Evidence map›Paper›PMID 40858922›Full record

SynthesisProstate cancer and prostatic diseases2026

Clinical impact of MRI-based risk calculators for prostate cancer diagnosis: a systematic review and meta-analysis.

Ciarán Courtney O'Toole, Nancy Fosua Boakye, Ailish Hannigan, Amirhossein Jalali

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Prostate cancer and prostatic diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Drug Discovery Strategies for Kallikrein-Related Peptidases.International journal of molecular sciences · 2025
    Review
  6. 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

4 authors.

Ciarán Courtney O'TooleSchool of Medicine, University of Limerick, Limerick, Ireland. otoole.ciaran@ul.ie.ORCID http://orcid.org/0000-0002-1990-5198
Nancy Fosua BoakyeHealth Research Institute, University of Limerick, Limerick, Ireland.
Ailish HanniganSchool of Medicine, University of Limerick, Limerick, Ireland.
Amirhossein JalaliSchool of Medicine, University of Limerick, Limerick, Ireland.ORCID http://orcid.org/0000-0001-7227-8261

Funding

Irish Research Council (An Chomhairle um Thaighde in Éirinn) GOIPG/2023/4848
6 · The paper itself

Abstract

backgroundProstate cancer (PCa) is the second most common cancer among men worldwide. Current diagnostic methods often lack sufficient sensitivity and specificity, leading to unnecessary biopsy. With growing use of MRI and EAU guideline recommendations, this review synthesised evidence on MRI-based risk calculators (RCs) for PCa diagnosis and compared their performance with traditional clinical RCs.

methodsA systematic search of Embase, Medline, Scopus, Cochrane Library, and Web of Science databases assessed the discriminatory ability of MRI-based RCs using Area Under the Curve (AUC). A meta-analysis was conducted to pool AUC estimates, assess heterogeneity, and compare the differences in discriminatory ability.

resultsOf 2049 papers, 16 met the inclusion criteria. MRI-based RCs showed increased discrimination, with an AUC of 0.84 (95% CI: 0.81-0.86) for clinically significant PCa (csPCa), compared to 0.76 (95% CI: 0.73-0.79) for clinical models, and an AUC of 0.81 (95% CI: 0.78-0.84) for all PCa, compared to 0.74 (95% CI: 0.68-0.79). The pooled logit(AUC) difference was 0.49 units for csPCa and 0.37 units for all PCa. High heterogeneity was noted, likely due to PCa variability, and 31% of the studies had a high or unclear risk of bias, potentially affecting generalisability.

conclusionsMRI-based RCs improve the diagnostic accuracy for PCa with the potential to reduce unnecessary biopsies and optimise healthcare resources, thereby supporting their integration into clinical practice.

Indexed as

Magnetic Resonance ImagingProstatic NeoplasmsHumansMaleRisk Assessment

Identifiers

PMID40858922
PMCPMC13190291

What OpenQuestion holds

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Registered trials

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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.