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Race and prostate imaging: implications for targeted biopsy and image-based prostate cancer interventions.

Michael D GrossBashir Al Hussein Al AwamlhJonathan E ShoagElizabeth MauerSamprit BanerjeeDaniel J MargolisJuan M MosqueraAnn S HamiltonMaria J SchumuraJim C Hu
Published in: BMJ surgery, interventions, & health technologies (2019)
We found that PI-RADS underperforms in Asian-American men. For instance, only 2 of 35 (6%) Asian-American men with PI-RADS 3 were diagnosed with CSPC on MRI targeted biopsy. This has significant implications for overuse of diagnostic and image-guided interventional approaches in Asian-Americans, given the increasing risk of infectious complications from biopsy. Additional validation studies are needed to confirm our findings.
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