Evidence map›Paper›PMID 41366753›Full record

ArticleBMC medical imaging2025

Hypoxia and cribriform growth in prostate cancer - establishing a link via MRI.

Mar Fernandez Salamanca, Petra J van Houdt, Tord Hompland, Malgorzata Deręgowska-Cylke, Pim J van Leeuwen, Henk G van der Poel, Elise Bekers, Marcos A S Guimaraes, Heidi Lyng, Uulke A van der Heide and 1 more

Abstract read
In one paragraph

Article in BMC medical imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Mar Fernandez SalamancaDepartment of Radiology, The Netherlands Cancer Institute, Plesmanlaan121, Amsterdam, 1066CX, The Netherlands.
Petra J van HoudtDepartment of Radiation Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Tord HomplandDepartment of Radiation Biology, Oslo University Hospital, Oslo, Norway.
Malgorzata Deręgowska-CylkeDepartment of Radiology, Medical University of Warsaw, Warsaw, Poland.
Pim J van LeeuwenDepartment of Urology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Henk G van der PoelDepartment of Urology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Elise BekersDepartment of Pathology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Marcos A S GuimaraesDepartment of Pathology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Heidi LyngDepartment of Radiation Biology, Oslo University Hospital, Oslo, Norway.
Uulke A van der HeideDepartment of Radiation Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Ivo G SchootsDepartment of Radiology, The Netherlands Cancer Institute, Plesmanlaan121, Amsterdam, 1066CX, The Netherlands. i.schoots@nki.nl.

Funding

KWF Kankerbestrijding 12975
6 · The paper itself

Abstract

backgroundProstate Cancer (PCa) is a heterogeneous disease, where hypoxia and cribriform growth have been established as adverse prognostic features. Hypoxia refers to a condition of limited oxygen concentration within the tumor microenvironment, associated with enhanced tumor aggressiveness, resistance to therapy, and poor clinical outcome. Likewise, cribriform growth has also been related to poor prognosis, though the biologic basis remains unclear. Recent pathological studies suggest that there is an association between cribriform growth and tumor hypoxia, but evidence from PCa patient studies are scarce. To fill this knowledge gap, this study aims to investigate the association between hypoxia measured by MR imaging and cribriform growth identified in whole-mount histological specimens.

methodsA retrospective cohort of 291 patients with biopsy-confirmed PCa who underwent radical prostatectomy and pre-operative MRI was analyzed. Tumors were graded according to the 2019 ISUP classification, and cribriform growth presence and length were assessed on whole-mount histology. The oxygen consumption and supply based model using apparent diffusion coefficient and fractional blood volume was applied to estimate hypoxia level (HL) and hypoxia fraction (HF

resultsCribriform growth-positive tumors exhibited significantly higher HF

conclusionsThis study shows an association between cribriform growth and tumor hypoxia using an MRI-based biomarker. These findings provide further biological insights into the aggressive nature of cribriform growth architecture and highlight the potential clinical utility of non-invasive hypoxia quantification for risk stratification in prostate cancer management. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Magnetic Resonance ImagingProstatic NeoplasmsTumor HypoxiaAgedHumansMaleMiddle AgedNeoplasm GradingProstatectomyRetrospective StudiesTumor MicroenvironmentCribriform growthHypoxiaHypoxia biomarkerProstate cancer

Identifiers

PMID41366753
PMCPMC12801656

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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.