Avoiding Unnecessary Magnetic Resonance Imaging (MRI) and Biopsies: Negative and Positive Predictive Value of MRI According to Prostate-specific Antigen Density, 4Kscore and Risk Calculators.

Biopsy / statistics & numerical data Decision Trees Humans Male Multiparametric Magnetic Resonance Imaging / statistics & numerical data Predictive Value of Tests Prostate / pathology Prostate-Specific Antigen / blood Prostatic Neoplasms / blood Retrospective Studies Risk Assessment Unnecessary Procedures / statistics & numerical data
4Kscore Biomarkers Multiparametric magnetic resonance imaging Negative predictive value Positive predictive value Prostate biopsy Prostate cancer

Journal

European urology oncology
ISSN: 2588-9311
Titre abrégé: Eur Urol Oncol
Pays: Netherlands
ID NLM: 101724904

Informations de publication

Date de publication:
10 2020
Historique:
received: 08 05 2019
revised: 19 08 2019
accepted: 30 08 2019
pubmed: 25 9 2019
medline: 1 6 2021
entrez: 25 9 2019
Statut: ppublish

Résumé

The 2019 European Association of Urology guidelines recommend multiparametric magnetic resonance imaging (mpMRI) for biopsy-naïve patients with clinical suspicion of prostate cancer (PC) and avoiding biopsy in patients with negative mpMRI and low clinical suspicion. However, consensus on the optimal definition of low clinical suspicion is lacking. We evaluated 266 biopsy-naïve patients who underwent mpMRI, the 4Kscore test, and prostate biopsy to define the best strategy to avoid unnecessary testing and biopsies. The European Randomized Study of Screening for Prostate Cancer risk calculator (ERSPC-RC) and prostate-specific antigen density (PSAd) were also considered. For men with Prostate Imaging-Reporting and Data System v2.0 (PI-RADS) 1⿿2 lesions, the highest negative predictive value was observed for those with low or intermediate 4Kscore risk (96.9% and 97.1%), PSAd <0.10ng/ml/cm

Identifiants

DOI: 10.1016/j.euo.2019.08.015 PMID: 31548130
pubmed: 31548130
pii: S2588-9311(19)30141-5
doi: 10.1016/j.euo.2019.08.015
pii:
doi:

Substances chimiques

Prostate-Specific Antigen EC 3.4.21.77

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

700-704

Informations de copyright

Copyright © 2019 European Association of Urology. Published by Elsevier B.V. All rights reserved.

Auteurs

Ugo Giovanni Falagario (UG)

Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Urology and Organ Transplantation, University of Foggia, Foggia, Italy. Electronic address: ugofalagario@gmail.com.

Alberto Martini (A)

Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Ethan Wajswol (E)

Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Patrick-Julien Treacy (PJ)

Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Parita Ratnani (P)

Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Ivan Jambor (I)

Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Radiology, University of Turku, Turku, Finland.

Harry Anastos (H)

Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Sara Lewis (S)

Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Kenneth Haines (K)

Department of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Luigi Cormio (L)

Department of Urology and Organ Transplantation, University of Foggia, Foggia, Italy.

Giuseppe Carrieri (G)

Department of Urology and Organ Transplantation, University of Foggia, Foggia, Italy.

Ardeshir R Rastinehad (AR)

Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Peter Wiklund (P)

Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Ash Tewari (A)

Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

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Classifications MeSH

questionsmedicales.fr › Techniques d'investigation › Techniques cytologiques › Cytodiagnostic › Biopsie › Avoiding Unnecessary Magnetic Resonance...
questionsmedicales.fr › Concepts mathématiques › Théorie de la décision › Arbres de décision › Avoiding Unnecessary Magnetic Resonance...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Avoiding Unnecessary Magnetic Resonance...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Tomographie › Imagerie par résonance magnétique › Imagerie par résonance magnétique multiparamétrique › Avoiding Unnecessary Magnetic Resonance...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Méthodologie en recherche épidémiologique › Valeur prédictive des tests › Avoiding Unnecessary Magnetic Resonance...
questionsmedicales.fr › Tissus › Glandes exocrines › Prostate › Avoiding Unnecessary Magnetic Resonance...
questionsmedicales.fr › Facteurs biologiques › Marqueurs biologiques › Marqueurs biologiques tumoraux › Antigène spécifique de la prostate › Avoiding Unnecessary Magnetic Resonance...
questionsmedicales.fr › Maladies urogénitales › Tumeurs de l'appareil urogénital › Tumeurs de l'appareil génital mâle › Tumeurs de la prostate › Avoiding Unnecessary Magnetic Resonance...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Avoiding Unnecessary Magnetic Resonance...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Risque › Appréciation des risques › Avoiding Unnecessary Magnetic Resonance...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Attitude envers la santé › Mésusage des services de santé › Surmédicalisation › Procédures superflues › Avoiding Unnecessary Magnetic Resonance...