Evidence map›Paper›PMID 31501802›Full record

ArticleInvestigative and clinical urology2019

Inflammation appears as high Prostate Imaging-Reporting and Data System scores on prostate magnetic resonance imaging (MRI) leading to false positive MRI fusion biopsy.

Elizabeth Rourke, Abhijit Sunnapwar, Daniel Mais, Vishal Kukkar, John DiGiovanni, Dharam Kaushik, Michael A Liss

Open access · diamondAbstract read
In one paragraph

Article in Investigative and clinical urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 26 citations in OpenAlex.

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  15. Expected impact of MRI-related interreader variability on ProScreen prostate cancer screening trial: a pre-trial validation study.Cancer imaging : the official publication of the International Cancer Imaging Society · 2020
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  17. SUVmax/ADC Ratio as a Molecular Imaging Biomarker for Diagnosis of Biopsy-Naïve Primary Prostate Cancer.Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India
    Article
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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

7 authors at 3 institutions in 1 country.

Elizabeth RourkeDepartment of Urology, University of Texas Health San Antonio, San Antonio, TX, USA.
Abhijit SunnapwarDepartment of Radiology, University of Texas Health San Antonio, San Antonio, TX, USA.
Daniel MaisDepartment of Pathology, University of Texas Health San Antonio, San Antonio, TX, USA.
Vishal KukkarDepartment of Radiology, University of Texas Health San Antonio, San Antonio, TX, USA.
John DiGiovanniUniversity of Texas Austin, College of Pharmacy, Austin, TX, USA.
Dharam KaushikDepartment of Urology, University of Texas Health San Antonio, San Antonio, TX, USA.
Michael A LissDepartment of Urology, University of Texas Health San Antonio, San Antonio, TX, USA.ORCID 0000-0001-6978-1026
The University of Texas Health Science Center at San Antonio · USAustin College · USThe University of Texas MD Anderson Cancer Center · US

Funding

TISSUE CULTURE---COREP30CA054174 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Lei Zheng · 1991 to 2026
$59.1M
NCI NIH HHS P30 CA054174
6 · The paper itself

Abstract

Purpose: To investigate if inflammation as a potential cause of false-positive lesions from recent UroNav magnetic resonance imaging (MRI) fusion prostate biopsy patients. Materials and Methods: We retrospectively identified 43 men with 61 MRI lesions noted on prostate MRI before MRI ultrasound-guided fusion prostate biopsy. Men underwent MRI with 3T Siemens TIM Trio MRI system (Siemens AG, Germany), and lesions were identified and marked in DynaCAD system (Invivo Corporation, USA) with subsequent biopsy with MRI fusion with UroNav. We obtained targeted and standard 12-core needle biopsies. We retrospectively reviewed pathology reports for inflammation. Results: We noted a total of 43 (70.5%) false-positive lesions with 28 having no cancer on any cores, and 15 lesions with cancer noted on systematic biopsy but not in the target region. Of the men with cancer, 6 of the false positive lesions had inflammation in the location of the targeted region of interest (40.0%, 6/15). However, when we examine the 21/28 lesions with an identified lesion on MRI with no cancer in all cores, 54.5% had inflammation on prostate biopsy pathology (12/22, p=0.024). We noted the highest proportion of inflammation. Conclusions: Inflammation can confound the interpretation of MRI by mimicking prostate cancer. We suggested focused efforts to differentiate inflammation and cancer on prostate MRI.

Indexed as

Image-Guided BiopsyMagnetic Resonance ImagingMagnetic Resonance Imaging, InterventionalUltrasonography, InterventionalAgedData SystemsFalse Positive ReactionsHumansMaleMiddle AgedProstateProstatic NeoplasmsProstatitisRetrospective StudiesInflammationMagnetic resonance imagingProstatic neoplasmsProstatitis

Identifiers

PMID31501802
PMCPMC6722401
OpenAlexW2971586050

What OpenQuestion holds

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LicenceCC BY-NC
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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.