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

Canon Medical Receives FDA Clearance for Vantage Orian 1.5T MRI
Technology | Magnetic Resonance Imaging (MRI) | November 15, 2018
Canon Medical Systems USA Inc. received 510(k) clearance from the U.S. Food and Drug Administration (FDA) on its new...
Life Image and Mendel.ai Bringing Artificial Intelligence to Clinical Trial Development
News | Artificial Intelligence | November 15, 2018
Life Image and Mendel.ai announced a new strategic partnership that will facilitate the adoption and enhancement of...
Artificial Intelligence Predicts Alzheimer's Years Before Diagnosis
News | Neuro Imaging | November 14, 2018
Artificial intelligence (AI) technology improves the ability of brain imaging to predict Alzheimer’s disease, according...
Researchers Awarded 2018 Canon Medical Systems USA/RSNA Research Grants
News | Radiology Imaging | November 13, 2018
The Radiological Society of North America (RSNA) Research & Education (R&E) Foundation recently announced the...
Subtle Medical Showcases Artificial Intelligence for PET, MRI Scans at RSNA 2018
News | Artificial Intelligence | November 13, 2018
At the 2018 Radiological Society of North America annual meeting (RSNA 2018), Nov. 25-30 in Chicago, Subtle Medical...
University of Missouri Research Reactor First U.S. I-131 Supplier in 30 Years

MURR is the only supplier of I 131 in the United States and the first U.S. supplier since the 1980s. Image courtesy of University of Missouri

News | Radiopharmaceuticals and Tracers | November 13, 2018
The University of Missouri Research Reactor (MURR) recently shipped its first batch of Iodine-131 (I-131), a...
News | Advanced Visualization | November 13, 2018
Canon Medical Systems USA and Applied Radiology will host a pair of expert-led forums in high-resolution imaging and...
This is the Siemens Magnetom Sola RT edition 1.5T MRI system optimized for radiation therapy displayed for the first time since gaining FDA clearance in 2018. It was displayed at the American Society for Radiotherapy and Oncology (ASTRO) 2018 annual meeting. Read more about this system at ASTRO 2018. #ASTRO18 #ASTRO2018
360 Photos | 360 View Photos | November 07, 2018
This is the Siemens Magnetom Sola RT edition 1.5T MRI system optimized for...