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Cited by 470

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Accuracy of Multiparametric MRI for Prostate Cancer Detection: A Meta-Analysis

de Rooij, Maarten, Hamoen, Esther H. J., Fütterer, Jurgen J., Barentsz, Jelle O., Rovers, Maroeska M.·2014·American Journal of Roentgenology

Abstract

OBJECTIVE: The purpose of this diagnostic meta-analysis was to determine the diagnostic accuracy of multiparametric MRI for prostate cancer detection using anatomic T2-weighted imaging combined with two functional techniques: diffusion-weighted imaging (DWI) and dynamic contrast-enhanced MRI (DCE-MRI). MATERIALS AND METHODS: We searched electronic databases, including MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials (CENTRAL) up to February 3, 2012. We included diagnostic accuracy studies using a combination of T2-weighted imaging, DWI, and DCE-MRI to detect prostate cancer with histopathologic data from prostatectomy or biopsy as the reference standard. The methodologic quality was assessed with version 2 of the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool by two independent reviewers. Sensitivity and specificity of all studies were calculated from 2 × 2 tables, and the results were plotted in a hierarchic summary receiver operating characteristic plot. RESULTS: Seven studies that met the inclusion criteria (526 patients) could be analyzed. The pooled data showed a specificity of 0.88 (95% CI, 0.82-0.92) and sensitivity of 0.74 (95% CI, 0.66-0.81) for prostate cancer detection, with negative predictive values (NPVs) ranging from 0.65 to 0.94. Subgroup analyses showed no significant difference between the subgroups. CONCLUSION: The high specificity with variable but high NPVs and sensitivities implies a potential role for multiparametric MRI in detecting prostate cancer.

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Metadata

Authors
de Rooij, M., Hamoen, E. H. J., Fütterer, J. J., Barentsz, J. O., & Rovers, M. M.
Venue
American Journal of Roentgenology
Published
2014-02
Volume
202
Issue
2
Pages
343-351
ISSN
  • 0002-9580 (ISSN-L)
  • 0361-803X
  • 1546-3141
OpenAlex
W2154726102
Cited by
470
References
28
FWCI
10.14
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Accuracy of Multiparametric MRI for Prostate Cancer Detection: A Meta-Analysis. https://app.cochat.ai/papers/10.2214/ajr.13.11046
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de Rooij, M., Hamoen, E. H. J., Fütterer, J. J., Barentsz, J. O., & Rovers, M. M. (2014). Accuracy of Multiparametric MRI for Prostate Cancer Detection: A Meta-Analysis. American Journal of Roentgenology. https://doi.org/10.2214/ajr.13.11046

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