Evidence map›Paper›PMID 41270377›Full record

Trial reportThe Journal of urology2026

Comprehensive Evaluation of Targeted and Perilesional Biopsy in Biopsy-Naïve Patients With Prostate Positive Magnetic Resonance Imaging: PERI-PRO Noninferiority Randomized Controlled Trial.

Ruiyi Deng, Derun Li, Jingyun Wu, Shaojuan Tian, Qi Shen, Shuai Hu, Meixia Shang, Jianhui Qiu, Jiaheng Shang, Jingcheng Zhou and 3 more

Registry-linked trialAbstract readRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in The Journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06482658 (Efficacy and Safety Evaluation of Transrectal Perilesional/Regional Systematic Biopsy in Diagnosis of Prostate Cancer), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT06482658 nacompletednot on this map

Efficacy and Safety Evaluation of Transrectal Perilesional/Regional Systematic Biopsy in Diagnosis of Prostate Cancer: a Randomized Controlled Trial

TypeinterventionalSponsorPeking University First HospitalRan2024 to 2024Enrolled380ConditionsProstate CancerArmsTransrectal perilesional/regional systematic biopsy (PB/RSB), Combination of transrectal systematic biopsy and targeted biopsy
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

13 authors.

Ruiyi DengDepartment of Urology, Peking University First Hospital, Beijing, China.ORCID 0009-0008-9632-5753
Derun LiDepartment of Urology, Peking University First Hospital, Beijing, China.
Jingyun WuDepartment of Radiology, Peking University First Hospital, Beijing, China.
Shaojuan TianDepartment of Urology, Peking University First Hospital, Beijing, China.
Qi ShenDepartment of Urology, Peking University First Hospital, Beijing, China.
Shuai HuDepartment of Urology, Peking University First Hospital, Beijing, China.
Meixia ShangDepartment of Biostatistics, Peking University Clinical Research Institute, Peking University First Hospital, Beijing, China.
Jianhui QiuDepartment of Urology, Peking University First Hospital, Beijing, China.
Jiaheng ShangDepartment of Urology, Peking University First Hospital, Beijing, China.
Jingcheng ZhouDepartment of Urology, Peking University First Hospital, Beijing, China.
Lin CaiDepartment of Urology, Peking University First Hospital, Beijing, China.
Yi LiuDepartment of Urology, Peking University First Hospital, Beijing, China.
Kan GongDepartment of Urology, Peking University First Hospital, Beijing, China.ORCID 0000-0001-7195-677X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe combined targeted and systematic biopsy (CTSBx) was the standard scheme for patients with visible suspicious lesions on MRI in recent years. 2024 European Association of Urology guideline recommended targeted and perilesional biopsy (TPLBx) for the diagnosis of patients with MRI-visible suspicious lesions. This randomized controlled trial aims to comprehensively evaluate the efficacy and safety profiles of TPLBx and CTSBx schemes. MATERIALS AND

methodsA single-center noninferiority randomized controlled trial consecutively enrolled 380 biopsy-naïve patients (CTSBx: n = 190, TPLBx: n = 190) with a single unilateral suspicious lesion on prostate MRI from June 2024 to November 2024. The noninferiority margin was -15%. All biopsies were undertaken transrectally through the cognitive fusion technique. The primary outcome was Grade Group (GG) ≥ 2 cancer (GG ≥ 2-PCa) detection rate.

resultsThe GG ≥ 2-PCa (58% vs 58%, risk difference [RD]: 0.53% [95% CI: -9.4% to 11%]) and GG ≥ 3-PCa (30% vs 30%, RD: 0.53% [95% CI: -8.7% to 9.7%]) detection rates of TPLBx were noninferior to that of CTSBx (

conclusionsFor patients with a single unilateral suspicious lesion on prostate MRI, TPLBx achieved the noninferior diagnostic efficacy of clinically significant PCa and better safety than the CTSBx scheme.

trial registrationClinicalTrials.gov Identifier: NCT06482658.

Indexed as

Image-Guided BiopsyMagnetic Resonance ImagingProstateProstatic NeoplasmsAgedHumansMaleMiddle Agedgrade group ≥ 2 prostate cancerperilesional biopsysystematic biopsytargeted biopsy

Identifiers

PMID41270377
PMCPMC12978709

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Registered trials

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.