Evidence map›Paper›PMID 32694594›Full record

ReviewNature reviews. Urology2020

Rethinking prostate cancer screening: could MRI be an alternative screening test?

David Eldred-Evans, Henry Tam, Heminder Sokhi, Anwar R Padhani, Mathias Winkler, Hashim U Ahmed

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05603351 (ProstaPilot), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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.

NCT05603351 naunknown statusnot on this mapstarted 2022, after this paper: background citation

ProstaPilot: Prostate Cancer Screening Using MRI With an Abbreviated Protocol

TypeinterventionalSponsorMasaryk Memorial Cancer InstituteRan2022 to 2025Enrolled300ConditionsProstate CancerArmsmagnetic resonance, serum PSA examination, Biopsy
3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

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  18. Imaging in translational cancer research.Cancer biology & medicine · 2022
    Review
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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

6 authors.

David Eldred-EvansImperial Prostate, Division of Surgery, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK. d.eldred-evans@imperial.ac.uk.
Henry TamDepartment of Radiology, Imperial College Healthcare NHS Trust, London, UK.
Heminder SokhiPaul Strickland Scanner Centre, Mount Vernon Hospital, Northwood, UK.
Anwar R PadhaniPaul Strickland Scanner Centre, Mount Vernon Hospital, Northwood, UK.
Mathias WinklerImperial Prostate, Division of Surgery, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK.
Hashim U AhmedImperial Prostate, Division of Surgery, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK.ORCID 0000-0003-1674-6723

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the past decade rigorous debate has taken place about population-based screening for prostate cancer. Although screening by serum PSA levels can reduce prostate cancer-specific mortality, it is unclear whether the benefits outweigh the risks of false-positive results and overdiagnosis of insignificant prostate cancer, and it is not recommended for population-based screening. MRI screening for prostate cancer has the potential to be analogous to mammography for breast cancer or low-dose CT for lung cancer. A number of potential barriers and technical challenges need to be overcome in order to implement such a programme. We discuss different approaches to MRI screening that could address these challenges, including abbreviated MRI protocols, targeted MRI screening, longer rescreening intervals and a multi-modal screening pathway. These approaches need further investigation, and we propose a phased stepwise research framework to ensure proper evaluation of the use of a fast MRI examination as a screening test for prostate cancer.

Indexed as

Magnetic Resonance ImagingDecision TreesEarly Detection of CancerHumansMaleProstatic Neoplasms

Identifiers

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.