Evidence map›Paper›PMID 40815224›Full record

ArticleRadiology. Imaging cancer2025

Improving Clinically Significant Prostate Cancer Detection with a Multimodal Machine Learning Approach: A Large-Scale Multicenter Study.

Ana Carolina Rodrigues, José Guilherme de Almeida, Nuno Rodrigues, Raquel Moreno, Ana Sofia Castro Verde, Ana Mascarenhas Gaivão, Carlos Bilreiro, Inês Santiago, Joana Ip, Sara Belião and 7 more

Abstract readMulticenter Study
In one paragraph

Article in Radiology. Imaging cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. The evolving PI-RADS paradigm.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
    Review
  3. Article
  4. Review
  5. Review
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

17 authors.

Ana Carolina Rodrigues *Champalimaud Research, Champalimaud Foundation, Computational Clinical Imaging, Av. Brasília, Doca de Pedrouços, Lisboa, Lisbon, PT 1400-038, Portugal.
José Guilherme de Almeida *Champalimaud Research, Champalimaud Foundation, Computational Clinical Imaging, Av. Brasília, Doca de Pedrouços, Lisboa, Lisbon, PT 1400-038, Portugal.ORCID 0000-0002-1887-0157
Nuno RodriguesChampalimaud Research, Champalimaud Foundation, Computational Clinical Imaging, Av. Brasília, Doca de Pedrouços, Lisboa, Lisbon, PT 1400-038, Portugal.
Raquel MorenoChampalimaud Research, Champalimaud Foundation, Computational Clinical Imaging, Av. Brasília, Doca de Pedrouços, Lisboa, Lisbon, PT 1400-038, Portugal.
Ana Sofia Castro VerdeChampalimaud Research, Champalimaud Foundation, Computational Clinical Imaging, Av. Brasília, Doca de Pedrouços, Lisboa, Lisbon, PT 1400-038, Portugal.ORCID 0000-0001-6729-5681
Ana Mascarenhas GaivãoRadiology Department, Champalimaud Clinical Center, Champalimaud Foundation, Lisbon, Portugal.
Carlos BilreiroRadiology Department, Champalimaud Clinical Center, Champalimaud Foundation, Lisbon, Portugal.ORCID 0000-0001-7755-0842
Inês SantiagoRadiology Department, Champalimaud Clinical Center, Champalimaud Foundation, Lisbon, Portugal.ORCID 0000-0003-2126-8287
Joana IpRadiology Department, Champalimaud Clinical Center, Champalimaud Foundation, Lisbon, Portugal.ORCID 0000-0002-5297-4515
Sara BeliãoRadiology Department, Champalimaud Clinical Center, Champalimaud Foundation, Lisbon, Portugal.
Sara SilvaLASIGE, Faculty of Sciences, University of Lisbon, Lisbon, Portugal.
Inês DominguesInstituto Politécnico de Coimbra, Instituto Superior de Engenharia, Coimbra, Portugal.
Manolis TsiknakisFORTH, Institute of Computer Science, Computational BioMedicine Lab, Greece.
Konstantinos MariasFORTH, Institute of Computer Science, Computational BioMedicine Lab, Greece.ORCID 0000-0003-3783-5223
Daniele ReggeCandiolo Cancer Institute, FPO-IRCCS, Candiolo, Turin, Italy.
Nikolaos PapanikolaouChampalimaud Research, Champalimaud Foundation, Computational Clinical Imaging, Av. Brasília, Doca de Pedrouços, Lisboa, Lisbon, PT 1400-038, Portugal.ORCID 0000-0003-3298-2072
ProCAncer-I Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose To develop and prospectively validate a clinical and radiologic model to predict clinically significant prostate cancer (csPCa) using biparametric MRI (bpMRI). Materials and Methods Retrospective data (acquired before March 31, 2022) from 12 medical centers were collected. Radiomic features were extracted from the whole prostate gland using segmentations generated by an automatic deep learning algorithm. A model incorporating bpMRI radiomics, age, prostate-specific antigens, the Prostate Imaging Reporting and Data System (PI-RADS), and the prostate zone lesion location was trained. A retrospective validation set and prospective data (acquired after March 31, 2022) were used to compare PI-RADS scoring (area under the receiver operating characteristic curve [AUC] and specificity at PI-RADS >3). Sensitivity analyses for sequence (T2-weighted, apparent diffusion coefficient, diffusion-weighted imaging) and scanner vendor (GE, Philips, Siemens) were performed, in addition to fairness analyses for relevant categories. Results The retrospective dataset for model development included 7157 male patients (mean age, 64.78 years; 3342 [46.7%] with csPCa), and the prospective dataset for model validation included 1629 patients (mean age, 66.19 years; 592 [36.3%] with csPCa). The multimodal model outperformed PI-RADS in the retrospective (AUC, 0.88 vs 0.80,

Indexed as

Machine LearningMagnetic Resonance ImagingProstatic NeoplasmsAgedHumansMaleMiddle AgedProspective StudiesProstateRetrospective StudiesSensitivity and SpecificityAlgorithm DevelopmentComparative StudiesGenital/ReproductiveMachine LearningModel TrainingModel ValidationNeoplasms-PrimaryOncologyTechnology Assessment

Identifiers

PMID40815224
PMCPMC12492419

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.