Evidence map›Paper›PMID 34505227›Full record

ArticleInternational urology and nephrology2021

Systematic biopsy should not be omitted in the era of combined magnetic resonance imaging/ultrasound fusion-guided biopsies of the prostate.

Branimir Lodeta, Vladimir Trkulja, Georg Kolroser-Sarmiento, Danijel Jozipovic, Aigul Salmhofer, Herbert Augustin

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Article in International urology and nephrology, 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

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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.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Branimir LodetaDepartment of Urology and Andrology, Klinikum Klagenfurt, Feschnigstrasse 11, 9020, Klagenfurt, Austria. branimir.lodeta@gmail.com.ORCID http://orcid.org/0000-0003-4208-5930
Vladimir TrkuljaDepartment of Pharmacology, Zagreb University School of Medicine, Zagreb, Croatia.
Georg Kolroser-SarmientoDepartment of Urology and Andrology, Klinikum Klagenfurt, Feschnigstrasse 11, 9020, Klagenfurt, Austria.
Danijel JozipovicDepartment of Urology and Andrology, Klinikum Klagenfurt, Feschnigstrasse 11, 9020, Klagenfurt, Austria.
Aigul SalmhoferDepartment of Urology and Andrology, Klinikum Klagenfurt, Feschnigstrasse 11, 9020, Klagenfurt, Austria.
Herbert AugustinDepartment of Urology and Andrology, Klinikum Klagenfurt, Feschnigstrasse 11, 9020, Klagenfurt, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate prostate cancer detection rates with classical trans-rectal ultrasound-guided systematic 10-core biopsies (SB), targeted biopsies (TB) guided by magnetic resonance (MR)/US fusion imaging and their combination in biopsy-naïve and patients with previously negative prostate biopsies. We compared pathology results after radical prostatectomy with biopsy findings.

methodsConsecutive patients with prostate imaging-reporting and data system lesions grade ≥ 3 submitted to MRI/US-guided TB and subsequent standard 10-core SB between December 2015 and June 2019 were analyzed.

resultsDetection rate (TB- or SB-positive) in 563 included patients (192 naïve, 371 with previous biopsies) was 56.7% (67.7% for the first, 50.9% for repeated biopsies). With TB (disregarding SB), the rates were 41.4%, 52.1% and 35.8%, respectively. With SB (disregarding TB), the rates were 49.1%, 63.0% and 41.8%, respectively. Eventually, 118 patients underwent surgery and clinically significant cancer was found in 111 (94.1%) specimens. Of those, 23 (20.7%) would have been missed had we relied upon a negative TB and 14 (12.6%) would have been missed had we relied upon a negative SB, disregarding a positive finding on the alternative biopsy template.

conclusionSB should not be omitted since TB and SB combination have higher detection rate of clinically relevant prostate cancer than either procedure alone.

Indexed as

AdultAgedAged, 80 and overBiopsyHumansImage-Guided BiopsyMagnetic Resonance ImagingMaleMiddle AgedMultimodal ImagingProcedures and Techniques UtilizationProstateProstatic NeoplasmsRetrospective StudiesUltrasonography, InterventionalFusion-guided prostate biopsyMagnetic resonance imagingProstate cancerTargeted prostate biopsyTrans-rectal biopsy

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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.