev Ringvej 75, 2730, Herlev, Denmark.
Vibeke LøgagerDepartment of Radiology, Herlev Gentofte University Hospital, Herlev Ringvej 75, 2730, Herlev, Denmark.
Ingegerd BalslevDepartment of Pathology, Herlev Gentofte University Hospital, Herlev Ringvej 75, 2730, Herlev, Denmark.ORCID http://orcid.org/0000-0003-1421-2509
Rasmus BisbjergDepartment of Urology and Urological Research, Herlev Gentofte University Hospital, Herlev Ringvej 75, 2730, Herlev, Denmark.
Henrik S ThomsenDepartment of Radiology, Herlev Gentofte University Hospital, Herlev Ringvej 75, 2730, Herlev, Denmark.
Henrik JakobsenDepartment of Urology and Urological Research, Herlev Gentofte University Hospital, Herlev Ringvej 75, 2730, Herlev, Denmark.
Herlev Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProstate cancer risk prediction models and multiparametric magnetic resonance imaging (mpMRI) are used for individualised pre-biopsy risk assessment. However, biparametric MRI (bpMRI) has emerged as a simpler, more rapid MRI approach (fewer scan sequences, no intravenous contrast-media) to reduce costs and facilitate a more widespread clinical implementation. It is unknown how bpMRI and risk models perform conjointly. Therefore, the objective was to develop a predictive model for significant prostate cancer (sPCa) in biopsy-naive men based on bpMRI findings and clinical parameters.

methodsEight hundred and seventy-six biopsy-naive men with clinical suspicion of prostate cancer (prostate-specific antigen, <50 ng/mL; tumour stage, <T3) underwent pre-biopsy prostate bpMRI (T2-weighted and diffusion-weighted) followed by 10-core standard biopsies (all men) and MRI-transrectal ultrasound fusion targeted biopsies of bpMRI-suspicious lesions (suspicion score, ≥3). Prediction models based on bpMRI scores and clinical parameters (age, tumour stage, prostate-specific-antigen [PSA] level, prostate

resultsOverall, sPCa was detected in 350/876 men (40%) with median (inter-quartile range) age and PSA level of 65 years (60-70) and 7.3 ng/mL (5.5-10.6), respectively. The model defined by bpMRI scores, age, tumour stage, and PSA

conclusionsA predictive model based on bpMRI scores and clinical parameters significantly improved risk stratification for sPCa in biopsy-naïve men and could be used for clinical decision-making and counselling men prior to prostate biopsies.

Indexed as

NomogramsAgedBiopsy, Large-Core NeedleClinical Decision-MakingFalse Negative ReactionsHumansImage-Guided BiopsyKallikreinsMaleMiddle AgedMultiparametric Magnetic Resonance ImagingNeoplasm GradingPreoperative PeriodProstateProstate-Specific AntigenProstatic NeoplasmsKallikreinsKLK3 protein, humanProstate-Specific Antigen

Identifiers

PMID30988407
OpenAlexW2940128147

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Registered trials

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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.