Evidence mapPaperPMID 40868988Full record

ReviewInternational journal of molecular sciences2025

Biomarkers in Localized Prostate Cancer: From Diagnosis to Treatment.

Marta Lopez-Valcarcel, Fernando Lopez-Campos, Juan Zafra-Martín, Irene Cienfuegos Belmonte, José Daniel Subiela, María Ruiz-Vico, Sandra Fernandez Alonso, Jose Angel Garcia Cuesta, Felipe Couñago

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Biology · 2025
    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

9 authors.

Marta Lopez-ValcarcelDepartment of Radiation Oncology, Puerta de Hierro University Hospital, 28222 Madrid, Spain.
Fernando Lopez-CamposDepartment of Radiation Oncology, Ramon y Cajal University Hospital, 28034 Madrid, Spain.ORCID 0000-0002-4077-0507
Juan Zafra-MartínDepartment of Radiation Oncology, Hospital Universitario Virgen de la Victoria, 29010 Málaga, Spain.ORCID 0000-0003-4778-4271
Irene Cienfuegos BelmonteDepartment of Urology, Hospital Virgen del Puerto Plasencia, Cáceres, 10600 Plasencia, Spain.ORCID 0000-0001-8965-3056
José Daniel SubielaDepartment of Urology, Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcala, 28034 Madrid, Spain.ORCID 0000-0003-4176-8174
María Ruiz-VicoDepartment of Clinical Oncology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.ORCID 0000-0002-5638-0634
Sandra Fernandez AlonsoDepartment of Radiation Oncology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.ORCID 0009-0005-9980-8572
Jose Angel Garcia CuestaDepartment of Clinical Oncology, GenesisCare Spain, San Francisco de Asis University Hospital, 28002 Madrid, Spain.
Felipe CouñagoDepartment of Radiation Oncology, GenesisCare Spain, Hospital Universitario Vithas La Milagrosa, 28003 Madrid, Spain.ORCID 0000-0001-7233-0234

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prostate-specific antigen (PSA) has been the primary biomarker used for the detection and monitoring of prostate cancer for decades. However, its limited specificity and prognostic accuracy have led to the development of novel molecular and imaging biomarkers aimed at improving the clinical characterization of localized disease. This review critically examines recent advances in urinary biomarkers (e.g., PCA3, SelectMDx), tissue-based genomic assays (Oncotype DX Prostate, Prolaris, Decipher), and imaging techniques such as multiparametric magnetic resonance imaging (mpMRI) and prostate-specific membrane antigen positron emission tomography (PET-PSMA). We evaluate their diagnostic performance, prognostic value, and clinical utility in risk stratification and individualized treatment decision-making. Methodological and clinical barriers to their routine implementation are also discussed. Current evidence supports the multidisciplinary integration of these biomarkers to overcome the limitations of PSA, improve biopsy decision-making, better distinguish indolent from aggressive tumors, and optimize therapeutic strategies. Finally, future research directions aimed at validating and incorporating emerging biomarkers into clinical practice are outlined, with the goal of improving outcomes in patients with localized prostate cancer.

Indexed as

Biomarkers, TumorProstatic NeoplasmsHumansMalePrognosisProstate-Specific AntigenBiomarkers, TumorProstate-Specific Antigenbiomarkerslocalized prostate cancerpersonalized medicineradiomics

Identifiers

PMID40868988
PMCPMC12386900

What Socratic holds

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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.