CancersPub Date : 2025-03-20DOI: 10.3390/cancers17061039
Kamila Krupa, Anna Liszcz-Tymoszuk, Natalia Czerw, Aleksandra Czerw, Katarzyna Sygit, Remigiusz Kozłowski, Andrzej Deptała, Anna Badowska-Kozakiewicz
{"title":"CDK4/6 as a Therapeutic Target in HR+/HER2- Breast Cancer Cells-Current Treatment Status.","authors":"Kamila Krupa, Anna Liszcz-Tymoszuk, Natalia Czerw, Aleksandra Czerw, Katarzyna Sygit, Remigiusz Kozłowski, Andrzej Deptała, Anna Badowska-Kozakiewicz","doi":"10.3390/cancers17061039","DOIUrl":"10.3390/cancers17061039","url":null,"abstract":"<p><p>Breast cancer is the most frequently diagnosed neoplasm in the world. It can be classified into four main subtypes, each of them showing differences in the expression of hormone receptor (HR), human epidermal growth factor receptor 2 (HER2), and in cell metabolism. Since 2015, when The U.S. Food and Drug Administration (FDA) approved the first cyclin-dependent kinase 4 and 6 (CDK4/6) inhibitor that regulates the cell cycle, treatment of HR+/HER2- BC has become much more effective. Currently, palbociclib, ribociclib, and abemaciclib are more often used both in combination with endocrine therapy as well as in monotherapy. Their application has been extensively verified in many clinical trials such as PALOMA-1,2,3, MONALEESA-1,2,3,7, and MONARCH-1,2,3, which allowed the verification of differences in their effectiveness, dosage, and adverse effects. Subsequent studies, MonarchE and NATALEE, examined the role of these inhibitors as adjuvant therapy, as well as at verifying their safety. Moreover, dalpiciclib is being investigated in HR+/HER2- BC treatment. This article will summarize clinical efficacy, recommendations, and differences in toxicity profile between palbociclib, ribociclib, and abemaciclib and will also discuss the possibility of using dalpiciclib in the treatment of breast cancer.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"17 6","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CancersPub Date : 2025-03-20DOI: 10.3390/cancers17061041
Karolina Gerba-Górecka, Bożena Romanowska-Dixon, Izabella Karska-Basta, Ewelina Cieplińska-Kechner, Michał S Nowak
{"title":"Clinical Characteristics and Management of Ocular Metastases.","authors":"Karolina Gerba-Górecka, Bożena Romanowska-Dixon, Izabella Karska-Basta, Ewelina Cieplińska-Kechner, Michał S Nowak","doi":"10.3390/cancers17061041","DOIUrl":"10.3390/cancers17061041","url":null,"abstract":"<p><p>Intraocular metastases represent the most common type of intraocular tumors in adults. In most cases, the metastases originate from primary breast and lung cancers. Effective management of patients with intraocular metastatic disease requires a multidisciplinary approach involving ophthalmologists, oncologists, and radiation therapists. The primary goals of treatment are disease control, maintenance of optimal quality of life, and preservation of functional vision. This article provides an in-depth overview of intraocular metastases, with special emphasis on the practical aspects of their diagnosis and treatment based on the most recent literature.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"17 6","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CancersPub Date : 2025-03-20DOI: 10.3390/cancers17061043
Angelica Sanchez, Christina M Vidal, Noé Rubén Chávez, Nikita Jinna, Jackelyn Alva-Ornelas, Vanessa Myriam Robles, Cristal Resto, Nancy Sanchez, Dana Aljaber, Margarita Monge, Alicia Ramirez, Angela Reyes, Ernest Martinez, Veronica C Jones, Jerneja Tomsic, Kendrick A Davis, Victoria L Seewaldt
{"title":"Mixed-Methods Approach: Impact of Clinical Consenter Diversity on Clinical Trials Enrollment.","authors":"Angelica Sanchez, Christina M Vidal, Noé Rubén Chávez, Nikita Jinna, Jackelyn Alva-Ornelas, Vanessa Myriam Robles, Cristal Resto, Nancy Sanchez, Dana Aljaber, Margarita Monge, Alicia Ramirez, Angela Reyes, Ernest Martinez, Veronica C Jones, Jerneja Tomsic, Kendrick A Davis, Victoria L Seewaldt","doi":"10.3390/cancers17061043","DOIUrl":"10.3390/cancers17061043","url":null,"abstract":"<p><strong>Background: </strong>Clinical trials should benefit all people. Consequently, the National Cancer Institute expects cancer centers to accrue individuals to clinical trials in proportion to the cancer burden experienced by populations that live in their respective catchment areas; unfortunately, many cancer centers fail to meet this expectation. The person who gives consent for individuals in clinical trials frequently has significant contact with potential trial participants. We hypothesized that the race, ethnicity, and language of the consenter may have an important bearing on whether an individual chooses to participate in a clinical trial.</p><p><strong>Methods: </strong>We used mixed methods to investigate the impact of the socio-cultural background of the consenter on the decision of a potential research subject to participate in a clinical trial. Between 01/2018 and 02/2020, 205 women were approached in the sequential order they appeared in our breast clinic; of the 181 participants who agreed to complete the survey questionnaire, 94 (52%) were Northern European, non-Hispanic White (NE White), and 87 (48%) were Women-of-Color (WOC); this category includes participants who self-identified as Asian, Black, Hispanic/Latina, or Native American.</p><p><strong>Results: </strong>There were statistically significant differences according to the importance of the consenter's characteristics in the decision to enroll or decline participation in the BCT. No NE White enroller (0%, <i>n</i> = 0) reported that consenter race was important versus 11% (<i>n</i> = 9) of WOC enrollers (<i>p</i> = 0.0009). Similarly, none of the NE White enrollers rated the consenter \"looking like people in my community\" as important versus 12% (<i>n</i> = 10) of the WOC enrollers (<i>p</i> = 0.0004).</p><p><strong>Conclusions: </strong>We find that consenter race and ethnicity are important for clinical trial diversity. Larger studies are needed to evaluate the generalizability of this finding.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"17 6","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CancersPub Date : 2025-03-20DOI: 10.3390/cancers17061049
David Armany, Lequang Vo, Duncan Self, Sriskanthan Baskaranathan, Tania Hossack, Simon Bariol, David Ende, Henry Hyunshik Woo
{"title":"The Role of 18F PSMA-1007 PET/CT in the Staging and Detection of Recurrence of Prostate Cancer, A Scoping Review.","authors":"David Armany, Lequang Vo, Duncan Self, Sriskanthan Baskaranathan, Tania Hossack, Simon Bariol, David Ende, Henry Hyunshik Woo","doi":"10.3390/cancers17061049","DOIUrl":"10.3390/cancers17061049","url":null,"abstract":"<p><strong>Background: </strong>To determine and review the currently available literature behind the staging capabilities of 18F-PSMA-1007 PET/CT in the setting of initial staging and detection of recurrent disease for patients with prostate cancer. Prostate cancer (PCa), one of the most diagnosed malignancies affecting adult men worldwide, requires accurate staging and early detection of recurrent disease to guide treatment decisions and improve oncological outcomes. 18F-PSMA-1007 PET/CT is a novel radiotracer with favorable imaging characteristics suggesting an important role within the Prostate Cancer management landscape.</p><p><strong>Methods: </strong>The Arksey and O'Malley Framework was used to guide this review. PubMed/MEDLINE, EMBASE, EBSCO, and the Cochrane Central Register of Controlled Trials (CENTRAL) databases were used, and relevant titles were screened for eligibility.</p><p><strong>Results: </strong>404 database results were returned; 343 titles were excluded due to irrelevance and duplicates. A total of 61 papers were included for title and abstract review with a subsequent 26 excluded due to not meeting the inclusion criteria. A total of 35 papers proceeded to full-text review and 35 papers were included in this review. Evidence was grouped under three major themes: (1) The role of 18F-PSMA-1007 PET/CT in Initial staging; (2) The role of 18F-PSMA-1007 PET/CT in the detection of recurrent Prostate Cancer and (3) The Role of 18F-PSMA-1007 PET/CT in Salvage Therapy. The findings suggest 18F-PSMA-1007 PET/CT has superior diagnostic accuracy and sensitivity for the initial staging of prostate cancer compared with conventional imaging and other commonly used radiotracers. Strengths included the detection of pelvic and locoregional disease. Limitations included poor specificity for the detection of bone lesions, inconsistent urinary excretion patterns, and high inter-reader variability.</p><p><strong>Conclusions: </strong>18F-PSMA-1007 PET/CT demonstrates superior diagnostic accuracy and sensitivity in both initial staging and detection of prostate cancer recurrence; however, it is limited by poor specificity for bone lesions and inconsistent urinary excretion patterns. Prospective multicenter trials are required to clearly delineate its role in the initial staging of prostate cancer and detection of recurrent disease.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"17 6","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CancersPub Date : 2025-03-20DOI: 10.3390/cancers17061044
Beibei Zhang, Nur Fatin Nabilah Mohd Sahardi, Wen Di, Xiaoran Long, Mohamad Nasir Shafiee
{"title":"The Gut-Endometrium Axis: Exploring the Role of Microbiome in the Pathogenesis and Treatment of Endometrial Cancer-A Narrative Review.","authors":"Beibei Zhang, Nur Fatin Nabilah Mohd Sahardi, Wen Di, Xiaoran Long, Mohamad Nasir Shafiee","doi":"10.3390/cancers17061044","DOIUrl":"10.3390/cancers17061044","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Endometrial cancer (EC) is a prevalent gynecological malignancy with an increasing incidence, particularly in developed countries. Recent research has demonstrated the significant involvement of gut and endometrial microbiomes in the pathogenesis and progression of EC. This review provides a comprehensive overview of the existing knowledge on the interactions between these microbial communities and their influence on EC. <b>Methodology</b>: A literature review was conducted using electronic databases including Google Scholar, Scopus, and PUBMED, covering the period from 2017 to 2024. The following keywords were used for the literature search: (1) gut microbiome and endometrial cancer, (2) endometrium microbiome and endometrial cancer, and (3) endometrial cancer and microbial dysbiosis. The selected articles were chosen based on inclusion and exclusion criteria. Scale for Assessment of Narrative Review Articles (SANRA) was used for evaluating and assessing the quality of articles. <b>Results</b>: The gut microbiome modulates systemic inflammation, immune responses, and estrogen metabolism, all of which are crucial factors in EC development. Dysbiosis is an imbalance in the composition of microbes that can cause chronic inflammation and hormonal imbalances, which can contribute to the EC. Similarly, the endometrial microbiome, while less extensively studied, has been implicated in EC through mechanisms involving local immune modulation and the production of harmful metabolites. Probiotics, prebiotics, fecal microbiota transplantation (FMT), and personalized microbiota-based therapies can be used as clinical interventions for EC management. This review emphasizes the need for further research to explore the gut-endometrium axis and its potential for innovative therapeutic approaches. Understanding these complex interactions will become a novel strategy to prevent and treat EC, ultimately enhancing patient outcomes.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"17 6","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CancersPub Date : 2025-03-20DOI: 10.3390/cancers17061051
Ritch T J Geitenbeek, Simon C Baltus, Mark Broekman, Sander N Barendsen, Maike C Frieben, Ilias Asaggau, Elina Thibeau-Sutre, Jelmer M Wolterink, Matthijs C Vermeulen, Can O Tan, Ivo A M J Broeders, Esther C J Consten
{"title":"Multi-Modal Machine Learning for Evaluating the Predictive Value of Pelvimetric Measurements (Pelvimetry) for Anastomotic Leakage After Restorative Low Anterior Resection.","authors":"Ritch T J Geitenbeek, Simon C Baltus, Mark Broekman, Sander N Barendsen, Maike C Frieben, Ilias Asaggau, Elina Thibeau-Sutre, Jelmer M Wolterink, Matthijs C Vermeulen, Can O Tan, Ivo A M J Broeders, Esther C J Consten","doi":"10.3390/cancers17061051","DOIUrl":"10.3390/cancers17061051","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Anastomotic leakage (AL) remains a major complication after restorative rectal cancer surgery, with accurate preoperative risk stratification posing a significant challenge. Pelvic measurements derived from magnetic resonance imaging (MRI) have been proposed as potential predictors of AL, but their clinical utility remains uncertain. <b>Methods</b>: This retrospective, multicenter cohort study analyzed rectal cancer patients undergoing restorative surgery between 2013 and 2021. Pelvic dimensions were assessed using MRI-based pelvimetry. Univariate and multivariate regression analyses identified independent risk factors for AL. Subsequently, machine Learning (ML) models-logistic regression, random forest classifier, and XGBoost-were developed to predict AL using preoperative clinical data alone and in combination with pelvimetry. Model performance was evaluated using F1 scores, with the area under the receiver operating characteristic (ROC-AUC) and precision-recall curves (AUC-PR) as primary metrics. <b>Results</b>: Among 487 patients, the overall AL rate was 14%. Multivariate regression analysis identified distance to the anorectal junction, pelvic inlet width, and interspinous distance as independent risk factors for AL (<i>p</i> < 0.05). The logistic regression model incorporating pelvimetry achieved the highest predictive performance, with a mean ROC-AUC of 0.70 ± 0.09 and AUC-PR of 0.32 ± 0.10. Although predictive models that included pelvic measurements demonstrated higher ROC-AUCs compared to those without pelvimetry, the improvement was not statistically significant. <b>Conclusions</b>: Pelvic dimensions, specifically pelvic inlet and interspinous distance, were independently associated with an increased risk of AL. While ML models incorporating pelvimetry showed only moderate predictive performance, these measurements should be considered in developing clinical prediction tools for AL to enhance preoperative risk stratification.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"17 6","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CancersPub Date : 2025-03-20DOI: 10.3390/cancers17061038
Nolan A Wages, Bethany J Horton, Li Liu, Enrica Marchi, Gina R Petroni
{"title":"Design of a Phase I Drug Combination Study with Adaptive Allocation Based on Dose-Limiting Toxicity Attribution.","authors":"Nolan A Wages, Bethany J Horton, Li Liu, Enrica Marchi, Gina R Petroni","doi":"10.3390/cancers17061038","DOIUrl":"10.3390/cancers17061038","url":null,"abstract":"<p><p><b>Background:</b> This article describes the adaptation of a Phase I drug combination method to incorporate dose-limiting toxicity (DLT) attribution in dose assignments. The study is motivated by the Embolden trial (NCT03240211), a Phase Ib, multicenter trial at the UVA Comprehensive Cancer Center evaluating pembrolizumab with pralatrexate (Arm A), decitabine (Arm C), or both (Arm B) in relapsed/refractory peripheral and cutaneous T cell lymphomas. <b>Methods:</b> While Arms A and C used monotherapy dose escalation, Arm B required simultaneous escalation of both agents, integrating drug-specific DLT attribution to guide dosing. <b>Results:</b> We adapted the partial order continual reassessment method (POCRM) to incorporate this attribution, ensuring appropriate de-escalation of the offending agent. Given the trial's complexity, software modifications were necessary to evaluate design performance through simulations. <b>Conclusions:</b> This work underscores the importance of novel dose-finding strategies in early-phase trials and aims to promote their broader adoption for improved trial efficiency and transparency.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"17 6","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CancersPub Date : 2025-03-20DOI: 10.3390/cancers17061034
Elodie Long-Mira, Christophe Bontoux, Guylène Rignol, Véronique Hofman, Sandra Lassalle, Jonathan Benzaquen, Jacques Boutros, Salomé Lalvée-Moret, Katia Zahaf, Virginie Lespinet-Fabre, Olivier Bordone, Sophia Maistre, Christelle Bonnetaud, Charlotte Cohen, Jean-Philippe Berthet, Charles-Hugo Marquette, Valerie Vouret-Craviari, Marius Ilié, Paul Hofman
{"title":"Exploring the Expression of CD73 in Lung Adenocarcinoma with <i>EGFR</i> Genomic Alterations.","authors":"Elodie Long-Mira, Christophe Bontoux, Guylène Rignol, Véronique Hofman, Sandra Lassalle, Jonathan Benzaquen, Jacques Boutros, Salomé Lalvée-Moret, Katia Zahaf, Virginie Lespinet-Fabre, Olivier Bordone, Sophia Maistre, Christelle Bonnetaud, Charlotte Cohen, Jean-Philippe Berthet, Charles-Hugo Marquette, Valerie Vouret-Craviari, Marius Ilié, Paul Hofman","doi":"10.3390/cancers17061034","DOIUrl":"10.3390/cancers17061034","url":null,"abstract":"<p><strong>Background/objectives: </strong>Immune checkpoint inhibitors (ICIs) benefit some lung cancer patients, but their efficacy is limited in advanced lung adenocarcinoma (LUAD) with <i>EGFR</i> mutations (<i>EGFRm</i>), largely due to a non-immunogenic tumour microenvironment (TME). Furthermore, <i>EGFRm</i> LUAD patients often experience increased toxicity with ICIs. CD73, an ectonucleotidase involved in adenosine production, promotes tumour immune evasion and could represent a novel therapeutic target. This study investigates CD73 expression in LUAD with <i>EGFR</i> alterations and its clinico-pathological correlations.</p><p><strong>Methods: </strong>CD73 expression in tumour (CD73<sub>TC</sub>) and stromal (CD73<sub>SC</sub>) cells was assessed in 76 treatment-naive LUAD patients using immunohistochemistry (IHC) (D7F9A clone) alongside IHC PD-L1 (22C3 clone). <i>EGFR</i> alterations were identified by molecular sequencing and FISH. Event-free survival (EFS) was analysed based on CD73<sub>TC</sub> expression.</p><p><strong>Results: </strong>CD73<sub>TC</sub> expression was observed in 66% of cases, with high expression (Tumour Proportion Score > 50%) correlating with improved EFS (<i>p</i> = 0.045). CD73<sub>TC</sub> and PD-L1 expression were not significantly correlated (<i>p</i> = 0.44), although a weak inverse trend was observed. CD73<sub>SC</sub> expression was detected in 18% of cases, predominantly in early-stage (<i>p</i> = 0.037), PD-L1-negative (<i>p</i> = 0.030), and non-<i>EGFR</i>-amplified (<i>p</i> = 0.0018) tumours. No significant associations were found with disease stage, histological subtype, <i>EGFR</i> mutation type, and amplification.</p><p><strong>Conclusions: </strong>CD73 expression in <i>EGFRm</i> LUAD is heterogeneous and associated with diverse TME profiles. These findings support the potential of CD73 as a predictive biomarker and therapeutic target, highlighting its clinical relevance in <i>EGFRm</i> LUAD.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"17 6","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CancersPub Date : 2025-03-20DOI: 10.3390/cancers17061031
Elena Bertelli, Michele Vizzi, Martina Legato, Rossella Nicoletti, Sebastiano Paolucci, Ron Ruzga, Simona Giovannelli, Francesco Sessa, Sergio Serni, Lorenzo Masieri, Riccardo Campi, Emanuele Neri, Simone Agostini, Vittorio Miele
{"title":"The Use of PI-FAB Score in Evaluating mpMRI After Focal Ablation of Prostate Cancer: Is It Reliable? Inter-Reader Agreement in a Tertiary Care Referral University Hospital.","authors":"Elena Bertelli, Michele Vizzi, Martina Legato, Rossella Nicoletti, Sebastiano Paolucci, Ron Ruzga, Simona Giovannelli, Francesco Sessa, Sergio Serni, Lorenzo Masieri, Riccardo Campi, Emanuele Neri, Simone Agostini, Vittorio Miele","doi":"10.3390/cancers17061031","DOIUrl":"10.3390/cancers17061031","url":null,"abstract":"<p><strong>Background/purpose: </strong>to assess the inter-reader agreement of the PIFAB (Prostate Imaging after Focal Ablation) score, a new MRI-based standardized system for evaluating post-focal therapy prostate mpMRI, among radiologists in a single large cohort of patients treated with focal therapy (HIFU) in a tertiary care referral University Hospital.</p><p><strong>Methods: </strong>In total, 68 consecutive patients who underwent HIFU were included in this single-center retrospective observational study. A total of 109 post-HIFU follow-up mpMRIs were evaluated by three radiologists with varying levels of experience (12, 8, and 3 years, respectively). All patients underwent their first follow-up mpMRI at 6 months post-treatment, with 30 patients receiving additional evaluations at 18 months and 11 at 30 months.</p><p><strong>Results: </strong>The patients had a mean age of 70.6 ± 8.31 years, a mean pre-treatment PSA (prostate-specific antigen) of 7.85 ± 1.21 ng/mL, and a mean post-treatment PSA of 4.64 ± 4.2 ng/mL. The inter-reader agreement for PI-FAB among the three radiologists showed a Gwet's AC2 value of 0.941 (95% confidence interval: 0.904-0.978, <i>p</i> < 0.0001). For the most experienced radiologist, at the 6-month follow-up 64 (94.14%) patients were scored as PI-FAB 1, 1 (1.47%) as PI-FAB 2, and 3 (4.41%) as PI-FAB 3. At the 18-month and 30-month follow-ups all patients were scored as PI-FAB 1 (no suspicion of recurrence).</p><p><strong>Conclusions: </strong>Our study demonstrates excellent inter-reader agreement among radiologists with varying levels of experience, confirming that the PI-FAB score is highly reproducible when evaluating post-treatment mpMRI scans. The low rate of PI-FAB 2 and PI-FAB 3 lesions observed at the first follow-up, coupled with the absence of significant recurrence in subsequent evaluations, suggests that HIFU is a reliable technique for prostate cancer treatment in selected patients.</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"17 6","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CancersPub Date : 2025-03-20DOI: 10.3390/cancers17061050
Elena Sotiriou, Dimitra Kiritsi, Nikolaos Chaitidis, Michael Arabatzis, Aimilios Lallas, Efstratios Vakirlis
{"title":"Daylight Photodynamic Therapy for Actinic Keratosis and Field Cancerization: A Narrative Review.","authors":"Elena Sotiriou, Dimitra Kiritsi, Nikolaos Chaitidis, Michael Arabatzis, Aimilios Lallas, Efstratios Vakirlis","doi":"10.3390/cancers17061050","DOIUrl":"10.3390/cancers17061050","url":null,"abstract":"<p><p>Actinic keratoses (AKs), also known as solar keratoses, are rough, scaly lesions that appear as macules, papules, or plaques [...].</p>","PeriodicalId":9681,"journal":{"name":"Cancers","volume":"17 6","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}