Evidence map›Paper›PMID 34013185›Full record

ReviewMedicine and pharmacy reports2021

MRI-targeted prostate biopsy: the next step forward!

Emanuel Darius Cata, Iulia Andras, Teodora Telecan, Attila Tamas-Szora, Radu-Tudor Coman, Dan-Vasile Stanca, Ioan Coman, Nicolae Crisan

Abstract readReview
In one paragraph

Review in Medicine and pharmacy reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
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.

Emanuel Darius CataUrology Department, Clinical Municipal Hospital, Cluj-Napoca, Romania.
Iulia AndrasUrology Department, Clinical Municipal Hospital, Cluj-Napoca, Romania.
Teodora TelecanFaculty of Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Attila Tamas-SzoraRadiology Department, Clinical Municipal Hospital, Cluj-Napoca, Romania.
Radu-Tudor ComanEpidemiology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Dan-Vasile StancaUrology Department, Clinical Municipal Hospital, Cluj-Napoca, Romania.
Ioan ComanUrology Department, Clinical Municipal Hospital, Cluj-Napoca, Romania.
Nicolae CrisanUrology Department, Clinical Municipal Hospital, Cluj-Napoca, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimFor decades, the gold standard technique for diagnosing prostate cancer was the 10 to 12 core systematic transrectal or transperineal biopsy, under ultrasound guidance. Over the past years, an increased rate of false negative results and detection of clinically insignificant prostate cancer has been noted, resulting into overdiagnosis and overtreatment. The purpose of the current study was to evaluate the changes in diagnosis and management of prostate cancer brought by MRI-targeted prostate biopsy.

methodsA critical review of literature was carried out using the Medline database through a PubMed search, 37 studies meeting the inclusion criteria: prospective studies published in the past 8 years with at least 100 patients per study, which used multiparametric magnetic resonance imaging as guidance for targeted biopsies.

resultsIn-Bore MRI targeted biopsy and Fusion targeted biopsy outperform standard systematic biopsy both in terms of overall and clinically significant prostate cancer detection, and ensure a lower detection rate of insignificant prostate cancer, with fewer cores needed. In-Bore MRI targeted biopsy performs better than Fusion biopsy especially in cases of apical lesions.

conclusionTargeted biopsy is an emerging and developing technique which offers the needed improvements in diagnosing clinically significant prostate cancer and lowers the incidence of insignificant ones, providing a more accurate selection of the patients for active surveillance and focal therapies.

Indexed as

Fusion targeted biopsyIn-Bore MRI targeted biopsymultiparametric MRIprostate cancer detectionsystematic prostate biopsytargeted prostate biopsy

Identifiers

PMID34013185
PMCPMC8118209

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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.