Evidence map›Paper›PMID 35835886›Full record

SynthesisWorld journal of urology2023

Micro-ultrasound-guided biopsies versus systematic biopsies in the detection of prostate cancer: a systematic review and meta-analysis.

Charles Dariane, Guillaume Ploussard, Eric Barret, Jean-Baptiste Beauval, Laurent Brureau, Gilles Créhange, Gaëlle Fromont, Mathieu Gauthé, Romain Mathieu, Raphaële Renard-Penna and 6 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis 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 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 11 institutions in 1 country.

Charles DarianeDepartment of Urology, Hôpital Européen Georges-Pompidou, APHP, Paris-Paris Cité University-U1151 Inserm-INEM, Necker, Paris, France. Dariane.charles@gmail.com.
Guillaume PloussardDepartment of Urology, La Croix du Sud Hôpital, Quint Fonsegrives, France.
Eric BarretDepartment of Urology, Institut Mutualiste Montsouris, Paris, France.
Jean-Baptiste BeauvalDepartment of Urology, La Croix du Sud Hôpital, Quint Fonsegrives, France.
Laurent BrureauDepartment of Urology, CHU de Pointe-À-Pitre, University of Antilles, University of Rennes, Inserm, EHESP, Irset (Institut de Recherche en Santé, Environnement et Travail)-UMR_S 1085, 97110, Pointe-à-Pitre, France.
Gilles CréhangeDepartment of Radiotherapy, Institut Curie, Paris, France.
Gaëlle FromontDepartment of Pathology, CHRU Tours, Tours, France.
Mathieu GauthéDepartment of Nuclear Medicine, Scintep-Institut Daniel Hollard, Grenoble, France.
Romain MathieuDepartment of Urology, CHU Rennes, Rennes, France.
Raphaële Renard-PennaAP-HP, Radiology, Pitie-Salpetriere Hospital, Sorbonne University, 75013, Paris, France.
Guilhem RoubaudDepartment of Medical Oncology, Institut Bergonié, 33000, Bordeaux, France.
Alain RuffionService d'urologie Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, Lyon, France.
Paul SargosDepartment of Radiotherapy, Institut Bergonié, 33000, Bordeaux, France.
Morgan RouprêtGRC 5 Predictive Onco-Uro, AP-HP, Urology, Pitie-Salpetriere Hospital, Sorbonne University, 75013, Paris, France.
Gaëlle FiardDepartment of Urology, Grenoble Alpes University Hospital, Université Grenoble Alpes, CNRS, Grenoble INP, TIMC-IMAG, Grenoble, France.
Prostate Cancer Committee of the Association Française d’Urologie (CC-AFU)
Assistance Publique – Hôpitaux de Paris · FRInstitut Bergonié · FRInstitut universitaire du cancer de Toulouse Oncopole · FRCentre Hospitalier Universitaire de Rennes · FRCentre Hospitalier Universitaire de Tours · FRHospices Civils de Lyon · FRInserm · FRInstitut Curie · FRInstitut de Recherche en Santé, Environnement et Travail · FRInstitute Mutualiste Montsouris · FRTranslational Innovation in Medicine and Complexity · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe diagnosis of prostate cancer (PCa) still relies on the performance of both targeted (TB) and systematic biopsies (SB). Micro-ultrasound (mUS)-guided biopsies demonstrated a high sensitivity in detecting clinically significant prostate cancer (csPCa), which could be comparable to that of magnetic resonance imaging (MRI)-TB, but their added value has not been compared to SB yet.

methodsWe conducted a systematic review and meta-analysis, based on Medline, EMBASE, Scopus, and Web of Science, in accordance with PRISMA guidelines, to compare mUS-guided biopsies to SB.

resultsBased on the literature search of 2957 articles, 15 met the inclusion criteria (2967 patients). Most patients underwent mUS-guided biopsies, followed by MRI-TB and SB. Respectively 5 (n = 670) and 4 (n = 467) studies, providing raw data on SB, were included in a random-effect meta-analysis of the detection rate of csPCa, i.e. Gleason Grade Group (GGG) ≥ 2 or non-csPCa (GGG = 1). Overall, PCa was detected in 56-71% of men, with 31.3-49% having csPCa and 17-25.4% having non-csPCa. Regarding csPCa, mUS-guided biopsies identified 196 and SB 169 cases (Detection Ratio (DR): 1.18, 95% CI 0.83-1.68, I

conclusionMicro-ultrasound-guided biopsies compared favorably with SB for the detection of csPCa and detected fewer non-csPCa than SB. Prospective trials are awaited to confirm the interest of adding mUS-guided biopsies to MRI-TB to optimize csPCa detection without increasing overdiagnosis of non-csPCa.

Indexed as

Prostatic NeoplasmsAnimalsHumansImage-Guided BiopsyMaleMiceProspective StudiesUltrasonographyUltrasonography, InterventionalMeta-analysisMicro-ultrasoundProstate cancerSystematic biopsiesTargeted biopsies

Identifiers

PMID35835886
OpenAlexW4285390162

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.