Evidence map›Paper›PMID 42059014›Full record

ArticleContemporary clinical trials communications2026

Micro-UltraSound In Cancer - Active Surveillance (MUSIC-AS): A paired, prospective, non-inferiority trial comparing micro-ultrasound and multiparametric MRI at confirmatory biopsy.

Oliver Little, Pat Albers, Tarek A Bismar, Wayne Brisbane, Stacey Broomfield, Silvia Chang, Christopher Fung, Sunita Ghosh, Tomislav Kuliš, Hugo Lavigueur-Blouin and 7 more

Abstract read
In one paragraph

Article in Contemporary clinical trials communications, 2026. 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. 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.

Oliver LittleUndergraduate Medical Education, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Pat AlbersDivision of Urology, Department of Surgery, University of Alberta, Edmonton, Canada.
Tarek A BismarDepartment of Pathology & Laboratory Medicine, Oncology and Biochemistry and Molecular Biology, University of Calgary, Calgary, Canada.
Wayne BrisbaneInstitute of Urologic Oncology, Department of Urology, UCLA Medical Center, University of California Los Angeles, USA.
Stacey BroomfieldDivision of Urology, Department of Surgery, University of Alberta, Edmonton, Canada.
Silvia ChangDepartment of Radiology, University of British Columbia, Vancouver, Canada.
Christopher FungDepartment of Radiology & Diagnostic Imaging, University of Alberta, Edmonton, Canada.
Sunita GhoshDepartment of Oncology, University of Alberta, Edmonton, Canada.
Tomislav KulišDepartment of Urology, University Hospital Center Zagreb, Zagreb, Croatia.
Hugo Lavigueur-BlouinDivision of Urology, Department of Surgery, Université de Montréal, Quebec, Canada.
Giovanni LughezzaniDepartments of Urology and Biomedical Sciences, Humanitas Clinical and Research Center, Rozzano, Italy.
Miles MannasVancouver Prostate Centre, Mohseni Institute of Urologic Sciences, Vancouver, British Columbia, Canada.
Peter MetcalfeDivision of Urology, Department of Surgery, University of Alberta, Edmonton, Canada.
Luka PenezićDepartment of Urology, University Hospital Center Zagreb, Zagreb, Croatia.
Wendy TuDepartment of Radiology & Diagnostic Imaging, University of Alberta, Edmonton, Canada.
Toni ZekulićDepartment of Urology, University Hospital Center Zagreb, Zagreb, Croatia.
Adam KinnairdDivision of Urology, Department of Surgery, University of Alberta, Edmonton, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Accurate risk assessment is essential for men on active surveillance (AS) of prostate cancer (PCa). Multiparametric MRI improves detection of clinically significant PCa (csPCa; Grade Group ≥2) but is limited by registration error, contraindications and long wait times. Micro-ultrasound (microUS) is a high-resolution, real-time imaging modality that has been shown to be non-inferior to MRI for the detection of csPCa in biopsy-naïve men. However, trials comparing microUS against MRI in men managed by AS remain limited. Methods: MUSIC-AS is a paired, within-subject, prospective non-inferiority diagnostic trial comparing microUS and MRI for the detection of csPCa in men undergoing confirmatory biopsy during AS. Eligible participants include men with previously diagnosed Grade Group 1 PCa requiring confirmatory biopsy. Each participant will undergo pre-biopsy MRI followed by a microUS/MRI-guided biopsy (in which the operator is initially blinded to the MRI during acquisition of microUS targeted cores) followed by MRI targeted cores and systematic sampling. The primary endpoint is the detection of csPCa by combined targeted plus systematic biopsies. The planned sample size is 210 participants. Results: The primary hypothesis is non-inferiority of the csPCa detection rate between microUS-targeted plus systematic biopsies and MRI-targeted plus systematic biopsies. Secondary analyses will evaluate upgrade-free probabilities at 2, 5, and 10 years after confirmatory biopsy. An exploratory analysis using germline sequencing will be performed. Conclusions: MUSIC-AS will determine whether micro-ultrasound is non-inferior to MRI for detecting csPCa in men on active surveillance. Confirmation of non-inferiority may support microUS as a cost-effective, time-efficient, and widely accessible imaging alternative in this population.

Indexed as

Active surveillanceMicro-ultrasoundMultiparametric MRINon-inferiority trialProstate biopsyProstate cancerTargeted biopsy

Identifiers

PMID42059014
PMCPMC13122239

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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.