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Unambiguous radiologic extranodal extension determined by MRI could be a biomarker in predicting metastatic prostate cancer.
Han, Ye; Shen, Fan; Jiao, Jianhua; Xiao, Zunjian; Qin, Weijun; Ren, Jing; Huan, Yi.
Afiliação
  • Han Y; Department of Radiology, Xijing Hospital, Air Force Medical University, 127 Chang Le West Road, Xi'an, Shaanxi Province, China.
  • Shen F; Department of Radiology, 83 Group Military Hospital of People's Liberation Army, Xiangyang Road No.371, Xinxiang, Henan Province, China.
  • Jiao J; Department of Radiology, Xijing Hospital, Air Force Medical University, 127 Chang Le West Road, Xi'an, Shaanxi Province, China.
  • Xiao Z; Department of Urology, Xijing Hospital, Air Force Medical University, 127 Chang Le West Road, Xi'an, Shaanxi Province, China.
  • Qin W; Department of Radiology, Xijing Hospital, Air Force Medical University, 127 Chang Le West Road, Xi'an, Shaanxi Province, China.
  • Ren J; Department of Urology, Xijing Hospital, Air Force Medical University, 127 Chang Le West Road, Xi'an, Shaanxi Province, China.
  • Huan Y; Department of Radiology, Xijing Hospital, Air Force Medical University, 127 Chang Le West Road, Xi'an, Shaanxi Province, China. jrenmm@126.com.
Radiol Med ; 128(5): 520-527, 2023 May.
Article em En | MEDLINE | ID: mdl-37101062
OBJECTIVE: To explore the relationship between unambiguous radiologic extranodal extension (rENE) and M1 staging in patients with metastatic PCa. METHODS: A respective analysis of 1073 patients of PCa N1 staging from January 2004 to May 2022 was retrospectively enrolled. They were divided into rENE + and rENE - groups and retrospectively analyzed the M staging with nuclear medicine data. The correlation index between unambiguous rENE and M1b staging was calculated. Logistic regression was used to evaluate the predictive performance of unambiguous rENE in M1b staging. ROC curves were used to investigate the relationship between unambiguous rENE and M staging in patients who underwent 68 Ga-PSMA PET/CT. RESULTS: A total of 1073 patients were included. Seven hundred and eighty patients were classified into the rENE + group (mean age, 69.6 years ± 8.7 [standard deviation]), and 293 were classified into rENE - group (mean age, 66.7 years ± 9.4 [standard deviation]). Relationship between unambiguous rENE and M1b existed (r = 0.58, 95%CI: 0.52-0.64, P < 0.05). Unambiguous rENE could be an independent predictor for M1b (OR = 13.64, 95%CI: 9.23-20.14, P < 0.05). The AUC of unambiguous rENE in predicting M1b and M staging was 0.835 and 0.915, respectively, in patients who underwent 68 Ga-PSMA PET/CT. CONCLUSIONS: Unambiguous rENE could be a strong biomarker to predict M1b and M staging in patients with PCa. When rENE came up, patients should perform nuclear medicine immediately, and a systematic treatment should be considered.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Próstata / Extensão Extranodal Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Humans / Male Idioma: En Revista: Radiol Med Ano de publicação: 2023 Tipo de documento: Article País de afiliação: China País de publicação: Itália

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Próstata / Extensão Extranodal Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Humans / Male Idioma: En Revista: Radiol Med Ano de publicação: 2023 Tipo de documento: Article País de afiliação: China País de publicação: Itália