Spatial Correlation of Clinically Significant Prostate Cancer Between Multiparametric Magnetic Resonance Imaging, Targeted and Systematic Biopsy, and Whole-mount Pathology: Implications for Optimal Prostate Biopsy Strategy

Author:

Pacini Matteo1ORCID,Morganti Riccardo2,Zucchi Alessandro2ORCID,Dazzi Filippo2,Pastore Antonio Luigi,Valenzi Fabio Maria3ORCID,Giannarini Gianluca4ORCID,Ficarra Vincenzo5,Simonato Alchiede6,Faviana Pinuccia7,Bartoletti Riccardo

Affiliation:

1. University of Pisa

2. Azienda Ospedaliero Universitaria Pisana

3. Sapienza University of Rome

4. Santa Maria della Misericordia University Hospital

5. Dept of Clinical and Experimental Medicine University of Messina

6. University of Palermo

7. Dept of Department of Surgery, Medical, Molecular, and Critical Area, University of Pisa

Abstract

Abstract

PURPOSE To pinpoint clinically significant Prostate Cancer (csPCa) sites at whole mount pathological analysis (WMA) after radical prostatectomy and compare the results obtained to multiparametric magnetic resonance imaging (mpMRI) and fusion targeted prostate biopsy (TB) combined or less with systematic biopsy (TSB) findings.METHODS 688 patients who underwent to mpMRI and prostate biopsy (PB) were retrospectively evaluated in a multicenter cohort study. 435 of them showed PIRADS ≥ 3 lesions at mpMRI and underwent to Targeted plus Systematic (TSB) or Targeted biopsies alone (TB). Only 201 patients underwent to radical prostatectomy and were suitable for final analysis. T-test for paired DATA and Pearson’s correlation analysis were performed to assess the agreement between different methods.RESULTS The correlation between mpMRI, prostate biopsy and WMA reports was good and comparable in both groups. PI-RADS 4 and 5 lesions agreed with TB and WMA findings. However, about 50% of csPCa tumor sites remained undetected at mpMRI. No correlation in TB group for PI-RADS 3 lesions was found. TSB was able to identify 20% more csPCa sites than TB although the higher risk of tumor upgrading.CONCLUSIONS mpMRI is still an accurate method for the diagnosis of PCa, mainly for PI-RADS 4 and 5 lesions although some csPCa sites often remain undetected. This may be considered as a critical issue for the surgical planning in order to avoid the risk of positive margins. The use of TSB improves the location agreement between PB and WMA up to 80% but may increase the risk of tumor upgrading.

Publisher

Research Square Platform LLC

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3