Evidence map›Paper›PMID 39886504›Full record

ArticleBMJ oncology2023

Prevalence of MRI lesions in men responding to a GP-led invitation for a prostate health check: a prospective cohort study.

Caroline M Moore, Elena Frangou, Neil McCartan, Aida Santaolalla, Douglas Kopcke, Giorgio Brembilla, Joanna Hadley, Francesco Giganti, Teresa Marsden, Mieke Van Hemelrijck and 10 more

Registry-linked trialAbstract read
In one paragraph

Article in BMJ oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04063566 (ReIMAGINE Prostate Cancer Screening - Inviting Men for Prostate Cancer Screening Using MRI), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

NCT04063566 nacompletednot on this map

ReIMAGINE Prostate Cancer Screening - Inviting Men for Prostate Cancer Screening Using MRI

TypeinterventionalSponsorUniversity College, LondonRan2019 to 2021Enrolled309ConditionsProstate Cancer Screening, Prostate CancerArmsMagnetic Resonance Imaging (MRI), Prostate-specific antigen (PSA) test
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Prostate cancer screening.Asian journal of urology · 2025
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Review
  14. Article
  15. Article
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.

Caroline M MooreDivision of Surgery & Interventional Science, University College London, London, UK.ORCID 0000-0003-0202-7912
Elena FrangouMRC Clinical Trials Unit, University College London, London, UK.
Neil McCartanDivision of Surgery & Interventional Science, University College London, London, UK.
Aida SantaolallaTranslational Oncology and Urology Research (TOUR), Centre for Cancer, Society and Public Health, School of Cancer and Pharmaceutical Sciences, King's College London, London, UK.
Douglas KopckeCentre for Medical Imaging, University College London, London, UK.
Giorgio BrembillaCentre for Medical Imaging, University College London, London, UK.
Joanna HadleyUrology, University College London Hospitals NHS Foundation Trust, London, UK.
Francesco GigantiDivision of Surgery & Interventional Science, University College London, London, UK.
Teresa MarsdenDivision of Surgery & Interventional Science, University College London, London, UK.
Mieke Van HemelrijckTranslational Oncology and Urology Research (TOUR), Centre for Cancer, Society and Public Health, School of Cancer and Pharmaceutical Sciences, King's College London, London, UK.
Fiona GongCentre for Medical Imaging, University College London, London, UK.
Alex FreemanDepartment of Histopathology, University College London Hospitals NHS Foundation Trust, London, UK.
Aiman HaiderDepartment of Histopathology, University College London Hospitals NHS Foundation Trust, London, UK.
Steve TuckOxfordshire Prostate Cancer Support Group, Oxford, UK.
Nora PashayanDepartment of Applied Health Research, University College London, London, UK.
Thomas CallenderDivision of Medicine, University College London, London, UK.
Saran GreenTranslational Oncology and Urology Research (TOUR), Centre for Cancer, Society and Public Health, School of Cancer and Pharmaceutical Sciences, King's College London, London, UK.
Louise C BrownMRC Clinical Trials Unit, University College London, London, UK.
Shonit PunwaniCentre for Medical Imaging, University College London, London, UK.
Mark EmbertonUrology, University College London Hospitals NHS Foundation Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: In men with a raised prostate-specific antigen (PSA), MRI increases the detection of clinically significant cancer and reduces overdiagnosis, with fewer biopsies. MRI as a screening tool has not been assessed independently of PSA in a formal screening study. We report a systematic community-based assessment of the prevalence of prostate MRI lesions in an age-selected population. Methods and analysis: Men aged 50-75 were identified from participating general practice (GP) practices and randomly selected for invitation to a screening MRI and PSA. Men with a positive MRI or a raised PSA density (≥0.12 ng/mL Results: Eight GP practices sent invitations to 2096 men. 457 men (22%) responded and 303 completed both screening tests. Older white men were most likely to respond to the invitation, with black men having 20% of the acceptance rate of white men.One in six men (48/303 men, 16%) had a positive screening MRI, and an additional 1 in 20 men (16/303, 5%) had a raised PSA density alone. After NHS assessment, 29 men (9.6%) were diagnosed with clinically significant cancer and 3 men (1%) with clinically insignificant cancer.Two in three men with a positive MRI, and more than half of men with clinically significant disease had a PSA <3 ng/mL. Conclusions: Prostate MRI may have value in screening independently of PSA. These data will allow modelling of the use of MRI as a primary screening tool to inform larger prostate cancer screening studies. Trial registration number: NCT04063566.

Indexed as

Cancer screeningProstate cancer

Identifiers

PMID39886504
PMCPMC11315271

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Registered trials

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.