Evidence map›Paper›PMID 40647437›Full record

ReviewCancers2025

Advances and Challenges in Prostate Cancer Diagnosis: A Comprehensive Review.

Emil Kania, Maciej Janica, Miłosz Nesterowicz, Wojciech Modzelewski, Mateusz Cybulski, Jacek Janica

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Observational
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  6. Review
  7. Review
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  9. Review
  10. Article
  11. Review
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  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Theranostic Potential of a NewPharmaceutics · 2025
    Article
  20. 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

6 authors.

Emil KaniaDepartment of Urology, Śniadeckiego Voivodeship Hospital in Bialystok, 26 Sklodowskiej-Curie St., 15-278 Bialystok, Poland.ORCID 0009-0005-5922-0563
Maciej JanicaDepartment of Radiology, Śniadeckiego Voivodeship Hospital in Bialystok, 26 Sklodowskiej-Curie St., 15-278 Bialystok, Poland.ORCID 0000-0002-3879-522X
Miłosz NesterowiczDepartment of Radiology, Medical University of Bialystok, 24A Sklodowskiej-Curie St., 15-276 Bialystok, Poland.ORCID 0000-0001-5219-735X
Wojciech ModzelewskiDepartment of Paediatric Radiology, Medical University of Bialystok, 17 Waszyngtona St., 15-274 Bialystok, Poland.
Mateusz CybulskiDepartment of Integrated Medical Care, Medical University of Bialystok, 7A Sklodowskiej-Curie St., 15-096 Bialystok, Poland.ORCID 0000-0002-5116-3497
Jacek JanicaDepartment of Paediatric Radiology, Medical University of Bialystok, 17 Waszyngtona St., 15-274 Bialystok, Poland.ORCID 0000-0001-8448-3158

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prostate cancer is the most commonly diagnosed malignancy in men and continues to be a leading cause of cancer-related mortality. Accurate and timely diagnosis is essential for distinguishing clinically significant tumors from indolent lesions and for informing treatment decisions. Multiparametric magnetic resonance imaging (mpMRI) has revolutionized prostate cancer detection by enabling precise lesion localization, risk stratification, and improved biopsy targeting. Fusion biopsy, which combines mpMRI findings with real-time transrectal ultrasonography (TRUS), has emerged as a highly effective method for sampling suspicious lesions. This review provides an integrated anatomical, epidemiological, technical, and clinical overview that highlights the evolving role of fusion biopsy in contemporary prostate cancer diagnostics. We also explore emerging strategies such as penumbra-targeted sampling, discuss ongoing clinical challenges, and examine the impact of biopsy underestimation and lack of standardization. Compared to conventional systematic biopsy, mpMRI-TRUS fusion biopsy improves the detection of clinically significant prostate cancer while reducing the overdiagnosis of low-risk tumors. To our knowledge, few recent reviews have comprehensively synthesized current clinical guidelines, emerging biopsy techniques, and future directions within a single narrative. mpMRI-TRUS-guided fusion biopsy represents a major advancement in the prostate cancer diagnostic pathway, promoting precision oncology by reducing overtreatment and facilitating individualized patient care. This review aims to assist clinicians in adopting biopsy innovations that enhance diagnostic accuracy and improve patient outcomes.

Indexed as

combined fusion biopsyearly detectionfusion biopsymultiparametric magnetic resonance imaging (mpMRI)PI-RADSprostate biopsyprostate cancerprostate-specific antigen (PSA)targeted biopsytransrectal ultrasonography (TRUS)

Identifiers

PMID40647437
PMCPMC12248846

What OpenQuestion holds

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LicenceCC BY
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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.