Evidence map›Paper›PMID 35249120›Full record

ArticleWorld journal of urology2023

External validation of the computerized analysis of TRUS of the prostate with the ANNA/C-TRUS system: a potential role of artificial intelligence for improving prostate cancer detection.

Vito Lorusso, Boukary Kabre, Geraldine Pignot, Nicolas Branger, Andrea Pacchetti, Jeanne Thomassin-Piana, Serge Brunelle, Nicola Nicolai, Gennaro Musi, Naji Salem and 4 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in World journal of urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  7. Article
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  9. [Digitalization in urology-challenge and opportunity].Urologie (Heidelberg, Germany) · 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

14 authors.

Vito LorussoDepartment of Urology, Institut Paoli-Calmettes Cancer Center, Marseille, France. vito.lorusso@unimi.it.ORCID http://orcid.org/0000-0002-2009-6957
Boukary KabreDepartment of Urology, CHU Yalgado Ouédraogo, Ouagadougou, Burkina Faso.ORCID http://orcid.org/0000-0002-9883-0621
Geraldine PignotDepartment of Urology, Institut Paoli-Calmettes Cancer Center, Marseille, France.ORCID http://orcid.org/0000-0001-5282-9134
Nicolas BrangerDepartment of Urology, Institut Paoli-Calmettes Cancer Center, Marseille, France.
Andrea PacchettiDepartment of Urology, Institut Paoli-Calmettes Cancer Center, Marseille, France.
Jeanne Thomassin-PianaDepartment of Pathology, Institut Paoli-Calmettes Cancer Center, Marseille, France.
Serge BrunelleDepartment of Radiology, Institut Paoli-Calmettes Cancer Center, Marseille, France.ORCID http://orcid.org/0000-0003-4916-6338
Nicola NicolaiUrology Unit, Fondazione IRCCS Istituto Nazionale Dei Tumori, Milan, Italy.ORCID http://orcid.org/0000-0002-5718-2699
Gennaro MusiUniversity of Milan, Milan, Italy.ORCID http://orcid.org/0000-0003-0833-9183
Naji SalemDepartment of Radiotherapy, Institut Paoli-Calmettes Cancer Center, Marseille, France.
Emanuele MontanariUniversity of Milan, Milan, Italy.ORCID http://orcid.org/0000-0002-3586-666X
Ottavio de CobelliUniversity of Milan, Milan, Italy.ORCID http://orcid.org/0000-0002-0699-8620
Gwenaelle GravisDepartment of Oncology, Institut Paoli-Calmettes Cancer Center, Marseille, France.ORCID http://orcid.org/0000-0002-3127-1554
Jochen WalzDepartment of Urology, Institut Paoli-Calmettes Cancer Center, Marseille, France.ORCID http://orcid.org/0000-0002-1379-7608

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeProstate cancer (PCa) imaging has been revolutionized by the introduction of multi-parametric Magnetic Resonance Imaging (mpMRI). Transrectal ultrasound (TRUS) has always been considered a low-performance modality. To overcome this, a computerized artificial neural network analysis (ANNA/C-TRUS) of the TRUS based on an artificial intelligence (AI) analysis has been proposed. Our aim was to evaluate the diagnostic performance of the ANNA/C-TRUS system and its ability to improve conventional TRUS in PCa diagnosis.

methodsWe retrospectively analyzed data from 64 patients with PCa and scheduled for radical prostatectomy who underwent TRUS followed by ANNA/C-TRUS analysis before the procedure. The results of ANNA/C-TRUS analysis with whole mount sections from final pathology.

resultsOn a per-sectors analysis, sensitivity, specificity, negative predictive value (NPV), positive predictive value (PPV) and accuracy were 62%, 81%, 80%, 64% and 78% respectively. The values for the detection of clinically significant prostate cancer were 69%, 77%, 88%, 50% and 75%. The diagnostic values for high grade tumours were 70%, 74%, 91%, 41% and 74%, respectively. Cancer volume (≤ 0.5 or greater) did not influence the diagnostic performance of the ANNA/C-TRUS system.

conclusionsANNA/C-TRUS represents a promising diagnostic tool and application of AI for PCa diagnosis. It improves the ability of conventional TRUS to diagnose prostate cancer, preserving its simplicity and availability. Since it is an AI system, it does not hold the inter-observer variability nor a learning curve. Multicenter biopsy-based studies with the inclusion of an adequate number of patients are needed to confirm these results.

Indexed as

ProstateProstatic NeoplasmsArtificial IntelligenceHumansImage-Guided BiopsyMagnetic Resonance ImagingMaleRetrospective StudiesUltrasonographyANNAArtificial intelligenceBiopsyC-TRUSDiagnosisImagingProstate cancerTransrectalTRUSUltrasound

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Registered trials

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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.