Evidence map›Paper›PMID 33374618›Full record

ArticleDiagnostics (Basel, Switzerland)2020

Histopathological Ratios to Predict Gleason Score Agreement between Biopsy and Radical Prostatectomy.

Vincenzo Fiorentino, Maurizio Martini, Marco Dell'Aquila, Teresa Musarra, Ersilia Orticelli, Luigi Maria Larocca, Ernesto Rossi, Angelo Totaro, Francesco Pinto, Niccolò Lenci and 4 more

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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.

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

24 citing papers in PubMed.

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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

14 authors.

Vincenzo FiorentinoInstitute of Pathology, Università Cattolica del S. Cuore, Fondazione Policlinico "A. Gemelli", 00168 Rome, Italy.ORCID 0000-0002-1132-1761
Maurizio MartiniInstitute of Pathology, Università Cattolica del S. Cuore, Fondazione Policlinico "A. Gemelli", 00168 Rome, Italy.ORCID 0000-0002-6260-6310
Marco Dell'AquilaInstitute of Pathology, Università Cattolica del S. Cuore, Fondazione Policlinico "A. Gemelli", 00168 Rome, Italy.ORCID 0000-0001-5673-6998
Teresa MusarraInstitute of Pathology, Università Cattolica del S. Cuore, Fondazione Policlinico "A. Gemelli", 00168 Rome, Italy.
Ersilia OrticelliInstitute of Pathology, Università Cattolica del S. Cuore, Fondazione Policlinico "A. Gemelli", 00168 Rome, Italy.
Luigi Maria LaroccaInstitute of Pathology, Università Cattolica del S. Cuore, Fondazione Policlinico "A. Gemelli", 00168 Rome, Italy.ORCID 0000-0003-1739-4758
Ernesto RossiInstitute of Medical Oncology, Università Cattolica del S. Cuore, Fondazione Policlinico "A. Gemelli", 00168 Rome, Italy.ORCID 0000-0002-6442-1707
Angelo TotaroInstitute of Urology, Università Cattolica del S. Cuore, Fondazione Policlinico "A. Gemelli", 00168 Rome, Italy.
Francesco PintoInstitute of Urology, Università Cattolica del S. Cuore, Fondazione Policlinico "A. Gemelli", 00168 Rome, Italy.
Niccolò LenciInstitute of Urology, Università Cattolica del S. Cuore, Fondazione Policlinico "A. Gemelli", 00168 Rome, Italy.
Valerio Di PaolaDepartment of Radiology, Università Cattolica del S. Cuore, Fondazione Policlinico "A. Gemelli", 00168 Rome, Italy.
Riccardo ManfrediDepartment of Radiology, Università Cattolica del S. Cuore, Fondazione Policlinico "A. Gemelli", 00168 Rome, Italy.
Pier Francesco BassiInstitute of Urology, Università Cattolica del S. Cuore, Fondazione Policlinico "A. Gemelli", 00168 Rome, Italy.
Francesco PiercontiInstitute of Pathology, Università Cattolica del S. Cuore, Fondazione Policlinico "A. Gemelli", 00168 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Biopsy proven Gleason score is essential to decide treatment modalities for prostate cancer, either surgical (radical prostatectomy) or non-surgical (active surveillance, watchful waiting, radiation therapy and hormone therapy). Several studies indicated that biopsy proven Gleason score may underestimate Gleason score at radical prostatectomy, hence we aimed to calculate the minimum length of biopsy cores needed to have Gleason score agreement. We evaluated 115 prostate cancer patients who underwent multiparametric magnetic resonance/transperineal ultrasonography fusion biopsy and subsequently, radical prostatectomy. Biopsy proven Gleason score was consistent with Gleason score at subsequent radical prostatectomy in 82.6% of patients, while in 17.4% of patients, Gleason score was higher at radical prostatectomy. Gleason score agreement showed a strong direct association with a ratio > 0.05 between the total volume of biopsies performed in tumor area and the volume of the corresponding tumor at radical prostatectomy. A significant association was also found with a ratio ≥ 0.0034 between the tumor volume in the biopsy and the volume of the corresponding tumor at radical prostatectomy and with a ratio ≥ 0.086 between the tumor volume in the biopsy and the total volume of biopsies performed in the tumor area. These results could be exploited to calculate the minimum length of biopsy cores needed to have a correct Gleason score estimation and therefore be used in fusion targeted biopsies with volume adjustments.

Indexed as

active surveillanceGleason scoreneedle biopsyprostate cancerradical prostatectomy

Identifiers

PMID33374618
PMCPMC7822416

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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.