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 HuPublished 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.
Keyphrases
- prostate cancer
- ultrasound guided
- fine needle aspiration
- radical prostatectomy
- cancer therapy
- high resolution
- magnetic resonance imaging
- middle aged
- physical activity
- risk factors
- contrast enhanced
- drug delivery
- computed tomography
- mass spectrometry
- machine learning
- case control
- fluorescence imaging
- clinical evaluation