Evidence map›Paper›PMID 37238245›Full record

ArticleDiagnostics (Basel, Switzerland)2023

Detection Rate of Prostate Cancer in Repeat Biopsy after an Initial Negative Magnetic Resonance Imaging/Ultrasound-Guided Biopsy.

Magdalena Görtz, Ann-Kathrin Huber, Tim Linz, Constantin Schwab, Albrecht Stenzinger, Lukas Goertz, David Bonekamp, Heinz-Peter Schlemmer, Markus Hohenfellner

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% of its field
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. AI-accelerated prostate MRI: a systematic review.The British journal of radiology · 2024
    Pooled it
  2. Review
  3. Article
  4. Article
  5. 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

9 authors at 3 institutions in 1 country.

Magdalena GörtzDepartment of Urology, University Hospital Heidelberg, 69120 Heidelberg, Germany.ORCID 0000-0001-6195-1609
Ann-Kathrin HuberMedical Faculty, Ruprecht-Karls University of Heidelberg, 69117 Heidelberg, Germany.ORCID 0000-0002-9841-5866
Tim LinzMedical Faculty, Ruprecht-Karls University of Heidelberg, 69117 Heidelberg, Germany.
Constantin SchwabInstitute of Pathology, University of Heidelberg, 69120 Heidelberg, Germany.
Albrecht StenzingerInstitute of Pathology, University of Heidelberg, 69120 Heidelberg, Germany.
Lukas GoertzDepartment of Radiology, Medical Faculty and University Hospital, University of Cologne, 50939 Cologne, Germany.
David BonekampDivison of Radiology, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany.ORCID 0000-0002-4811-0087
Heinz-Peter SchlemmerDivison of Radiology, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany.
Markus HohenfellnerDepartment of Urology, University Hospital Heidelberg, 69120 Heidelberg, Germany.
Heidelberg University · DEGerman Cancer Research Center · DEUniversity of Cologne · DE

Funding

Dieter Morszeck Foundation
6 · The paper itself

Abstract

A negative multiparametric magnetic resonance imaging (mpMRI)-guided prostate biopsy in patients with suspected prostate cancer (PC) results in clinical uncertainty, as the biopsy can be false negative. The clinical challenge is to determine the optimal follow-up and to select patients who will benefit from repeat biopsy. In this study, we evaluated the rate of significant PC (sPC, Gleason score ≥7) and PC detection in patients who received a follow-up mpMRI/ultrasound-guided biopsy for persistent PC suspicion after a negative mpMRI/ultrasound-guided biopsy. We identified 58 patients at our institution that underwent repeat targeted biopsy in case of PI-RADS lesions and systematic saturation biopsy between 2014 and 2022. At the initial biopsy, the median age was 59 years, and the median prostate specific antigen level was 6.7 ng/mL. Repeat biopsy after a median of 18 months detected sPC in 3/58 (5%) patients and Gleason score 6 PC in 11/58 (19%). Among 19 patients with a downgraded PI-RADS score at the follow-up mpMRI, none had sPC. In conclusion, men with an initial negative mpMRI/ultrasound-guided biopsy had a high likelihood of not harboring sPC at repeat biopsy (95%). Due to the small size of the study, further research is recommended.

Indexed as

magnetic resonance imagingMRI/TRUS fusion biopsyPI-RADSprostate cancerprostate-specific antigen

Identifiers

PMID37238245
PMCPMC10217194
OpenAlexW4377103882

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.