Evidence map›Paper›PMID 40863429›Full record

ReviewJournal of personalized medicine2025

The Evolving Landscape of Novel and Old Biomarkers in Localized High-Risk Prostate Cancer: State of the Art, Clinical Utility, and Limitations Toward Precision Oncology.

Lilia Bardoscia, Angela Sardaro, Mariagrazia Quattrocchi, Paola Cocuzza, Elisa Ciurlia, Ilaria Furfaro, Maria Antonietta Gilio, Marcello Mignogna, Beatrice Detti, Gianluca Ingrosso

Abstract readReview
In one paragraph

Review in Journal of personalized medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

10 authors.

Lilia BardosciaRadiation Oncology Unit, Oncology Department, S. Luca Hospital, Azienda USL Toscana Nord Ovest, 55100 Lucca, Italy.
Angela SardaroRadiation Oncology Unit, Vito Fazzi Hospital, 73100 Lecce, Italy.
Mariagrazia QuattrocchiMedical Physics Department, Azienda USL Toscana Nord Ovest, 55100 Lucca, Italy.
Paola CocuzzaRadiation Oncology Unit, Oncology Department, S. Luca Hospital, Azienda USL Toscana Nord Ovest, 55100 Lucca, Italy.
Elisa CiurliaRadiation Oncology Unit, Vito Fazzi Hospital, 73100 Lecce, Italy.
Ilaria FurfaroMedical Oncology Unit, Oncology Department, S. Luca Hospital, Azienda USL Toscana Nord Ovest, 55100 Lucca, Italy.
Maria Antonietta GilioMedical Physics Department, Azienda USL Toscana Nord Ovest, 55100 Lucca, Italy.
Marcello MignognaRadiation Oncology Unit, Oncology Department, S. Luca Hospital, Azienda USL Toscana Nord Ovest, 55100 Lucca, Italy.
Beatrice DettiRadiotherapy Unit Prato, Presidio Villa Fiorita, Azienda USL Centro Toscana, 59100 Prato, Italy.
Gianluca IngrossoRadiation Oncology Section, Department of Medicine and Surgery, University of Perugia and Perugia General Hospital, 06132 Perugia, Italy.ORCID 0000-0003-4380-6947

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-risk prostate cancer (PC) accounts for 50-75% of 10-year relapse after primary treatment. Routine clinicopathological parameters for PC patient stratification have proven insufficient to inform clinical decisions in this setting. Tumor genomic profiling allowed overcoming the limits of diagnostic accuracy in the field of PC, integrated with radiomic features, automated platforms, evaluation of patient-related factors (age, performance status, comorbidity) and tumor-related factors (risk class, volume, T stage). In this scenario, the use of biomarkers to guide decision-making in localized, high-risk PC is evolving actively and rapidly. Additional tests for prostate-specific antigen have demonstrated superior sensitivity and specificity for detecting clinically significant PC, as well as commercially available genomic classifiers improving the risk prediction of disease recurrence/progression/metastasis, in combination with common clinical variables. This narrative review aimed to summarize the state of the art on the utility and evolution of old and emerging biomarkers in the diagnosis and prognosis of localized, high-risk PC, and the potential for their application in clinical practice. We focused on the theoretical molecular foundation of prostate carcinogenesis and explored the impact of genomic profiling, next-generation sequencing, and artificial intelligence in the extrapolation of customized features able to predict disease aggressiveness and possibly drive personalized therapeutic decisions.

Indexed as

deep learninggenomic classifierliquid biopsynext-generation imagingprostate cancerPSAtranscriptomic

Identifiers

PMID40863429
PMCPMC12387777

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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.