دورية أكاديمية

Prediction Medicine: Biomarkers, Risk Calculators and Magnetic Resonance Imaging as Risk Stratification Tools in Prostate Cancer Diagnosis.

التفاصيل البيبلوغرافية
العنوان: Prediction Medicine: Biomarkers, Risk Calculators and Magnetic Resonance Imaging as Risk Stratification Tools in Prostate Cancer Diagnosis.
المؤلفون: Osses DF; Department of Radiology & Nuclear Medicine, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands. d.osses@erasmusmc.nl.; Department of Urology, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands. d.osses@erasmusmc.nl., Roobol MJ; Department of Urology, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands. m.roobol@erasmusmc.nl., Schoots IG; Department of Radiology & Nuclear Medicine, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands. i.schoots@erasmusmc.nl.
المصدر: International journal of molecular sciences [Int J Mol Sci] 2019 Apr 02; Vol. 20 (7). Date of Electronic Publication: 2019 Apr 02.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: MDPI Country of Publication: Switzerland NLM ID: 101092791 Publication Model: Electronic Cited Medium: Internet ISSN: 1422-0067 (Electronic) Linking ISSN: 14220067 NLM ISO Abbreviation: Int J Mol Sci
أسماء مطبوعة: Original Publication: Basel, Switzerland : MDPI, [2000-
مواضيع طبية MeSH: Magnetic Resonance Imaging*, Biomarkers, Tumor/*metabolism , Prostatic Neoplasms/*diagnosis , Prostatic Neoplasms/*diagnostic imaging, Humans ; Male ; Risk Factors
مستخلص: This review discusses the most recent evidence for currently available risk stratification tools in the detection of clinically significant prostate cancer (csPCa), and evaluates diagnostic strategies that combine these tools. Novel blood biomarkers, such as the Prostate Health Index (PHI) and 4Kscore, show similar ability to predict csPCa. Prostate cancer antigen 3 (PCA3) is a urinary biomarker that has inferior prediction of csPCa compared to PHI, but may be combined with other markers like TMPRSS2-ERG to improve its performance. Original risk calculators (RCs) have the advantage of incorporating easy to retrieve clinical variables and being freely accessible as a web tool/mobile application. RCs perform similarly well as most novel biomarkers. New promising risk models including novel (genetic) markers are the SelectMDx and Stockholm-3 model (S3M). Prostate magnetic resonance imaging (MRI) has evolved as an appealing tool in the diagnostic arsenal with even stratifying abilities, including in the initial biopsy setting. Merging biomarkers, RCs and MRI results in higher performances than their use as standalone tests. In the current era of prostate MRI, the way forward seems to be multivariable risk assessment based on blood and clinical parameters, potentially extended with information from urine samples, as a triaging test for the selection of candidates for MRI and biopsy.
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فهرسة مساهمة: Keywords: biomarker; cost-effective diagnostic pathways; magnetic resonance imaging; prostate cancer detection; risk calculator; risk stratification
المشرفين على المادة: 0 (Biomarkers, Tumor)
تواريخ الأحداث: Date Created: 20190417 Date Completed: 20190730 Latest Revision: 20231011
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC6480079
DOI: 10.3390/ijms20071637
PMID: 30986955
قاعدة البيانات: MEDLINE
الوصف
تدمد:1422-0067
DOI:10.3390/ijms20071637