News | Magnetic Resonance Imaging (MRI) | May 21, 2018

New Studies Highlight MRI Use for Prostate Cancer Screening and Management

Trio of studies explores new ways to reclassify prostate cancer grade, ability for MRI to help avoid unnecessary biopsies

New Studies Highlight MRI Use for Prostate Cancer Screening and Management

May 21, 2018 — Three new studies presented at the 113th annual meeting of the American Urological Association (AUA) highlight the effectiveness of magnetic resonance imaging (MRI) in the diagnosis and management of prostate cancer. The studies concur that use of MRI in the diagnosis of prostate cancer is increasing, and brings added value to screening and surveillance.

The studies, which will be presented by Stacy Loeb, M.D., AUA spokesperson and assistant professor of urology and population health at New York University, include:

Prostate Health Index and Multiparametric Magnetic Resonance Imaging to Predict Prostate Cancer Grade Reclassification in Active Surveillance: When used together, multiparametric magnetic resonance imaging (mpMRI) and Prostate Health Index (PHI) may be useful for decreasing the burden of prostate biopsies in men on active surveillance (AS), according to Johns Hopkins researchers. While both mpMRI and PHI have shown independently to be valuable in predicting prostate cancer grade reclassification (Gleason score >6) in patients enrolled in AS, researchers at Johns Hopkins aimed to identify the value of combining them for the purpose of predicting grade reclassification at the next AS biopsy.

Researchers retrospectively identified 205 men enrolled in the institution's AS program who underwent mpMRI and PHI within six months of each other, followed by a systematic mpMRI transrectal ultrasound (TRUS) biopsy. They then evaluated PHI and PHI density across Prostate Imaging Reporting and Data System (PI-RADS) V2.0 scores. The researchers compared results between men with and without grade reclassification before calculating receiver operating characteristic curves to compare the diagnostic value of the PI-RADS score combined with PHI, PHID or prostate-specific antigen doubling time (PSAD) for grade reclassification.

Results showed:

  • Men with grade reclassification on biopsy had a higher median PHI (34.6 vs. 31.6, p=0.03) and PHID (0.79 vs. 0.56, p=0.03) compared to men without grade reclassification;
  • PSA and PSAD were not significantly different between men with grade reclassification and those without it; and
  • Combined use of PHI < 24.4 and PI-RADS < 3 could have avoided 24 percent of active surveillance biopsies at the cost of missing only 4 percent of grade reclassification.

Contemporary National Trends in Prostate MRI Among Patients Undergoing a Prostate Biopsy: Results from a Privately Insured Patient Population: A growing number of men are undergoing prostate biopsy with mpMRI as opposed to conventional TRUS biopsy. Using a large cohort (more than 1 million men, aged 40-80 years, diagnosed with an elevated PSA from 2010 to 2016) from a private insurer database, researchers examined the adoption of the mpMRI.

Results showed:

  • Of the men diagnosed with elevated PSA, 3.9 percent underwent a prostate biopsy;
  • Annual rates of MRI among those men receiving prostate biopsies increased significantly, from 5.2 per thousand in 2010 to 13.5 per thousand in 2016; and
  • Use of mpMRI increased across all age groups; however, the largest and only significant increase in use was in men aged 60 to 65 (4.4 in 2010 to 16.0 in 2016).

Negative MRI: Which Patients Could Safely Avoid Prostate Biopsy? Results from Multi-Institutional Study in 401 Patients (MP57-08): Multiparametric MRI (mpMRI) is an effective tool to rule out clinically significant (Gleason > 3+4) and high-grade (Gleason > 4+3) prostate cancers and results could identify patients most likely to benefit from biopsy, according to this multi-institutional study of 401 patients. Using data from prostate biopsy databases at two referral centers, researchers examined diagnostic accuracy of mpMRI in men with negative mpMRI (PI-RADS <3 or Likert score <3) prior to biopsy.

Results showed:

  • Of the 401 patients with negative mpMRI, 136 were diagnosed with prostate cancer;
  • Forty-six patients were diagnosed with clinically significant disease and 20 patients with high-grade disease;
  • Negative predictive values for identifying prostate cancer, clinically significant prostate cancer or high-grade prostate cancer were 66 percent (265/401), 89 percent (355/401) and 95 percent (381/401); and
  • PSA doubling time and history of previous negative biopsy were independent predictors of non-clinically significant disease.

"In recent years, we've seen a growing body of research that supports the use of mpMRI in prostate cancer management," said Loeb. "These studies confirm the value of using this modality when possible, both for initial diagnosis and subsequent follow up as part of active surveillance protocols. They also show the potential for combining mpMRI with markers, such as the prostate health index, to reduce the number of biopsies."

For more information: www.aua2018.org

 

Related Content

Virtual reality during chemotherapy has been shown to improve breast cancer patients’ quality of life during the most stressful treatments
News | Virtual and Augmented Reality | January 21, 2020
January 21, 2020 — Virtual reality during chemotherapy has been shown to improve...
Researchers at Karolinska Institutet in Sweden and Tampere University in Finland have developed a method based on artificial intelligence (AI) for histopathological diagnosis and grading of prostate cancer

From left: Peter Ström, Martin Eklund, Kimmo Kartasalo, Henrik Olsson och Lars Egevad, researchers at Karolinska Institutet in Sweden. Photo courtesy of Stefan Zimmerman

News | Prostate Cancer | January 20, 2020
January 20, 2020 — Researchers at Karolinska Institutet in Sweden and...
Gadolinium based contrast dye in brain MRI

Gadolinium contrast agents (GBCAs) are partly retained in the brain, raising safety concerns, as seen in this MRI.

News | Contrast Media | January 17, 2020
January 17, 2020 — Bracco Diagnostics Inc., the U.
Trends in Overall Cancer Mortality Rates by Sex, United States, 1930 to 2017. Rates are age adjusted to the 2000 US standard population

Trends in Overall Cancer Mortality Rates by Sex, United States, 1930 to 2017. Rates are age adjusted to the 2000 US standard population. Chart courtesy of the American Cancer Society

News | Radiation Oncology | January 13, 2020
January 13, 2020 — The cancer death rate declined
Professor Samer Ezziddin, M.D., from Saarland University/Saarland University Hospital.

Professor Samer Ezziddin, M.D., from Saarland University/Saarland University Hospital. Image courtesy of Saarland University/Thorsten Mohr

 

News | Prostate Cancer | January 13, 2020
January 13, 2020 — When a non-scientist tries to imagine a scientist, the image that often arises is one of a somewha
MR Solutions cryogen free preclinical MRI
News | Magnetic Resonance Imaging (MRI) | January 09, 2020
January 9, 2020 — MR Solutions is continuing to expand its support network
The study found that DBN laws helped some women understand they had increased breast density, but not that breast density is associated with a higher risk of breast cancer or that dense breasts limit the ability of mammograms to detect cancer
News | Breast Density | January 09, 2020
January 9, 2020 — A new study suggests that state-mandated notifications on...