Evidence map›Paper›PMID 35877030›Full record

ArticleInternational urology and nephrology2022

Evaluation of systematic prostate biopsies when performing transperineal MRI/TRUS fusion biopsy with needle tracking-what is the additional value?

Karsten Günzel, Ahmed Magheli, Jonas Busch, Eduard Baco, Hannes Cash, Stefan Heinrich, Daniela Edler, Martin Schostak, Hendrik Borgmann, Jakob Schlegel and 1 more

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Article in International urology and nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

7 citing papers in PubMed, 6 citations in OpenAlex.

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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 4 institutions in 2 countries.

Karsten GünzelDepartment of Urology, Vivantes Klinikum Am Urban, Dieffenbachstraße 1, 10967, Berlin, Germany. Karsten.guenzel@googlemail.com.ORCID http://orcid.org/0000-0003-0504-3475
Ahmed MagheliDepartment of Urology, Vivantes Klinikum Am Urban, Dieffenbachstraße 1, 10967, Berlin, Germany.
Jonas BuschDepartment of Urology, Vivantes Klinikum Am Urban, Dieffenbachstraße 1, 10967, Berlin, Germany.
Eduard BacoDepartment of Urology, Oslo University Hospital, Oslo, Norway.
Hannes CashDepartment of Urology, Vivantes Klinikum Am Urban, Dieffenbachstraße 1, 10967, Berlin, Germany.
Stefan HeinrichDepartment of Urology, Vivantes Klinikum Am Urban, Dieffenbachstraße 1, 10967, Berlin, Germany.
Daniela EdlerDepartment of Urology, Vivantes Klinikum Am Urban, Dieffenbachstraße 1, 10967, Berlin, Germany.
Martin SchostakDepartment of Urology, Universitätsklinikum Magdeburg, Magdeburg, Germany.
Hendrik BorgmannUniversity Hospital Medical School Brandenburg, Brandenburg, Germany.
Jakob Schlegel *Department of Urology, Vivantes Klinikum Am Urban, Dieffenbachstraße 1, 10967, Berlin, Germany.
Stefan Hinz *Department of Urology, Vivantes Klinikum Am Urban, Dieffenbachstraße 1, 10967, Berlin, Germany.
Vivantes Klinikum · DEKlinikum Magdeburg · DEOslo University Hospital · NOUniversitätsklinikum Brandenburg an der Havel · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the additional value of systematic biopsies (SB) when performing transperineal MRI/TRUS fusion biopsies (MRI/TRUS TPBx) with needle tracking.

methodsFrom January 2019 to March 2021 969 Patients after a MRI/TRUS TPBx were evaluated separately for target biopsies (TB) and systematic biopsies regarding PCa detection and PCa risk evaluation. Needle tracking in the axial sequences of multiparametric MRI was used to assess the localisation of the detected PCa in the biopsy cores related to the reported PI-RADS lesions.

resultsThe overall cancer detection rate (CDR) for PCa and clinically significant (cs) PCa (ISUP ≥2) with the combination of TB and SB were 66 and 49%. TB detected 46% csPCa and SB 22% csPCa. SB identified 1.5% additional csPCa outside of the reported PI-RADS lesions. 16 patients (1.7%) showed a relevant upgrading from clinically insignificant PCa in TB to csPCa. In 736 patients with unilateral suspicious lesions on MRI, 145 patients (20%) were detected with contralateral PCa-positive SB. 238 patients (25%) showed PCa positive systematic biopsy cores outside of the described PI-RADS lesions.

conclusionsNeedle tracking optimizes the 3D-localisation of cancer in the prostate. Our results show that the added value of SB with a reduced systematic biopsy scheme is low with regard to prostate cancer (PCa) detection and PCa risk evaluation. However, there is a relevant added value for localizing multifocal PCa in the primary diagnostic by a MRI/TRUS fusion biopsy of the prostate.

Indexed as

ProstateProstatic NeoplasmsHumansImage-Guided BiopsyMagnetic Resonance ImagingMaleProstate-Specific AntigenProstate-Specific AntigenMagnetic resonance imaging-ultrasound fusion targeted biopsyProstate cancerProstate imaging reporting and data systemSystematic prostate biopsyTransperineal prostate biopsy

Identifiers

PMID35877030
OpenAlexW4287218666

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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.