Evidence map›Paper›PMID 32747980›Full record

ArticleWorld journal of urology2021

PSA-based machine learning model improves prostate cancer risk stratification in a screening population.

Marlon Perera, Rohan Mirchandani, Nathan Papa, Geoff Breemer, Anna Effeindzourou, Lewis Smith, Peter Swindle, Elliot Smith

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Article in World journal of urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Marlon PereraDepartment of Urology, Mater Hospital, Brisbane, QLD, Australia. marlonlperera@gmail.com.
Rohan MirchandaniMaxwell Plus, Brisbane, QLD, Australia.
Nathan PapaDepartment of Surgery, Austin Health, The University of Melbourne, Melbourne, VIC, Australia.
Geoff BreemerMaxwell Plus, Brisbane, QLD, Australia.
Anna EffeindzourouMaxwell Plus, Brisbane, QLD, Australia.
Lewis SmithMaxwell Plus, Brisbane, QLD, Australia.
Peter SwindleDepartment of Urology, Mater Hospital, Brisbane, QLD, Australia.
Elliot SmithMaxwell Plus, Brisbane, QLD, Australia.
Mater Adult Hospital · AUAustin Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextThe majority of prostate cancer diagnoses are facilitated by testing serum Prostate Specific Antigen (PSA) levels. Despite this, there are limitations to the diagnostic accuracy of PSA. Consideration of patient demographic factors and biochemical adjuncts to PSA may improve prostate cancer risk stratification. We aimed to develop a contemporary, accurate and cost-effective model based on objective measures to improve the accuracy of prostate cancer risk stratification.

methodsData were collated from a local institution and combined with patient data retrieved from the Prostate, Lung, Colorectal and Ovarian Cancer screening Trial (PLCO) database. Using a dataset of 4548 patients, a machine learning model was developed and trained using PSA, free-PSA, age and free-PSA to total PSA (FTR) ratio.

resultsThe model was trained on a dataset involving 3638 patients and was then tested on a separate set of 910 patients. The model improved prediction for prostate cancer (AUC 0.72) compared to PSA alone (AUC 0.63), age (AUC 0.52), free-PSA (AUC 0.50) and FTR alone (AUC 0.65). When an operating point is chosen such that the sensitivity of the model is 80% the specificity of the model is 45.3%. The benefit in AUC secondary to the model was related to sample size, with AUC of 0.64 observed when a subset of the cohort was assessed.

conclusionsDevelopment of a dense neural network model improved the diagnostic accuracy in screening for prostate cancer. These results demonstrate an additional utility of machine learning methods in prostate cancer risk stratification when using biochemical parameters.

Indexed as

Early Detection of CancerMachine LearningModels, TheoreticalAgedHumansMaleMiddle AgedProstate-Specific AntigenProstatic NeoplasmsRetrospective StudiesRisk AssessmentProstate-Specific AntigenArtificial intelligenceMachine learningProstate cancerProstate cancer screeningProstate-specific membrane antigen

Identifiers

PMID32747980
OpenAlexW3047536348

What OpenQuestion holds

Textmetadata
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.