Evidence map›Paper›PMID 34295730›Full record

ArticleTranslational andrology and urology2021

A nomogram based on PI-RADS v2.1 and clinical indicators for predicting clinically significant prostate cancer in the transition zone.

Chaogang Wei, Peng Pan, Tong Chen, Yueyue Zhang, Guangcheng Dai, Jian Tu, Zhen Jiang, Wenlu Zhao, Junkang Shen

Open access · diamondAbstract read
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Article in Translational andrology and urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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  14. Detection of grey zones in inter-rater agreement studies.BMC medical research methodology · 2023
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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

9 authors at 2 institutions in 1 country.

Chaogang WeiDepartment of Radiology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Peng PanDepartment of Radiology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Tong ChenDepartment of Radiology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Yueyue ZhangDepartment of Radiology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Guangcheng DaiDepartment of Urology Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Jian TuDepartment of Pathology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Zhen JiangDepartment of Radiology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Wenlu ZhaoDepartment of Radiology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Junkang ShenDepartment of Radiology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Second Affiliated Hospital of Soochow University · CNSoochow University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study attempted to develop a nomogram for predicting clinically significant prostate cancer (cs-PCa) in the transition zone (TZ) with the Prostate Imaging Reporting and Data System version 2.1 (PI-RADS v2.1) score based on biparametric magnetic resonance imaging (bp-MRI) and clinical indicators.

methodsWe retrospectively reviewed 383 patients with suspicious prostate lesions in the TZ as a training cohort and 128 patients as the validation cohort from January 2015 to March 2020. Multivariable logistic regression analysis was performed to determine independent predictors for building a nomogram, and the performance of the nomogram was assessed by the area under the receiver operating characteristic curve (AUC), the calibration curve and decision curve.

resultsThe PI-RADS v2.1 score and prostate-specific antigen density (PSAD) were independent predictors of TZ cs-PCa. The prediction model had a significantly higher AUC (0.936) than the individual predictors (0.914 for PI-RADS v2.1 score, P=0.045, 0.842 for PSAD, P<0.001). The nomogram showed good discrimination (AUC of 0.936 in the training cohort and 0.963 in the validation cohort) and favorable calibration. When the PI-RADS v2.1 score was combined with PSAD, the diagnostic sensitivity and specificity were 80.7% and 93.8%, respectively, which were better than those of the PI-RADS v2.1 score (sensitivity, 74.2%; specificity, 92.5%) and PSAD (sensitivity, 66.1%; specificity, 88.2%).

conclusionsThe newly constructed nomogram exhibits satisfactory predictive accuracy and consistency for TZ cs-PCa. PI-RADS v2.1 based on bp-MRI is a strong predictor in the detection of TZ cs-PCa. Adding PSAD to PI-RADS v2.1 could improve its diagnostic performance, thereby avoiding unnecessary biopsies.

Indexed as

nomogramprostate cancerProstate Imaging Reporting and Data System (PI-RADS)transition zone (TZ)

Identifiers

PMID34295730
PMCPMC8261422
OpenAlexW3170042748

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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.