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PI-RADS version 2: Preoperative role in the detection of normal-sized pelvic lymph node metastasis in prostate cancer
DC Field | Value | Language |
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dc.contributor.author | 나군호 | - |
dc.contributor.author | 박성윤 | - |
dc.contributor.author | 신수진 | - |
dc.contributor.author | 오영택 | - |
dc.contributor.author | 정대철 | - |
dc.contributor.author | 조남훈 | - |
dc.contributor.author | 최영득 | - |
dc.contributor.author | 홍성준 | - |
dc.date.accessioned | 2018-07-20T07:49:07Z | - |
dc.date.available | 2018-07-20T07:49:07Z | - |
dc.date.issued | 2017 | - |
dc.identifier.issn | 0720-048X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/160552 | - |
dc.description.abstract | OBJECTIVES: To analyze whether Prostate Imaging Reporting and Data System (PI-RADSv2) scores are associated with a risk of normal-sized pelvic lymph node metastasis (PLNM) in prostate cancer (PCa). MATERIALS AND METHODS: A consecutive series of 221 patients who underwent magnetic resonance imaging and radical prostatectomy with pelvic lymph node dissection (PLND) for PCa were retrospectively analyzed under the approval of institutional review board in our institution. No patients had enlarged (≥0.8cm in short-axis diameter) lymph nodes. Clinical parameters [prostate-specific antigen (PSA), greatest percentage of biopsy core, and percentage of positive cores], and PI-RADSv2 score from two independent readers were analyzed with multivariate logistic regression and receiver operating-characteristic curve for PLNM. Diagnostic performance of PI-RADSv2 and Briganti nomogram was compared. Weighted kappa was investigated regarding PI-RADSv2 scoring. RESULTS: Normal-sized PLNM was found in 9.5% (21/221) of patients. In multivariate analysis, PI-RADSv2 (reader 1, p=0.009; reader 2, p=0.026) and PSA (reader 1, p=0.008; reader 2, p=0.037) were predictive of normal-sized PLNM. Threshold of PI-RADSv2 was a score of 5, where PI-RADSv2 was associated with high sensitivity (reader 1, 95.2% [20/21]; reader 2, 90.5% [19/21]) and negative predictive value (reader 1, 99.2% [124/125]; reader 2, 98.6% [136/138]). However, diagnostic performance of PI-RADSv2 (AUC=0.786-0.788) was significantly lower than that of Briganti nomogram (AUC=0.890) for normal-sized PLNM (p<0.05). The inter-reader agreement was excellent for PI-RADSv2 of 5 or not (weighted kappa=0.804). CONCLUSION: PI-RADSv2 scores may be associated with the risk of normal-sized PLNM in PCa. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Elsevier Science Ireland Ltd | - |
dc.relation.isPartOf | EUROPEAN JOURNAL OF RADIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Biopsy, Large-Core Needle | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Lymph Node Excision | - |
dc.subject.MESH | Lymph Nodes/diagnostic imaging* | - |
dc.subject.MESH | Lymph Nodes/pathology | - |
dc.subject.MESH | Lymph Nodes/surgery | - |
dc.subject.MESH | Lymphatic Metastasis | - |
dc.subject.MESH | Magnetic Resonance Imaging/methods | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Pelvis | - |
dc.subject.MESH | Preoperative Care/methods* | - |
dc.subject.MESH | Prostate/diagnostic imaging | - |
dc.subject.MESH | Prostate/pathology | - |
dc.subject.MESH | Prostate/surgery | - |
dc.subject.MESH | Prostatectomy | - |
dc.subject.MESH | Prostatic Neoplasms/diagnostic imaging* | - |
dc.subject.MESH | Prostatic Neoplasms/pathology* | - |
dc.subject.MESH | Prostatic Neoplasms/surgery | - |
dc.subject.MESH | Radiology Information Systems* | - |
dc.subject.MESH | Retrospective Studies | - |
dc.title | PI-RADS version 2: Preoperative role in the detection of normal-sized pelvic lymph node metastasis in prostate cancer | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Urology | - |
dc.contributor.googleauthor | Sung Yoon Park | - |
dc.contributor.googleauthor | Su-Jin Shin | - |
dc.contributor.googleauthor | Dae Chul Jung | - |
dc.contributor.googleauthor | Nam Hoon Cho | - |
dc.contributor.googleauthor | Young Deuk Choi | - |
dc.contributor.googleauthor | Koon Ho Rha | - |
dc.contributor.googleauthor | Sung Joon Hong | - |
dc.contributor.googleauthor | Young Taik Oh | - |
dc.identifier.doi | 10.1016/j.ejrad.2017.03.009 | - |
dc.contributor.localId | A01227 | - |
dc.contributor.localId | A01509 | - |
dc.contributor.localId | A04596 | - |
dc.contributor.localId | A02390 | - |
dc.contributor.localId | A03592 | - |
dc.contributor.localId | A03812 | - |
dc.contributor.localId | A04111 | - |
dc.contributor.localId | A04402 | - |
dc.relation.journalcode | J00845 | - |
dc.identifier.eissn | 1872-7727 | - |
dc.identifier.pmid | 28629566 | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S0720048X17301092 | - |
dc.subject.keyword | Lymph node | - |
dc.subject.keyword | MRI | - |
dc.subject.keyword | PI-RADS | - |
dc.subject.keyword | Prostate cancer | - |
dc.contributor.alternativeName | Rha, Koon Ho | - |
dc.contributor.alternativeName | Park, Sung Yoon | - |
dc.contributor.alternativeName | Shin, Su Jin | - |
dc.contributor.alternativeName | Oh, Young Taik | - |
dc.contributor.alternativeName | Jung, Dae Chul | - |
dc.contributor.alternativeName | Cho, Nam Hoon | - |
dc.contributor.alternativeName | Choi, Young Deuk | - |
dc.contributor.alternativeName | Hong, Sung Joon | - |
dc.contributor.affiliatedAuthor | Rha, Koon Ho | - |
dc.contributor.affiliatedAuthor | Park, Sung Yoon | - |
dc.contributor.affiliatedAuthor | Shin, Su Jin | - |
dc.contributor.affiliatedAuthor | Oh, Young Taik | - |
dc.contributor.affiliatedAuthor | Jung, Dae Chul | - |
dc.contributor.affiliatedAuthor | Cho, Nam Hoon | - |
dc.contributor.affiliatedAuthor | Choi, Young Deuk | - |
dc.contributor.affiliatedAuthor | Hong, Sung Joon | - |
dc.citation.volume | 91 | - |
dc.citation.startPage | 22 | - |
dc.citation.endPage | 28 | - |
dc.identifier.bibliographicCitation | EUROPEAN JOURNAL OF RADIOLOGY, Vol.91 : 22-28, 2017 | - |
dc.identifier.rimsid | 44787 | - |
dc.type.rims | ART | - |
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