Evidence map›Paper›PMID 34063557›Full record

ArticleDiagnostics (Basel, Switzerland)2021

Correlation of MRI-Lesion Targeted Biopsy vs. Systematic Biopsy Gleason Score with Final Pathological Gleason Score after Radical Prostatectomy.

Mike Wenzel, Felix Preisser, Clarissa Wittler, Benedikt Hoeh, Peter J Wild, Alexandra Tschäbunin, Boris Bodelle, Christoph Würnschimmel, Derya Tilki, Markus Graefen and 6 more

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

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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

16 authors.

Mike WenzelDepartment of Urology, University Hospital Frankfurt, University Frankfurt, 60590 Frankfurt, Germany.
Felix PreisserDepartment of Urology, University Hospital Frankfurt, University Frankfurt, 60590 Frankfurt, Germany.
Clarissa WittlerDepartment of Urology, University Hospital Frankfurt, University Frankfurt, 60590 Frankfurt, Germany.
Benedikt HoehDepartment of Urology, University Hospital Frankfurt, University Frankfurt, 60590 Frankfurt, Germany.
Peter J WildDr. Senckenberg Institute of Pathology, University Hospital Frankfurt, 60590 Frankfurt, Germany.
Alexandra TschäbuninDr. Senckenberg Institute of Pathology, University Hospital Frankfurt, 60590 Frankfurt, Germany.
Boris BodelleDepartment of Diagnostic and Interventional Radiology, University Hospital Frankfurt, 60590 Frankfurt, Germany.
Christoph WürnschimmelCancer Prognostics and Health Outcomes Unit, Division of Urology, University of Montreal Health Center, Montreal, QC H2X 3E4, Canada.
Derya TilkiMartini-Klinik Prostate Cancer Center, University Hospital Hamburg-Eppendorf, 20251 Hamburg, Germany.
Markus GraefenMartini-Klinik Prostate Cancer Center, University Hospital Hamburg-Eppendorf, 20251 Hamburg, Germany.
Andreas BeckerDepartment of Urology, University Hospital Frankfurt, University Frankfurt, 60590 Frankfurt, Germany.
Pierre I KarakiewiczCancer Prognostics and Health Outcomes Unit, Division of Urology, University of Montreal Health Center, Montreal, QC H2X 3E4, Canada.
Felix K H ChunDepartment of Urology, University Hospital Frankfurt, University Frankfurt, 60590 Frankfurt, Germany.
Luis A KluthDepartment of Urology, University Hospital Frankfurt, University Frankfurt, 60590 Frankfurt, Germany.
Jens KöllermannDr. Senckenberg Institute of Pathology, University Hospital Frankfurt, 60590 Frankfurt, Germany.
Philipp MandelDepartment of Urology, University Hospital Frankfurt, University Frankfurt, 60590 Frankfurt, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe impact of MRI-lesion targeted (TB) and systematic biopsy (SB) Gleason score (GS) as a predictor for final pathological GS still remains unclear.

methodsAll patients with TB + SB, and subsequent radical prostatectomy (RP) between 01/2014-12/2020 were analyzed. Rank correlation coefficient predicted concordance with pathological GS for patients' TB and SB GS, as well as for the combined effect of SB + TB.

resultsOf 159 eligible patients, 77% were biopsy naïve. For SB taken in addition to TB, a Spearman's correlation of +0.33 was observed regarding final GS. Rates of concordance, upgrading, and downgrading were 37.1, 37.1 and 25.8%, respectively. For TB, a +0.52 correlation was computed regarding final GS. Rates of concordance, upgrading and downgrading for TB biopsy GS were 45.9, 33.3, and 20.8%, respectively. For the combination of SB + TB, a correlation of +0.59 was observed. Rates of concordance, upgrading and downgrading were 49.7, 15.1 and 35.2%, respectively. The combined effect of SB + TB resulted in a lower upgrading rate, relative to TB and SB (both

conclusionsGS obtained from TB provided higher concordance and lower upgrading and downgrading rates, relative to SB GS with regard to final pathology. The combined effect of SB + TB led to the highest concordance rate and the lowest upgrading rate.

Indexed as

concordancedowngradingfusion biopsyprostate neoplasmsystematic biopsyupgrading

Identifiers

PMID34063557
PMCPMC8155831

What Socratic holds

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LicenceCC BY
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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 Socratic graph.