Evidence map›Paper›PMID 34142231›Full record

Observational studyWorld journal of urology2021

Usability and diagnostic accuracy of different MRI/ultrasound-guided fusion biopsy systems for the detection of clinically significant and insignificant prostate cancer: a prospective cohort study.

Ioannis Sokolakis, Nikolaos Pyrgidis, Lukas Koneval, Markus Krebs, Annette Thurner, Hubert Kübler, Georgios Hatzichristodoulou

Abstract readComparative StudyObservational Study
PubMed Publisher
In one paragraph

Observational study 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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
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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

7 authors at 2 institutions in 1 country.

Ioannis SokolakisDepartment of Urology and Pediatric Urology, Julius-Maximilians-University of Würzburg, Würzburg, Germany. sokolakisi@gmail.com.ORCID http://orcid.org/0000-0002-1938-8004
Nikolaos PyrgidisDepartment of Urology, Martha-Maria Hospital Nuremberg, Stadenstraße 58, 90491, Nuremberg, Germany.
Lukas KonevalDepartment of Urology and Pediatric Urology, Julius-Maximilians-University of Würzburg, Würzburg, Germany.
Markus KrebsDepartment of Urology and Pediatric Urology, Julius-Maximilians-University of Würzburg, Würzburg, Germany.
Annette ThurnerDepartment of Diagnostic and Interventional Radiology, Julius-Maximilians-University of Würzburg, Würzburg, Germany.
Hubert KüblerDepartment of Urology and Pediatric Urology, Julius-Maximilians-University of Würzburg, Würzburg, Germany.
Georgios HatzichristodoulouDepartment of Urology and Pediatric Urology, Julius-Maximilians-University of Würzburg, Würzburg, Germany.
University of Würzburg · DEMartha-Maria Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo explore the usability and diagnostic accuracy for prostate cancer of three multiparametric magnetic resonance imaging (mpMRI)/transrectal ultrasound (TRUS)-guided fusion biopsy systems operated by the same urologists.

methodsWe performed a prospective, observational study including patients that underwent prostate biopsy due to a visible lesion in mpMRI (PI-RADS ≥ 3). We consecutively assessed two platforms with a rigid image registration (BioJet, D&K Technologies and UroNav, Invivo Corporation) and one with an elastic registration (Trinity, KOELIS). Four urologists evaluated each fusion system in terms of usability based on the System Usability Scale and diagnostic accuracy based on the detection of prostate cancer.

resultsWe enrolled 60 consecutive patients that received mpMRI/TRUS-guided prostate biopsy with the BioJet (n = 20), UroNav (n = 20) or Trinity (n = 20) fusion system. Comparing the rigid with the elastic registration systems, the rigid registration systems were more user-friendly compared to the elastic registration systems (p = 0.012). Similarly, the prostate biopsy with the rigid registration systems had a shorter duration compared to the elastic registration system (p < 0.001). Overall, 40 cases of prostate cancer were detected. Of them, both the BioJet and UroNav fusion systems detected 13 prostate cancer cases, while the Trinity detected 14. No significant differences were demonstrated among the three fusion biopsy systems in terms of highest ISUP Grade Group (p > 0.99).

conclusionsRigid fusion biopsy systems are easier to use and provide shorter operative time compared to elastic systems, while both types of platforms display similar detection rates for prostate cancer. Still, further high-quality, long-term results are mandatory.

Indexed as

Multiparametric Magnetic Resonance ImagingUltrasonography, InterventionalAgedCohort StudiesHumansImage-Guided BiopsyMaleMiddle AgedProspective StudiesProstatic NeoplasmsRectumReproducibility of ResultsFusion biopsyMRIProstate biopsyProstate cancerUsability

Identifiers

PMID34142231
OpenAlexW3166755788

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.