Evidence map›Paper›PMID 32112055›Full record

ReviewNature reviews. Clinical oncology2020

All change in the prostate cancer diagnostic pathway.

Derek J Lomas, Hashim U Ahmed

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Clinical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06360523 (ProstateAI - A Prospective Paired Validating Cohort Study to Evaluate an MRI-based Optimized Prostate Cancer Diagnostic Pathway Powered by Artificial Intelligence), which is not on this map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
8.4field-weighted citation impact, top 2% 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.

NCT06360523 narecruitingnot on this mapstarted 2024, after this paper: background citation

ProstateAI - A Prospective Paired Validating Cohort Study to Evaluate an MRI-based Optimized Prostate Cancer Diagnostic Pathway Powered by Artificial Intelligence

TypeinterventionalSponsorChinese University of Hong KongRan2024 to 2028Enrolled368ConditionsProstate CancerArmsAI modal, Standard review
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 113 citations in OpenAlex.

  1. Pooled it
  2. 3,3'-Di-O-methylellagic Acid Isolated fromPharmaceuticals (Basel, Switzerland) · 2026
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  19. Diagnostic performance ofOncology letters · 2024
    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

2 authors at 1 institution in 2 countries.

Derek J LomasDepartment of Urology, Mayo Clinic, Rochester, MN, USA.
Hashim U AhmedImperial Prostate, Division of Surgery, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK. hashim.ahmed@imperial.ac.uk.ORCID http://orcid.org/0000-0003-1674-6723
Imperial College Healthcare NHS Trust · GB

Funding

Department of HealthWellcome Trust
6 · The paper itself

Abstract

Following detection of high levels of serum prostate-specific antigen, many men are advised to have transrectal ultrasound-guided biopsy in an attempt to locate a cancer. This nontargeted approach lacks accuracy and carries a small risk of potentially life-threatening sepsis. Worse still, it can detect clinically insignificant cancer cells, which are unlikely to be the origin of advanced-stage disease. The detection of these indolent cancer cells has led to overdiagnosis, one of the major problems of contemporary medicine, whereby many men with clinically insignificant disease are advised to undergo unnecessary radical surgery or radiotherapy. Advances in imaging and biomarker discovery have led to a revolution in prostate cancer diagnosis, and nontargeted prostate biopsies should become obsolete. In this Perspective article, we describe the current diagnostic pathway for prostate cancer, which relies on nontargeted biopsies, and the problems linked to this pathway. We then discuss the utility of prebiopsy multiparametric MRI and novel tumour markers. Finally, we comment on how the incorporation of these advances into a new diagnostic pathway will affect the current risk-stratification system and explore future challenges.

Indexed as

Multiparametric Magnetic Resonance ImagingAge FactorsBiomarkers, TumorBiopsy, Large-Core NeedleDigital Rectal ExaminationHomeodomain ProteinsHumansImage-Guided BiopsyKallikreinsMaleMedical OveruseMissed DiagnosisProstate-Specific AntigenProstatic NeoplasmsRNA, MessengerTranscription FactorsBiomarkers, TumorDistal-less homeobox proteinsHomeodomain ProteinsHOXC6 protein, humanKallikreinsKLK2 protein, humanKLK3 protein, humanProstate-Specific AntigenRNA, MessengerTranscription Factors

Identifiers

PMID32112055
OpenAlexW3007472664

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.