Temporal changes of PIRADS scoring by radiologists and correlation to radical prostatectomy pathological outcomes

Hong, Sung Kyu; Song, Sang Hun; Kim, Hak Ju; Lee, Hae Sung; Nam, Jun Hyun; Lee, Seung Bae

doi:10.1016/j.prnil.2022.07.001

Cited by 6 publications

(3 citation statements)

References 39 publications

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“…Following mpMRI, most of the patients in our study group had PIRADS 4 and 5 score lesions (74%) while only 26% had PIRADS 3 lesions which is similar to other reports [ 20 , 21 , 22 ]. However, in contrast to other studies, we found no significant correlation between the PIRADS score and PSA values.…”

Section: Discussionsupporting

confidence: 91%

Transperineal Prostate Biopsy Targeted by Magnetic Resonance Imaging Cognitive Fusion

et al. 2023

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Prostate cancer is among the most frequently diagnosed cancers and a leading cause of cancer-related death in men. Currently, the most reliable and widely used imaging test for prostate cancer diagnosis is multiparametric pelvic magnetic resonance imaging (mpMRI). Modern biopsy techniques are based on the computerised merging of ultrasound and MRI images to provide better vision during the biopsy procedure (Fusion Biopsy). However, the method is expensive due to high equipment cost. Cognitive fusion of ultrasound and MRI images has recently emerged as a cheaper and easier alternative to computerised fusion. The aim of this prospective study is to perform an in-patient comparison of the systematic prostate biopsy procedure (SB) vs. cognitive fusion (CF) guided prostate biopsy method in terms of safety, ease of use, cancer detection rate and clinically significant cancer detection. We enrolled 103 patients with suspected prostate cancer that were biopsy naive, with PSA > 4 ng/dL and PIRADS score of 3, 4 or 5. All patients received a transperineal standard 12–18 cores systematic biopsy (SB) and a four-cores targeted cognitive fusion (CF) biopsy. Following the prostate biopsy, 68% of the patients were diagnosed with prostate cancer (70/103 patients). SB diagnosis rate was 62% while CF biopsy was slightly better with a 66% rate. There was a significant 20% increase in clinically significant prostate cancer detection rate for the CF compared to SB (p < 0.05) and a significant prostate cancer risk upgrade from the low to the intermediate risk category (13%, p = 0.041). Transperineal cognitive fusion targeted prostate biopsy is a straightforward biopsy method that is easy to perform and is a safe alternative to standard systematic biopsy with improved significant cancer detection accuracy. A combined targeted and systematic approach should be used for the best diagnostic results.

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Section: Discussionsupporting

confidence: 91%

Transperineal Prostate Biopsy Targeted by Magnetic Resonance Imaging Cognitive Fusion

et al. 2023

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“… 18 Our study also showed that absolute age at diagnosis was further unrelated to BCR, whereas high PSA and biopsy GG, margin positivity, and lymph node invasion were considered possible factors. These factors are in line with other studies not restricted to old age, 19 , 20 providing further evidence for equal treatment in older patients without restriction due to absolute age alone.…”

Section: Discussionsupporting

confidence: 90%

Prognosis after radical prostatectomy in men older than 75 years: long-term results from a single tertiary center

Lee,

Song,

Jung

et al. 2024

Prostate International

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“… 1 , 2 , 3 As diagnostic tools for early detection are widely adopted, the diagnosis rate has gradually increased, especially with PSA screening and improved imaging modalities. 4 , 5 , 6 Various treatment options depend on preoperative risk and clinical needs, but currently, radical prostatectomy (RP), especially robot-assisted radical prostatectomy (RARP), remains the mainstay for localized PCa. However, as diagnostic techniques such as multi-parametric MRI and fusion biopsy become more accurate, focal therapy in non-metastatic PCa is increasingly considered, based on the oncological principle that the index lesion drives oncological progression and outcome.…”

Section: Introductionmentioning

confidence: 99%

Propensity score matched analysis of functional outcome in five thousand cases of robot-assisted radical prostatectomy versus high-intensity focused ultrasound

Nam,

Kim,

et al. 2024

Prostate International

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Temporal changes of PIRADS scoring by radiologists and correlation to radical prostatectomy pathological outcomes

Cited by 6 publications

References 39 publications

Transperineal Prostate Biopsy Targeted by Magnetic Resonance Imaging Cognitive Fusion

Transperineal Prostate Biopsy Targeted by Magnetic Resonance Imaging Cognitive Fusion

Prognosis after radical prostatectomy in men older than 75 years: long-term results from a single tertiary center

Propensity score matched analysis of functional outcome in five thousand cases of robot-assisted radical prostatectomy versus high-intensity focused ultrasound

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