The Diagnostic Performance of the Length of Tumor Capsular Contact on MRI for Detecting Prostate Cancer Extraprostatic Extension: A Systematic Review and Meta-Analysis
Objective: The purpose was to review the diagnostic performance of the length of tumor capsular contact (LCC) on magnetic resonance imaging (MRI) for detecting prostate cancer extraprostatic extension (EPE). Materials and Methods: PubMed and EMBASE databases were searched up to March 24, 2019. We in...
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| Veröffentlicht in: | Korean journal of radiology 2020, 21(6), , pp.684-694 |
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| creator | Kim, Tae-Hyung Woo, Sungmin Han, Sangwon Suh, Chong Hyun Ghafoor, Soleen Hricak, Hedvig Vargas, Hebert Alberto |
| description | Objective: The purpose was to review the diagnostic performance of the length of tumor capsular contact (LCC) on magnetic resonance imaging (MRI) for detecting prostate cancer extraprostatic extension (EPE).
Materials and Methods: PubMed and EMBASE databases were searched up to March 24, 2019. We included diagnostic accuracy studies that evaluated LCC on MRI for EPE detection using radical prostatectomy specimen histopathology as the reference standard. Quality of studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool. Sensitivity and specificity were pooled and graphically presented using hierarchical summary receiver operating characteristic (HSROC) plots. Meta-regression and subgroup analyses were conducted to explore heterogeneity.
Results: Thirteen articles with 2136 patients were included. Study quality was generally good. Summary sensitivity and specificity were 0.79 (95% confidence interval [CI] 0.73-0.83) and 0.67 (95% CI 0.60-0.74), respectively. Area under the HSROC was 0.81 (95% CI 0.77-0.84). Substantial heterogeneity was present among the included studies according to Cochran's Q-test (p < 0.01) and Higgins I-2 (62% and 86% for sensitivity and specificity, respectively). In terms of heterogeneity, measurement method (curvilinear vs. linear), prevalence of Gleason score >= 7, MRI readers' experience, and endorectal coils were significant factors (p |
| doi_str_mv | 10.3348/kjr.2019.0842 |
| format | Article |
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Materials and Methods: PubMed and EMBASE databases were searched up to March 24, 2019. We included diagnostic accuracy studies that evaluated LCC on MRI for EPE detection using radical prostatectomy specimen histopathology as the reference standard. Quality of studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool. Sensitivity and specificity were pooled and graphically presented using hierarchical summary receiver operating characteristic (HSROC) plots. Meta-regression and subgroup analyses were conducted to explore heterogeneity.
Results: Thirteen articles with 2136 patients were included. Study quality was generally good. Summary sensitivity and specificity were 0.79 (95% confidence interval [CI] 0.73-0.83) and 0.67 (95% CI 0.60-0.74), respectively. Area under the HSROC was 0.81 (95% CI 0.77-0.84). Substantial heterogeneity was present among the included studies according to Cochran's Q-test (p < 0.01) and Higgins I-2 (62% and 86% for sensitivity and specificity, respectively). In terms of heterogeneity, measurement method (curvilinear vs. linear), prevalence of Gleason score >= 7, MRI readers' experience, and endorectal coils were significant factors (p <= 0.01), whereas method to determine the LCC threshold, cutoff value, magnet strength, and publication year were not (p = 0.14-0.93). Diagnostic test accuracy estimates were comparable across all assessed MRI sequences.
Conclusion: Greater LCC on MRI is associated with a higher probability of prostate cancer EPE. Due to heterogeneity among the studies, further investigation is needed to establish the optimal cutoff value for each clinical setting.</description><identifier>ISSN: 1229-6929</identifier><identifier>EISSN: 2005-8330</identifier><identifier>DOI: 10.3348/kjr.2019.0842</identifier><identifier>PMID: 32410407</identifier><language>eng</language><publisher>SEOUL: KOREAN SOCIETY OF RADIOLOGY</publisher><subject>Genitourinary Imaging ; Life Sciences & Biomedicine ; Radiology, Nuclear Medicine & Medical Imaging ; Science & Technology ; 방사선과학</subject><ispartof>Korean Journal of Radiology, 2020, 21(6), , pp.684-694</ispartof><rights>Copyright © 2020 The Korean Society of Radiology.</rights><rights>Copyright © 2020 The Korean Society of Radiology 2020 The Korean Society of Radiology</rights><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>24</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000534356000005</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c421t-e105abc7a0c240b8c5cac1d178a9519ed2de026c782aab37b270fee1c19a4b513</citedby><cites>FETCH-LOGICAL-c421t-e105abc7a0c240b8c5cac1d178a9519ed2de026c782aab37b270fee1c19a4b513</cites><orcidid>0000-0001-8095-0396 ; 0000-0003-2240-9694 ; 0000-0002-8459-7363 ; 0000-0002-4737-0530 ; 0000-0003-1169-133X ; 0000-0002-0333-8475 ; 0000-0001-8459-8369</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231615/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231615/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,27928,27929,53795,53797</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32410407$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002588067$$DAccess content in National Research Foundation of Korea (NRF)$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Tae-Hyung</creatorcontrib><creatorcontrib>Woo, Sungmin</creatorcontrib><creatorcontrib>Han, Sangwon</creatorcontrib><creatorcontrib>Suh, Chong Hyun</creatorcontrib><creatorcontrib>Ghafoor, Soleen</creatorcontrib><creatorcontrib>Hricak, Hedvig</creatorcontrib><creatorcontrib>Vargas, Hebert Alberto</creatorcontrib><title>The Diagnostic Performance of the Length of Tumor Capsular Contact on MRI for Detecting Prostate Cancer Extraprostatic Extension: A Systematic Review and Meta-Analysis</title><title>Korean journal of radiology</title><addtitle>KOREAN J RADIOL</addtitle><addtitle>Korean J Radiol</addtitle><description>Objective: The purpose was to review the diagnostic performance of the length of tumor capsular contact (LCC) on magnetic resonance imaging (MRI) for detecting prostate cancer extraprostatic extension (EPE).
Materials and Methods: PubMed and EMBASE databases were searched up to March 24, 2019. We included diagnostic accuracy studies that evaluated LCC on MRI for EPE detection using radical prostatectomy specimen histopathology as the reference standard. Quality of studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool. Sensitivity and specificity were pooled and graphically presented using hierarchical summary receiver operating characteristic (HSROC) plots. Meta-regression and subgroup analyses were conducted to explore heterogeneity.
Results: Thirteen articles with 2136 patients were included. Study quality was generally good. Summary sensitivity and specificity were 0.79 (95% confidence interval [CI] 0.73-0.83) and 0.67 (95% CI 0.60-0.74), respectively. Area under the HSROC was 0.81 (95% CI 0.77-0.84). Substantial heterogeneity was present among the included studies according to Cochran's Q-test (p < 0.01) and Higgins I-2 (62% and 86% for sensitivity and specificity, respectively). In terms of heterogeneity, measurement method (curvilinear vs. linear), prevalence of Gleason score >= 7, MRI readers' experience, and endorectal coils were significant factors (p <= 0.01), whereas method to determine the LCC threshold, cutoff value, magnet strength, and publication year were not (p = 0.14-0.93). Diagnostic test accuracy estimates were comparable across all assessed MRI sequences.
Conclusion: Greater LCC on MRI is associated with a higher probability of prostate cancer EPE. Due to heterogeneity among the studies, further investigation is needed to establish the optimal cutoff value for each clinical setting.</description><subject>Genitourinary Imaging</subject><subject>Life Sciences & Biomedicine</subject><subject>Radiology, Nuclear Medicine & Medical Imaging</subject><subject>Science & Technology</subject><subject>방사선과학</subject><issn>1229-6929</issn><issn>2005-8330</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><recordid>eNqNksGO0zAQhi0EYkvhyBX5ilDK2E6ahANS1V2gUlesSjlbjjtpvW3tynZ36RPxmjgNVHDjZM_4m3_s-U3IawYjIfLq_fbejziwegRVzp-QAQcoskoIeEoGjPM6G9e8viIvQrgH4HWinpMrwXMGOZQD8nO5QXpt1Nq6EI2md-hb5_fKaqSupTGdztGu46aLlse983SqDuG4U2njbFQ6Umfp7WJGUx29xog6Grumdz4JqogJT1qe3vyIXh36ZOqTQrTBOPuBTui3U4i4P-cX-GDwkSq7orcYVTaxancKJrwkz1q1C_jq9zok3z_dLKdfsvnXz7PpZJ7pnLOYIYNCNbpUoHkOTaULrTRbsbJSdcFqXPEVAh_rsuJKNaJseAktItOsVnlTMDEkb3td61u51UY6Zc7r2smtl5PFciZrAaXIRWI_9uzh2OxxpdGmJ-7kwZu98qdz5b8n1mySzoMsuWBjViSBrBfQaS7BY3upZSA7d2VyV3buys7dxL_5u-GF_mNnAt71wCM2rg3aYJr9BYP0NdK9izHAeTsk1f_TU9MZ5-zUHW0UvwCVzcT7</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Kim, Tae-Hyung</creator><creator>Woo, Sungmin</creator><creator>Han, Sangwon</creator><creator>Suh, Chong Hyun</creator><creator>Ghafoor, Soleen</creator><creator>Hricak, Hedvig</creator><creator>Vargas, Hebert Alberto</creator><general>KOREAN SOCIETY OF RADIOLOGY</general><general>The Korean Society of Radiology</general><general>대한영상의학회</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><scope>ACYCR</scope><orcidid>https://orcid.org/0000-0001-8095-0396</orcidid><orcidid>https://orcid.org/0000-0003-2240-9694</orcidid><orcidid>https://orcid.org/0000-0002-8459-7363</orcidid><orcidid>https://orcid.org/0000-0002-4737-0530</orcidid><orcidid>https://orcid.org/0000-0003-1169-133X</orcidid><orcidid>https://orcid.org/0000-0002-0333-8475</orcidid><orcidid>https://orcid.org/0000-0001-8459-8369</orcidid></search><sort><creationdate>20200601</creationdate><title>The Diagnostic Performance of the Length of Tumor Capsular Contact on MRI for Detecting Prostate Cancer Extraprostatic Extension: A Systematic Review and Meta-Analysis</title><author>Kim, Tae-Hyung ; Woo, Sungmin ; Han, Sangwon ; Suh, Chong Hyun ; Ghafoor, Soleen ; Hricak, Hedvig ; Vargas, Hebert Alberto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c421t-e105abc7a0c240b8c5cac1d178a9519ed2de026c782aab37b270fee1c19a4b513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Genitourinary Imaging</topic><topic>Life Sciences & Biomedicine</topic><topic>Radiology, Nuclear Medicine & Medical Imaging</topic><topic>Science & Technology</topic><topic>방사선과학</topic><toplevel>online_resources</toplevel><creatorcontrib>Kim, Tae-Hyung</creatorcontrib><creatorcontrib>Woo, Sungmin</creatorcontrib><creatorcontrib>Han, Sangwon</creatorcontrib><creatorcontrib>Suh, Chong Hyun</creatorcontrib><creatorcontrib>Ghafoor, Soleen</creatorcontrib><creatorcontrib>Hricak, Hedvig</creatorcontrib><creatorcontrib>Vargas, Hebert Alberto</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Korean Citation Index</collection><jtitle>Korean journal of radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Tae-Hyung</au><au>Woo, Sungmin</au><au>Han, Sangwon</au><au>Suh, Chong Hyun</au><au>Ghafoor, Soleen</au><au>Hricak, Hedvig</au><au>Vargas, Hebert Alberto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Diagnostic Performance of the Length of Tumor Capsular Contact on MRI for Detecting Prostate Cancer Extraprostatic Extension: A Systematic Review and Meta-Analysis</atitle><jtitle>Korean journal of radiology</jtitle><stitle>KOREAN J RADIOL</stitle><addtitle>Korean J Radiol</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>21</volume><issue>6</issue><spage>684</spage><epage>694</epage><pages>684-694</pages><issn>1229-6929</issn><eissn>2005-8330</eissn><abstract>Objective: The purpose was to review the diagnostic performance of the length of tumor capsular contact (LCC) on magnetic resonance imaging (MRI) for detecting prostate cancer extraprostatic extension (EPE).
Materials and Methods: PubMed and EMBASE databases were searched up to March 24, 2019. We included diagnostic accuracy studies that evaluated LCC on MRI for EPE detection using radical prostatectomy specimen histopathology as the reference standard. Quality of studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool. Sensitivity and specificity were pooled and graphically presented using hierarchical summary receiver operating characteristic (HSROC) plots. Meta-regression and subgroup analyses were conducted to explore heterogeneity.
Results: Thirteen articles with 2136 patients were included. Study quality was generally good. Summary sensitivity and specificity were 0.79 (95% confidence interval [CI] 0.73-0.83) and 0.67 (95% CI 0.60-0.74), respectively. Area under the HSROC was 0.81 (95% CI 0.77-0.84). Substantial heterogeneity was present among the included studies according to Cochran's Q-test (p < 0.01) and Higgins I-2 (62% and 86% for sensitivity and specificity, respectively). In terms of heterogeneity, measurement method (curvilinear vs. linear), prevalence of Gleason score >= 7, MRI readers' experience, and endorectal coils were significant factors (p <= 0.01), whereas method to determine the LCC threshold, cutoff value, magnet strength, and publication year were not (p = 0.14-0.93). Diagnostic test accuracy estimates were comparable across all assessed MRI sequences.
Conclusion: Greater LCC on MRI is associated with a higher probability of prostate cancer EPE. Due to heterogeneity among the studies, further investigation is needed to establish the optimal cutoff value for each clinical setting.</abstract><cop>SEOUL</cop><pub>KOREAN SOCIETY OF RADIOLOGY</pub><pmid>32410407</pmid><doi>10.3348/kjr.2019.0842</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-8095-0396</orcidid><orcidid>https://orcid.org/0000-0003-2240-9694</orcidid><orcidid>https://orcid.org/0000-0002-8459-7363</orcidid><orcidid>https://orcid.org/0000-0002-4737-0530</orcidid><orcidid>https://orcid.org/0000-0003-1169-133X</orcidid><orcidid>https://orcid.org/0000-0002-0333-8475</orcidid><orcidid>https://orcid.org/0000-0001-8459-8369</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Korean Journal of Radiology, 2020, 21(6), , pp.684-694 |
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| source | KoreaMed Synapse; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; KoreaMed Open Access; PubMed Central; Alma/SFX Local Collection |
| subjects | Genitourinary Imaging Life Sciences & Biomedicine Radiology, Nuclear Medicine & Medical Imaging Science & Technology 방사선과학 |
| title | The Diagnostic Performance of the Length of Tumor Capsular Contact on MRI for Detecting Prostate Cancer Extraprostatic Extension: A Systematic Review and Meta-Analysis |
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