Evidence map›Paper›PMID 31122297›Full record

ArticleCancer imaging : the official publication of the International Cancer Imaging Society2019

Optimizing prostate cancer accumulating model: combined PI-RADS v2 with prostate specific antigen and its derivative data.

Yuan-Fei Lu, Qian Zhang, Wei-Gen Yao, Hai-Yan Chen, Jie-Yu Chen, Cong-Cong Xu, Ri-Sheng Yu

Abstract read
In one paragraph

Article in Cancer imaging : the official publication of the International Cancer Imaging Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. Combining Magnetic Resonance Diffusion-Weighted Imaging with Prostate-Specific Antigen to Differentiate Between Malignant and Benign Prostate Lesions.Medical science monitor : international medical journal of experimental and clinical research · 2022
    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

7 authors.

Yuan-Fei LuDepartment of Radiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, 88 Jie-Fang Road, Zhejiang, 310009, Hangzhou, China.
Qian ZhangDepartment of Radiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, 88 Jie-Fang Road, Zhejiang, 310009, Hangzhou, China.
Wei-Gen YaoDepartment of Radiology, Yangming Affiliated Hospital, School of Medicine, Ningbo University, Yuyao, 315400, Zhejiang, China.
Hai-Yan ChenDepartment of Radiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, 88 Jie-Fang Road, Zhejiang, 310009, Hangzhou, China.
Jie-Yu ChenDepartment of Radiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, 88 Jie-Fang Road, Zhejiang, 310009, Hangzhou, China.
Cong-Cong XuDepartment of Urology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310000, Zhejiang, China.
Ri-Sheng YuDepartment of Radiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, 88 Jie-Fang Road, Zhejiang, 310009, Hangzhou, China. risheng-yu@zju.edu.cn.ORCID http://orcid.org/0000-0003-0554-9484

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo establish a new accumulating model to enhance the accuracy of prostate cancer (PCa) diagnosis by incorporating prostate-specific antigen (PSA) and its derivative data into the Prostate Imaging-Reporting and Data System version 2 (PI-RADS v2).

methodsA total of 357 patients who underwent prostate biopsy between January 2014 and December 2017 were included in this study. All patients had 3.0 T multiparametric magnetic resonance imaging (MRI) and complete laboratory examinations. PI-RADS v2 was used to assess the imaging. PSA, PSA density (PSAD), the free/total PSA ratio (f/t PSA) and the Gleason score (GS) were classified into four-tiered levels, and optimal weights were pursued on these managed levels to build a PCa accumulating model. A receiver operating characteristic curve was generated.

resultsIn all, 174 patients (48.7%) had benign prostatic hyperplasia, and 183 (51.3%) had PCa, among whom 149 (81.4%, 149/183) had clinically significant PCa. The established model 6 (PI-RADS v2 + level of PSAD + level of f/t PSA+ level of PSA) had a sensitivity and specificity of 81.4 and 84.5%, respectively, at the cut-off point of 11 in PCa diagnosis. Correspondingly, at the 12 cut-off point, the sensitivity and specificity were 87.7 and 83.0%, respectively, in diagnosing clinically significant PCa. The score of the new accumulating system was significantly different among the defined GS groups (p < 0.001). The mean values and 95% confidence intervals for GS 1-4 groups were 10.20 (9.63-10.40), 12.03 (11.19-12.87), 14.12 (13.60-14.64) and 15.44 (15.09-15.79).

conclusionsA new PCa accumulating model may be useful in improving the accuracy of the primary diagnosis of PCa and helpful in the clinical decision to perform a biopsy when MRI results are negative.

Indexed as

Endoscopic Ultrasound-Guided Fine Needle AspirationMagnetic Resonance ImagingAgedHumansMaleMiddle AgedNeoplasm GradingProstate-Specific AntigenProstatic HyperplasiaProstatic NeoplasmsSensitivity and SpecificityProstate-Specific AntigenModelMRIProstate cancerProstate-specific antigen

Identifiers

PMID31122297
PMCPMC6533650

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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.