Comparison of prostate cancer volume measured by HistoScanning™ and final histopathological results

Purpose HistoScanning™ (HS) is an ultrasound-based tissue characterization technique with encouraging results in the detection of prostate cancer (PCa). The aim of this study was to evaluate the accuracy of total tumor volume measured by HS (TVHS) in patients with PCa. Methods In 148 patients with p...

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Veröffentlicht in:World journal of urology 2014-08, Vol.32 (4), p.939-944
Hauptverfasser: Schiffmann, J., Fischer, J., Tennstedt, P., Beyer, B., Böhm, K., Michl, U., Graefen, M., Salomon, G.
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container_end_page 944
container_issue 4
container_start_page 939
container_title World journal of urology
container_volume 32
creator Schiffmann, J.
Fischer, J.
Tennstedt, P.
Beyer, B.
Böhm, K.
Michl, U.
Graefen, M.
Salomon, G.
description Purpose HistoScanning™ (HS) is an ultrasound-based tissue characterization technique with encouraging results in the detection of prostate cancer (PCa). The aim of this study was to evaluate the accuracy of total tumor volume measured by HS (TVHS) in patients with PCa. Methods In 148 patients with proven PCa, TVHS was measured prior to radical prostatectomy and compared with the total tumor volume in the final pathological report (TVP) using the rank-based spearman correlation test. Correlation was performed after stratification of the results by d’Amico risk categories, prostate volume, experience of HS examiner, distance of the ultrasound probe to the prostate (≤3.5 and >3.5 mm) and quality of initial HS. In addition, a re-analysis of HS data was performed by a single examiner and the TVHS from the unmodified HS data was acquired. Results TVP was approximately twofold higher compared to TVHS. Overall, there was no significant correlation ( r s  = −0.0083, p  = 0.9) for the TVP and the TVHS. After adjusting for d’Amico risk categories, prostate volume, experience of examiner, distance of the ultrasound probe to the prostate and quality of initial HS, no significant correlation was found. After re-analyzing of all HS data by 1 examiner, the correlation remained not significant ( r s  = 0.039, p  = 0.6). Conclusions TVHS and TVP did not correlate in this cohort of patients. We cannot recommend the use of HS at least for imaging of the total tumor volume at this time. The controversial findings for prostate HS should initiate more studies to clarify these discrepancies.
doi_str_mv 10.1007/s00345-013-1211-3
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The aim of this study was to evaluate the accuracy of total tumor volume measured by HS (TVHS) in patients with PCa. Methods In 148 patients with proven PCa, TVHS was measured prior to radical prostatectomy and compared with the total tumor volume in the final pathological report (TVP) using the rank-based spearman correlation test. Correlation was performed after stratification of the results by d’Amico risk categories, prostate volume, experience of HS examiner, distance of the ultrasound probe to the prostate (≤3.5 and &gt;3.5 mm) and quality of initial HS. In addition, a re-analysis of HS data was performed by a single examiner and the TVHS from the unmodified HS data was acquired. Results TVP was approximately twofold higher compared to TVHS. Overall, there was no significant correlation ( r s  = −0.0083, p  = 0.9) for the TVP and the TVHS. After adjusting for d’Amico risk categories, prostate volume, experience of examiner, distance of the ultrasound probe to the prostate and quality of initial HS, no significant correlation was found. After re-analyzing of all HS data by 1 examiner, the correlation remained not significant ( r s  = 0.039, p  = 0.6). Conclusions TVHS and TVP did not correlate in this cohort of patients. We cannot recommend the use of HS at least for imaging of the total tumor volume at this time. The controversial findings for prostate HS should initiate more studies to clarify these discrepancies.</description><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-013-1211-3</identifier><identifier>PMID: 24270968</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Cohort Studies ; Humans ; Image Processing, Computer-Assisted - methods ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Nephrology ; Oncology ; Organ Size ; Original Article ; Preoperative Care ; Prostate - diagnostic imaging ; Prostate - pathology ; Prostate - surgery ; Prostatectomy ; Prostatic Neoplasms - diagnostic imaging ; Prostatic Neoplasms - pathology ; Prostatic Neoplasms - surgery ; Retrospective Studies ; Sensitivity and Specificity ; Tumor Burden ; Ultrasonography - methods ; Urology</subject><ispartof>World journal of urology, 2014-08, Vol.32 (4), p.939-944</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><rights>Springer-Verlag Berlin Heidelberg 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-2857f5d9649f67d12ce7295748bad30ca7e63e51d33d1e99a05869545eefd7c3</citedby><cites>FETCH-LOGICAL-c405t-2857f5d9649f67d12ce7295748bad30ca7e63e51d33d1e99a05869545eefd7c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00345-013-1211-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00345-013-1211-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24270968$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schiffmann, J.</creatorcontrib><creatorcontrib>Fischer, J.</creatorcontrib><creatorcontrib>Tennstedt, P.</creatorcontrib><creatorcontrib>Beyer, B.</creatorcontrib><creatorcontrib>Böhm, K.</creatorcontrib><creatorcontrib>Michl, U.</creatorcontrib><creatorcontrib>Graefen, M.</creatorcontrib><creatorcontrib>Salomon, G.</creatorcontrib><title>Comparison of prostate cancer volume measured by HistoScanning™ and final histopathological results</title><title>World journal of urology</title><addtitle>World J Urol</addtitle><addtitle>World J Urol</addtitle><description>Purpose HistoScanning™ (HS) is an ultrasound-based tissue characterization technique with encouraging results in the detection of prostate cancer (PCa). The aim of this study was to evaluate the accuracy of total tumor volume measured by HS (TVHS) in patients with PCa. Methods In 148 patients with proven PCa, TVHS was measured prior to radical prostatectomy and compared with the total tumor volume in the final pathological report (TVP) using the rank-based spearman correlation test. Correlation was performed after stratification of the results by d’Amico risk categories, prostate volume, experience of HS examiner, distance of the ultrasound probe to the prostate (≤3.5 and &gt;3.5 mm) and quality of initial HS. In addition, a re-analysis of HS data was performed by a single examiner and the TVHS from the unmodified HS data was acquired. Results TVP was approximately twofold higher compared to TVHS. Overall, there was no significant correlation ( r s  = −0.0083, p  = 0.9) for the TVP and the TVHS. After adjusting for d’Amico risk categories, prostate volume, experience of examiner, distance of the ultrasound probe to the prostate and quality of initial HS, no significant correlation was found. After re-analyzing of all HS data by 1 examiner, the correlation remained not significant ( r s  = 0.039, p  = 0.6). Conclusions TVHS and TVP did not correlate in this cohort of patients. We cannot recommend the use of HS at least for imaging of the total tumor volume at this time. 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The aim of this study was to evaluate the accuracy of total tumor volume measured by HS (TVHS) in patients with PCa. Methods In 148 patients with proven PCa, TVHS was measured prior to radical prostatectomy and compared with the total tumor volume in the final pathological report (TVP) using the rank-based spearman correlation test. Correlation was performed after stratification of the results by d’Amico risk categories, prostate volume, experience of HS examiner, distance of the ultrasound probe to the prostate (≤3.5 and &gt;3.5 mm) and quality of initial HS. In addition, a re-analysis of HS data was performed by a single examiner and the TVHS from the unmodified HS data was acquired. Results TVP was approximately twofold higher compared to TVHS. Overall, there was no significant correlation ( r s  = −0.0083, p  = 0.9) for the TVP and the TVHS. After adjusting for d’Amico risk categories, prostate volume, experience of examiner, distance of the ultrasound probe to the prostate and quality of initial HS, no significant correlation was found. After re-analyzing of all HS data by 1 examiner, the correlation remained not significant ( r s  = 0.039, p  = 0.6). Conclusions TVHS and TVP did not correlate in this cohort of patients. We cannot recommend the use of HS at least for imaging of the total tumor volume at this time. The controversial findings for prostate HS should initiate more studies to clarify these discrepancies.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24270968</pmid><doi>10.1007/s00345-013-1211-3</doi><tpages>6</tpages></addata></record>
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subjects Aged
Cohort Studies
Humans
Image Processing, Computer-Assisted - methods
Male
Medicine
Medicine & Public Health
Middle Aged
Nephrology
Oncology
Organ Size
Original Article
Preoperative Care
Prostate - diagnostic imaging
Prostate - pathology
Prostate - surgery
Prostatectomy
Prostatic Neoplasms - diagnostic imaging
Prostatic Neoplasms - pathology
Prostatic Neoplasms - surgery
Retrospective Studies
Sensitivity and Specificity
Tumor Burden
Ultrasonography - methods
Urology
title Comparison of prostate cancer volume measured by HistoScanning™ and final histopathological results
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