ArticleUrologic oncology2019
Evaluation of MSKCC Preprostatectomy nomogram in men who undergo MRI-targeted prostate biopsy prior to radical prostatectomy.
Article in Urologic oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 21 citations in OpenAlex.
- Low heterogeneity of tumor grades in multiple MRI-targeted prostate biopsies argues for the aggregate method of grading.Virchows Archiv : an international journal of pathology · 2026Article
- AutoRadAI: a versatile artificial intelligence framework validated for detecting extracapsular extension in prostate cancer.Biology methods & protocols · 2025Article
- Use of PIRADS 2.1 to predict capsular invasion in patients with radiologic T3a prostate cancer.Frontiers in oncology · 2023Article
- Article
- Epigenetic loss of heterogeneity from low to high grade localized prostate tumours.Nature communications · 2021Article
- Utility ofAJR. American journal of roentgenology · 2021Article
- MR-Guided High-Intensity Directional Ultrasound Ablation of Prostate Cancer.Current urology reports · 2021Review
- Integration of magnetic resonance imaging into prostate cancer nomograms.Therapeutic advances in urologyArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
introductionThe Memorial Sloan Kettering Cancer Center (MSKCC) Preprostatectomy nomogram is a widely used resource that integrates clinical factors to predict the likelihood of adverse pathology at radical prostatectomy. Adoption of magnetic resonance imaging targeted biopsy (TB) permits optimized detection of clinically-significant cancer over systematic biopsy (SB) alone. We aim to evaluate the prognostic utility of the MSKCC Preprostatectomy nomogram with TB pathology results.
methodsMen who underwent SB and magnetic resonance imaging TB who later underwent radical prostatectomy at our institution were included. Patient information was entered into the MSKCC Preprostatectomy nomogram using 5 biopsy reporting schemes with TB reported by both individual core (IC) and aggregate group (AG) methods. The likelihood of extraprostatic extension, seminal vesicle invasion, and lymph node involvement as predicted by the nomogram for each biopsy reporting schema were compared to radical prostatectomy pathology.
resultsWe identified 63 men from January 2014 to November 2017. On receiver operating characteristic analysis, IC-TB, AG-TB, SB plus IC-TB, and SB plus AG-TB exhibited similar, if not improved, area under the curve compared to SB alone in predicting extraprostatic extension (0.671, 0.674, 0.658, and 0.6613 vs. 0.6085). This was similarly observed for seminal vesicle invasion prediction using SB plus IC-TB compared to SB alone (0.727 vs. 0.733). For lymph node involvement, superior but nonsignificant area under the curve was observed for AG-TB (0.647) compared to IC-TB (0.571) and SB alone (0.524)
conclusionsUsing TB pathology results either alone or combined with SB pathology results as input to the MSKCC Preprostatectomy nomogram appears comparable for prognosticating adverse pathology on radical prostatectomy compared to SB alone, but robust validation is warranted prior to adoption into clinical practice.
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