Evidence map›Paper›PMID 31368627›Full record

ArticleCancer science2019

Genomic profile of urine has high diagnostic sensitivity compared to cytology in non-invasive urothelial bladder cancer.

Yosuke Hirotsu, Hitoshi Yokoyama, Kenji Amemiya, Takashi Hagimoto, Hironori Daimon, Kyoko Hosaka, Toshio Oyama, Hitoshi Mochizuki, Masao Omata

Abstract readComparative Study
In one paragraph

Article in Cancer science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–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

26 citing papers in PubMed.

  1. Urinary Extracellular Vesicle-Associated EphA2 Predicts Intravesical Recurrence in Bladder Cancer.International journal of urology : official journal of the Japanese Urological Association · 2026
    Article
  2. Review
  3. Prediction of Postoperative Intravesical Recurrence Using Urine DNA Monitoring in Nonmuscular-Invasive Urothelial Bladder Cancer.International journal of urology : official journal of the Japanese Urological Association · 2026
    Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. Review
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

9 authors.

Yosuke HirotsuGenome Analysis Center, Yamanashi Central Hospital, Yamanashi, Japan.ORCID https://orcid.org/0000-0002-8002-834X
Hitoshi YokoyamaDepartment of Urology, Yamanashi Central Hospital, Yamanashi, Japan.
Kenji AmemiyaGenome Analysis Center, Yamanashi Central Hospital, Yamanashi, Japan.
Takashi HagimotoDepartment of Urology, Yamanashi Central Hospital, Yamanashi, Japan.
Hironori DaimonDepartment of Urology, Yamanashi Central Hospital, Yamanashi, Japan.
Kyoko HosakaDepartment of Urology, Yamanashi Central Hospital, Yamanashi, Japan.
Toshio OyamaDepartment of Pathology, Yamanashi Central Hospital, Yamanashi, Japan.
Hitoshi MochizukiGenome Analysis Center, Yamanashi Central Hospital, Yamanashi, Japan.
Masao OmataGenome Analysis Center, Yamanashi Central Hospital, Yamanashi, Japan.

Funding

Grant-in-Aid for Genome Research ProjectJapan Society for the Promotion of ScienceUehara Memorial FoundationYasuda Memorial Medical Foundation
6 · The paper itself

Abstract

Cytology is widely conducted for diagnosis of urothelial bladder cancer; however, its sensitivity is still low. Recent studies show that liquid biopsies can reflect tumor genomic profiles. We aim to investigate whether plasma or urine is more suitable for detecting tumor-derived DNA in patients with early-stage urothelial bladder cancer. Targeted sequencing of 71 genes was carried out using a total of 150 samples including primary tumor, urine supernatant, urine precipitation, plasma and buffy coat from 25 patients with bladder cancer and five patients with cystitis and benign tumor. We compared mutation profiles between each sample, identified tumor-identical mutations and compared tumor diagnostic sensitivities between urine and conventional cytology. We identified a total of 168 somatic mutations in primary tumor. In liquid biopsies, tumor-identical mutations were found at 53% (89/168) in urine supernatant, 48% (81/168) in urine precipitation and 2% (3/168) in plasma. The high variant allele fraction of urine was significantly related to worse clinical indicators such as tumor invasion and cytological examination. Although conventional cytology detected tumor cells in only 22% of non-invasive tumor, tumor diagnostic sensitivity increased to 67% and 78% using urine supernatant and precipitation, respectively. Urine is an ideal liquid biopsy for detecting tumor-derived DNA and more precisely reflects tumor mutational profiles than plasma. Genomic analysis of urine is clinically useful for diagnosis of superficial bladder cancer at early stage.

Indexed as

MutationAgedAged, 80 and overBiomarkers, TumorEarly Detection of CancerFemaleHumansLiquid BiopsyMaleMiddle AgedSensitivity and SpecificitySequence Analysis, DNAUrinary Bladder NeoplasmsUrineBiomarkers, Tumordiagnosisliquid biopsyNGSurineurothelial bladder cancer

Identifiers

PMID31368627
PMCPMC6778642

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.