Evidence map›Paper›PMID 40576734›Full record

ArticleVirchows Archiv : an international journal of pathology2026

Low heterogeneity of tumor grades in multiple MRI-targeted prostate biopsies argues for the aggregate method of grading.

Oliver Hommerding, Fereschte Sara Rejai, Anna Scherping, Tobias Kreft, Christine Sanders, Carsten-Henning Ohlmann, Jörg Ellinger, Phillip Krausewitz, Stefan Hauser, Manuel Ritter and 3 more

Abstract readComparative Study
In one paragraph

Article in Virchows Archiv : an international journal of pathology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Oliver Hommerding *Institute of Pathology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Fereschte Sara Rejai *Department of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany.
Anna ScherpingInstitute of Pathology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Tobias KreftInstitute of Pathology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Christine SandersInstitute of Pathology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Carsten-Henning OhlmannDepartment of Urology, University Hospital Bonn, Bonn, Germany.
Jörg EllingerDepartment of Urology, Johanniter-Kliniken Bonn, Bonn, Germany.
Phillip KrausewitzDepartment of Urology, Johanniter-Kliniken Bonn, Bonn, Germany.
Stefan HauserDepartment of Urology, Johanniter-Kliniken Bonn, Bonn, Germany.
Manuel RitterDepartment of Urology, Johanniter-Kliniken Bonn, Bonn, Germany.
Julian A LuetkensDepartment of Diagnostic and Interventional Radiology, University Hospital Bonn, Bonn, Germany.
Marit Bernhardt *Institute of Pathology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Glen Kristiansen *Institute of Pathology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany. glen.kristiansen@ukbonn.de.ORCID http://orcid.org/0000-0003-4149-5487

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prostate cancer diagnosis primarily relies on histological confirmation via needle core biopsy, with systematic 12-core biopsies (SB) being commonly used. Multiparametric magnetic resonance imaging (mpMRI) and MRI-targeted biopsies have shown enhanced detection of clinically significant prostate cancer. This study compares two tumor grading methods-aggregate and individual grading-used in MRI-targeted biopsies to assess their correlation with the final ISUP Grade Group (GG) of the RPE. A cohort of 108 patients with ≥ 2 positive cores in at least one MRI-targeted biopsy, totaling 179 positive lesions, was analyzed. Systematic and MRI-targeted biopsies were correlated with RPE specimens. The mean highest ISUP GG for systematic biopsies was 2.77 (SD ± 1.29), compared to 2.62 (SD ± 1.13) for targeted biopsies using the aggregate method. Comparing the highest ISUP GG in systematic as well as targeted biopsies with the final ISUP GG of the RPE, exact correlation between GG was found in 70.1% (aggregate) and 66.4% (individual) for targeted biopsies and 58.1% for systematic biopsies. The results of the individual method showed slightly better correlation with the final ISUP GG from the RPE specimen in only 0.93%, while in 2.8% of cases, it resulted in inferior correlation compared to the aggregate method. Our findings suggest that the aggregate grading method of targeted biopsies is preferable due to its comparable predictive accuracy, lower workload, and alignment with existing clinical guidelines. This supports the ISUP's recommendation to use the aggregate method for MRI-targeted biopsies in clinical practice. Further research is needed to standardize reporting protocols for MRI-targeted biopsies and refine their integration into prostate cancer risk stratification models.

Indexed as

Image-Guided BiopsyMagnetic Resonance ImagingMultiparametric Magnetic Resonance ImagingNeoplasm GradingProstateProstatic NeoplasmsAgedBiopsy, Large-Core NeedleHumansMaleMiddle AgedAggregate methodIndividual methodISUP Grade GroupMRI-targeted biopsyProstate cancerSystematic biopsy

Identifiers

PMID40576734
PMCPMC12916981

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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.