A multicentric study on accurate grading of prostate cancer with systematic and MRI/US fusion targeted biopsies: comparison with final histopathology ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-01-16

AUTHORS

R. Diamand, M. Oderda, W. Al Hajj Obeid, S. Albisinni, R. Van Velthoven, G. Fasolis, G. Simone, M. Ferriero, J-B. Roche, T. Piechaud, A. Pastore, A. Carbone, G. Fiard, J-L. Descotes, G. Marra, P. Gontero, E. Altobelli, R. Papalia, P. Kumar, D. Eldred-Evans, A. Giacobbe, G. Muto, V. Lacetera, V. Beatrici, T. Roumeguere, A. Peltier

ABSTRACT

OBJECTIVE: To evaluate the accuracy in histologic grading of MRI/US image fusion biopsy by comparing histopathology between systematic biopsies (SB), targeted biopsies (TB) and the combination of both (SB + TB) with the final histopathologic outcomes of radical prostatectomy specimens. MATERIALS AND METHODS: Retrospective, multicentric study of 443 patients who underwent SB and TB using MRI/US fusion technique (Urostation® and Trinity®) prior to radical prostatectomy between 2010 and 2017. Cochran's Q test and McNemar test were conducted as a post hoc test. Uni-multivariable analyses were performed on several clinic-pathological variables to analyze factors predicting histopathological concordance for targeted biopsies. RESULTS: Concordance in ISUP (International Society of Urological Pathology) grade between SB, TB and SB + TB with final histopathology was 49.4%, 51.2%, and 63.2% for overall prostate cancer and 41.2%, 48.3%, and 56.7% for significant prostate cancer (ISUP grade ≥ 2), respectively. Significant difference in terms of concordance, downgrading and upgrading was found between SB and TB (ISUP grade ≥ 2 only), SB and SB + TB, TB and SB + TB (overall ISUP grade and ISUP grade ≥ 2) (p < 0.001). Total number of cores and previous biopsies were significant independent predictive factors for concordance with TB technique. CONCLUSION: In this retrospective study, combination of SB and TB significantly increased concordance with final histopathology despite a limited additional number of cores needed. More... »

PAGES

1-9

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00345-019-02634-9

DOI

http://dx.doi.org/10.1007/s00345-019-02634-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1111455683

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30652213


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