PROMIS - Prostate MR imaging study: A paired validating cohort study evaluating the role of multi-parametric MRI in men with clinical suspicion of prostate cancer

on behalf of the PROMIS Group

Research output: Contribution to journalArticlepeer-review

93 Scopus citations

Abstract

Background: Transrectal ultrasound-guided prostate biopsies are prone to detection errors. Multi-parametric MRI (MP-MRI) may improve the diagnostic pathway. Methods: PROMIS is a prospective validating paired-cohort study that meets criteria for level 1 evidence in diagnostic test evaluation. PROMIS will investigate whether multi-parametric (MP)-MRI can discriminate between men with and without clinically-significant prostate cancer who are at risk prior to first biopsy. Up to 714 men will have MP-MRI (index), 10-12 core TRUS-biopsy (standard) and 5. mm transperineal template mapping (TPM) biopsies (reference). The conduct and reporting of each test will be blinded to the others. Results: PROMIS will measure and compare sensitivity, specificity, and positive and negative predictive values of both MP-MRI and TRUS-biopsy against TPM biopsies. The MP-MRI results will be used to determine the proportion of men who could safely avoid biopsy without compromising detection of clinically-significant cancers.

Original languageEnglish
Pages (from-to)26-40
Number of pages15
JournalContemporary Clinical Trials
Volume42
DOIs
StatePublished - 1 May 2015
Externally publishedYes

Keywords

  • Magnetic resonance imaging
  • Multi-parametric MRI
  • Prostate cancer
  • Template transperineal mapping biopsy
  • Transrectal ultrasound guided biopsy
  • Triage diagnostic test

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