Evidence map›Paper›PMID 35578110›Full record

ArticleAbdominal radiology (New York)2022

Pre-operative magnetic resonance imaging can predict prostate cancer with risk for positive surgical margins.

M Quentin, L Schimmöller, T Ullrich, B Valentin, D Demetrescu, R Al-Monajjed, D Mally, I Esposito, P Albers, G Antoch and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Abdominal radiology (New York), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
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  3. Review
  4. Article
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  7. Association of surgical margin positivity with preoperative mpMRI-identified index lesions in radical prostatectomy A retrospective study.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025
    Article
  8. Article
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  10. Development of preoperative nomograms to predict the risk of overall and multifocal positive surgical margin after radical prostatectomy.Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
    Article
  11. Prostate Cancer Local Staging with Magnetic Resonance Imaging.Radiologic clinics of North America · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Review
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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

11 authors at 2 institutions in 1 country.

M QuentinMedical Faculty, Department of Diagnostic and Interventional Radiology, University Dusseldorf, Moorenstr. 5, 40225, Dusseldorf, Germany.ORCID 0000-0002-6254-5618
L SchimmöllerMedical Faculty, Department of Diagnostic and Interventional Radiology, University Dusseldorf, Moorenstr. 5, 40225, Dusseldorf, Germany. Lars.schimmoeller@med.uni-duesseldorf.de.ORCID 0000-0001-7476-292X
T UllrichMedical Faculty, Department of Diagnostic and Interventional Radiology, University Dusseldorf, Moorenstr. 5, 40225, Dusseldorf, Germany.ORCID 0000-0002-9866-8898
B ValentinMedical Faculty, Department of Diagnostic and Interventional Radiology, University Dusseldorf, Moorenstr. 5, 40225, Dusseldorf, Germany.
D DemetrescuMedical Faculty, Department of Diagnostic and Interventional Radiology, University Dusseldorf, Moorenstr. 5, 40225, Dusseldorf, Germany.
R Al-MonajjedMedical Faculty, Department of Urology, University Dusseldorf, 40225, Dusseldorf, Germany.
D MallyMedical Faculty, Department of Urology, University Dusseldorf, 40225, Dusseldorf, Germany.
I EspositoMedical Faculty, Institute of Pathology, University Dusseldorf, 40225, Dusseldorf, Germany.
P AlbersMedical Faculty, Department of Urology, University Dusseldorf, 40225, Dusseldorf, Germany.
G AntochMedical Faculty, Department of Diagnostic and Interventional Radiology, University Dusseldorf, Moorenstr. 5, 40225, Dusseldorf, Germany.ORCID 0000-0001-7834-3714
C ArsovMedical Faculty, Department of Urology, University Dusseldorf, 40225, Dusseldorf, Germany.ORCID 0000-0001-6124-9764
Heinrich Heine University Düsseldorf · DEDüsseldorf University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnalysis of patients with pre-operative 3 T multiparametric prostate MRI (mpMRI) to determine reliable MRI-based risk predictors of patients at risk for positive surgical margins (PSM) in robotic assisted radical prostatectomy (RPE).

methodsConsecutive patients with 3 T mpMRI and subsequent RPE from 01/2015 to 12/2018 were retrospectively included. Patients were compared regarding clinical and MRI related parameters such as length of capsular tumor contact (LCC) and distance to the membranous urethra (UD).

resultsForty-nine of 179 patients (27%) had PSM in 70 different localizations, with the majority located at the capsule (57%, 40/70), mostly apical and/or posterior. The second most often PSM occurred at the apical urethra (22%, 15/70). PCA was visible on mpMRI at the localization of PSM in 93% at the capsule and in 80% at the urethra. PSA, PI-RADS classification, extraprostatic extension (EPE), and seminal vesicles infiltration (SVI) on MRI were significantly higher / more frequent in patients with PSM. LCC (AUC 0.710), EPE (AUC 0.693), and UD (1-AUC 0.673) predicted PSM (overall). An UD of ≤ 3.5 mm showed the highest accuracy of 95% (J = 0.946) for PSM at the urethra and a LCC of ≥ 22.5 mm with 77% (J = 0.378) for PSM at the capsule.

conclusionPSM occurred mostly in the apex and/or posteriorly at the capsule or at the apical urethra. LCC was the best MRI predictor for PSM at the capsule and UD for tumors with PSM at the apical urethra. Using these MRI parameters readers might pre-operatively determine PCA localizations at risk for PSM.

Indexed as

Prostatic NeoplasmsHumansMagnetic Resonance ImagingMaleMargins of ExcisionProstatectomyRetrospective StudiesPositive surgical marginsPredictive biomarkerProstate cancerProstatectomyProstate MRIStaging

Identifiers

PMID35578110
PMCPMC9226088
OpenAlexW4280627170

What OpenQuestion holds

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LicenceCC BY
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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.