Evidence map›Paper›PMID 39306635›Full record

ArticleProstate cancer and prostatic diseases2025

Trends in pre-biopsy MRI usage for prostate cancer detection, 2007-2022.

Simon John Christoph Soerensen, Shufeng Li, Marvin E Langston, Richard E Fan, Mirabela Rusu, Geoffrey A Sonn

Abstract read
In one paragraph

Article in Prostate cancer and prostatic diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. 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

6 authors.

Simon John Christoph SoerensenDepartment of Urology, Stanford University School of Medicine, Stanford, CA, USA. simonjcs@stanford.edu.ORCID 0000-0002-5763-8297
Shufeng LiDepartment of Urology, Stanford University School of Medicine, Stanford, CA, USA.
Marvin E LangstonDepartment of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA, USA.
Richard E FanDepartment of Urology, Stanford University School of Medicine, Stanford, CA, USA.
Mirabela Rusu *Department of Urology, Stanford University School of Medicine, Stanford, CA, USA.
Geoffrey A Sonn *Department of Urology, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0002-0850-1956

Funding

Stanford Center for Clinical & Translational Education and Research (Spectrum)UL1TR003142 · NCATS · STANFORD UNIVERSITY · PI O'HARA, RUTH M · 2019 to 2023
$45.0M
Rad-pathomic deep learning models to assist radiologists in differentiating aggressive from indolent prostate cancer on MRIR37CA260346 · NCI · STANFORD UNIVERSITY · PI Mirabela Rusu · 2022 to 2026
$2.8M
NCATS NIH HHS UL1 TR003142NCI NIH HHS R37 CA260346
6 · The paper itself

Abstract

backgroundClinical guidelines favor MRI before prostate biopsy due to proven benefits. However, adoption patterns across the US are unclear.

methodsThis study used the Merative™ Marketscan® Commercial & Medicare Databases to analyze 872,829 prostate biopsies in 726,663 men from 2007-2022. Pre-biopsy pelvic MRI within 90 days was the primary outcome. Descriptive statistics and generalized estimating equations assessed changes over time, urban-rural differences, and state-level variation.

resultsPre-biopsy MRI utilization increased significantly from 0.5% in 2007 to 35.5% in 2022, with faster adoption in urban areas (36.1% in 2022) versus rural areas (28.3% in 2022). Geographic disparities were notable, with higher utilization in California, New York, and Minnesota, and lower rates in the Southeast and Mountain West.

conclusionsThe study reveals a paradigm shift in prostate cancer diagnostics towards MRI-guided approaches, influenced by evolving guidelines and clinical evidence. Disparities in access, particularly in rural areas and specific regions, highlight the need for targeted interventions to ensure equitable access to advanced diagnostic techniques.

Indexed as

Magnetic Resonance ImagingProstatic NeoplasmsAgedBiopsyHumansImage-Guided BiopsyMaleMiddle AgedProstateUnited States

Identifiers

PMID39306635
PMCPMC11925800

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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.