SelectMDx检测在识别临床显著前列腺癌中的适用性:来自东欧队列的见解

IF 0.8 Q4 SURGERY
Chirurgia Pub Date : 2025-08-01 DOI:10.21614/chirurgia.3131
Petrino-Cristian Călinoiu, Daniel Liviu Bădescu, Ovidiu-Cătălin Nechita, Cristian-Valentin Toma, Cosmin-George Radu, Diana Neculai, Ștefan Raşcu, Razvan-Cosmin Petca, Justin Aurelian, Cristian-Sorin Sima, Viorel Jinga
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引用次数: 0

摘要

背景:前列腺癌是一个主要的全球健康问题,目前的诊断方法,包括前列腺特异性抗原检测,有很大的局限性。SelectMDx是一种尿液生物标志物测试,用于临床显著前列腺癌的风险分层,有可能减少不必要的活检。方法:这项回顾性研究纳入了2022年1月至2023年12月在罗马尼亚一所大学医院评估的126例患者。所有患者均有PSA 3 ng/mL和/或直肠指检发现异常,并接受SelectMDx检查,随后进行经直肠超声引导活检。计算敏感性、特异性、阳性预测值和阴性预测值,并采用ROC曲线评估诊断效果。结果:在PSA为10 ng/mL的队列中,SelectMDx的敏感性为90.6%,特异性为70.4%,NPV为94.3%。该测试在DRE或PI-RADS 3评分为阴性的患者中效果最佳,减少了不必要的活检。结论:SelectMDx已被证明是临床显著性前列腺癌风险分层的宝贵工具,有助于改善临床决策并减少不必要的活检。然而,需要进一步的研究来验证其在不同人群中的表现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Applicability of the SelectMDx Test in Identifying Clinically Significant Prostate Cancer: Insights from an Eastern European Cohort.

Background: Prostate cancer is a major global health concern, and current diagnostic methods, including prostate-specific antigen testing, have significant limitations. SelectMDx is a urinary biomarker test used for risk stratification of clinically significant prostate cancer, with the potential to reduce unnecessary biopsies. Methods: This retrospective study included 126 patients evaluated in a Romanian university hospital between January 2022 and December 2023. All patients had PSA 3 ng/mL and/or abnormal digital rectal examination findings and underwent the SelectMDx test followed by transrectal ultrasound-guided biopsy. Sensitivity, specificity, positive predictive value, and negative predictive value were calculated, and diagnostic performance was assessed using ROC curves. Results: SelectMDx demonstrated a sensitivity of 90.6%, specificity of 70.4%, and NPV of 94.3% in the cohort with PSA 10 ng/mL. The test performed optimally in patients with negative DRE or PI-RADS 3 scores, reducing unnecessary biopsies. Conclusions: SelectMDx has proven to be a valuable tool in the risk stratification of clinically significant prostate cancer, contributing to improved clinical decision-making and reducing unnecessary biopsies. However, further studies are needed to validate its performance across different populations.

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来源期刊
Chirurgia
Chirurgia Medicine-Surgery
CiteScore
1.00
自引率
0.00%
发文量
75
审稿时长
4-8 weeks
期刊介绍: Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither appeared, nor were sent for publication in other periodicals, can be published. You can send original articles, new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and, depending on publication space, - reviews of some articles of general interest to surgeons from other publications. Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and participation notes in other scientific meetings. Letters to the editor: Letters commenting on papers published in Chirurgia are welcomed. They should contain substantive ideas and commentaries supported by appropriate data, and should not exceed 2 pages. Please submit these letters to the editor through our online system.
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