Evidence map›Paper›PMID 37185992›Full record

SynthesisProstate cancer and prostatic diseases2023

A systematic review and meta-analysis of artificial intelligence diagnostic accuracy in prostate cancer histology identification and grading.

Andrey Morozov, Mark Taratkin, Andrey Bazarkin, Juan Gomez Rivas, Stefano Puliatti, Enrico Checcucci, Ines Rivero Belenchon, Karl-Friedrich Kowalewski, Anastasia Shpikina, Nirmish Singla and 10 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Prostate cancer and prostatic diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Modern integrative prostate cancer diagnostics.Current opinion in urology · 2026
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  14. Observational
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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

20 authors.

Andrey MorozovInstitute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.ORCID 0000-0001-6694-837X
Mark TaratkinInstitute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.
Andrey BazarkinInstitute for Clinical Medicine, Sechenov University, Moscow, Russia.
Juan Gomez RivasDepartment of Urology, Clinico San Carlos University Hospital, Madrid, Spain.ORCID 0000-0002-0556-3035
Stefano PuliattiUrology Department, University of Modena and Reggio Emilia, Modena, Italy.ORCID 0000-0002-1597-9595
Enrico CheccucciDepartment of Surgery, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Turin, Italy.ORCID 0000-0001-7901-5608
Ines Rivero BelenchonDepartment of Uro-Nephrology. Virgen del Rocío University Hospital. Seville, "Seville Biomedicine Institute, IBiS/ Virgen del Rocío University Hospital /CSIC/Seville University. Seville", Seville, Spain.ORCID 0000-0002-6217-4618
Karl-Friedrich KowalewskiDepartment of Urology, University Medical Center Mannheim, Heidelberg University, Heidelberg, Germany.
Anastasia ShpikinaInstitute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.
Nirmish SinglaDepartment of Urology, James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, USA.
Jeremy Y C TeohDepartment of Surgery, S.H. Ho Urology Centre, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0002-9361-2342
Vasiliy KozlovDepartment of Public Health and Healthcare, Sechenov University, Moscow, Russia.
Severin RodlerDepartment of Urology, Ludwig-Maximilian-University Munich, Munich, Germany.
Pietro PiazzaDivision of Urology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Harun FajkovicKarl Landsteiner Institute of Urology and Andrology, Vienna, Austria.
Maxim YakimovPathology department, Rabin Medical Center, Petach Tikwa, Israel.
Andre Luis AbreuUSC Institute of Urology and Catherine & Joseph Aresty Department of Urology, Keck School of Medicine, Los Angeles, CA, USA.ORCID 0000-0002-9167-2587
Giovanni E CacciamaniUSC Institute of Urology and Catherine & Joseph Aresty Department of Urology, Keck School of Medicine, Los Angeles, CA, USA.ORCID 0000-0002-8892-5539
Dmitry EnikeevInstitute for Urology and Reproductive Health, Sechenov University, Moscow, Russia. dvenikeev@gmail.com.ORCID 0000-0001-7169-2209
Young Academic Urologists (YAU) Working Group in Uro-technology of the European Association of Urology

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArtificial intelligence (AI) is a promising tool in pathology, including cancer diagnosis, subtyping, grading, and prognostic prediction.

methodsThe aim of the study is to assess AI application in prostate cancer (PCa) histology. We carried out a systematic literature search in 3 databases. Primary outcome was AI accuracy in differentiating between PCa and benign hyperplasia. Secondary outcomes were AI accuracy in determining Gleason grade and agreement among AI and pathologists.

resultsOur final sample consists of 24 studies conducted from 2007 to 2021. They aggregate data from roughly 8000 cases of prostate biopsy and 458 cases of radical prostatectomy (RP). Sensitivity for PCa diagnostic exceeded 90% and ranged from 87% to 100%, and specificity varied from 68% to 99%. Overall accuracy ranged from 83.7% to 98.3% with AUC reaching 0.99. The meta-analysis using the Mantel-Haenszel method showed pooled sensitivity of 0.96 with I

conclusionsThe accuracy of AI for PCa identification and grading is comparable to expert pathologists. This is a promising approach which has several possible clinical applications resulting in expedite and optimize pathology reports. AI introduction into common practice may be limited by difficult and time-consuming convolutional neural network training and tuning.

Indexed as

ProstateProstatic NeoplasmsArtificial IntelligenceHumansMaleNeoplasm GradingPrognosisProstatectomy

Identifiers

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.