Prostate Health Index and Multiparametric MRI: Partners in Crime Fighting Overdiagnosis and Overtreatment in Prostate Cancer.

PHI PHI density biopsy multiparametric magnetic resonance imaging prostate cancer

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
21 Sep 2021
Historique:
received: 05 08 2021
revised: 16 09 2021
accepted: 18 09 2021
entrez: 28 9 2021
pubmed: 29 9 2021
medline: 29 9 2021
Statut: epublish

Résumé

Widespread use of PSA as the standard tool for prostate cancer (PCa) diagnosis led to a high rate of overdiagnosis and overtreatment. In this study, we evaluated the performance of the prostate health index (PHI) and multiparametric magnetic resonance imaging (mpMRI) for the prediction of positive biopsy and of high-grade PCa at radical prostatectomy (RP). To this end, we prospectively enrolled 196 biopsy-naïve patients who underwent mpMRI. A subgroup of 116 subjects with biopsy-proven PCa underwent surgery. We found that PHI significantly outperformed both PI-RADS score (difference in AUC: 0.14;

Identifiants

pubmed: 34572950
pii: cancers13184723
doi: 10.3390/cancers13184723
pmc: PMC8466029
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Università degli Studi di Napoli Federico II
ID : FRA 2020 linea B

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Auteurs

Matteo Ferro (M)

Division of Urology, European Institute of Oncology (IEO), IRCCS, 20141 Milan, Italy.

Felice Crocetto (F)

Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80131 Naples, Italy.

Dario Bruzzese (D)

Department of Public Health, University of Naples "Federico II", 80131 Naples, Italy.

Massimo Imbriaco (M)

Department of Advanced Biomedical Sciences, University of Naples "Federico II", 80131 Naples, Italy.

Ferdinando Fusco (F)

Department of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.

Nicola Longo (N)

Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80131 Naples, Italy.

Luigi Napolitano (L)

Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80131 Naples, Italy.

Evelina La Civita (E)

Department of Translational Medical Sciences, University of Naples "Federico II", 80131 Naples, Italy.

Michele Cennamo (M)

Department of Translational Medical Sciences, University of Naples "Federico II", 80131 Naples, Italy.

Antonietta Liotti (A)

Department of Translational Medical Sciences, University of Naples "Federico II", 80131 Naples, Italy.

Manuela Lecce (M)

Department of Translational Medical Sciences, University of Naples "Federico II", 80131 Naples, Italy.

Gianluca Russo (G)

Department of Public Health, University of Naples "Federico II", 80131 Naples, Italy.

Luigi Insabato (L)

Department of Advanced Biomedical Sciences, University of Naples "Federico II", 80131 Naples, Italy.

Ciro Imbimbo (C)

Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80131 Naples, Italy.

Daniela Terracciano (D)

Department of Translational Medical Sciences, University of Naples "Federico II", 80131 Naples, Italy.

Classifications MeSH