Prostate-MRI

Abbreviated Name
P-MRI
Lead Investigator
Salami, Simpa S — University of Michigan Recruiting
Coordinating Investigator
Zheng, Yingye — Fred Hutchinson Cancer Center
Involved Investigators

Abstract

No abstract availalbe.

Aims

Specific aim 1. To examine the incremental specificity for high grade prostate cancer (i.e. > Gleason sum 6) of prostate MRI above and beyond PSA, PCA3 and TMPRSS2:ERG with the sensitivity held constant at 90% in the initial biopsy setting. Specific aim 2. To evaluate the potential for novel laboratory biomarkers, including but not limited to urine RNA sequencing chip, tissue prints for biomarker field effect to predict findings on MRI 2a. To evaluate the relationships between laboratory biomarkers and MRI sequences. 2b. To develop an algorithm that optimizes laboratory biomarkers to predict high-grade prostate cancer from a prostate MRI fusion biopsy. Specific aim 3. To evaluate the role of radiomics to improve upon standard MRI protocols in the diagnosis of high-grade prostate cancer Specific aim 4. (Longitudinal) To evaluate how changes in laboratory biomarkers and prostate MRI over a two-year period predicts subsequent diagnosis of high-grade prostate cancer Specific aim 5. To expand the current EDRN’s unique pre-diagnostic reference set with RNA sequencing of pre-biopsy urine. We will apply the uMIPS RNA sequencing chip on banked urine samples from the PCA3 cohort. This will be evaluated on those who underwent initial and repeat prostate biopsies.    5a: To conduct a head-to-head comparison of urine biomarkers for the detection of HG Pca on needle biopsy. This may include commercial assays such as SelectMDx if they provide support to run their assays.    5b: To develop a novel algorithm based on 83 distinct RNA sequences on uMIPS_v1 for the detection of HG Pca. Specific aim 6. To evaluate the potential for precancerous lesions to progress to invasive over a two-year period. We will follow cases of isolated high-grade PIN and isolated PINatyp with a targeted biopsy at two years using the targeted biopsy software. Our primary endpoint will examine concordance of erg status between PIN and cancer when found in the same location upon repeat biopsy. A secondary endpoint will be finding of any cancer at the same location as prior PIN even if erg status differs. Only cases with PIN and without invasive cancer at initial biopsy will be included. If successful, we would have tested the value of MRI above and beyond PCA3 and TMPRSS2:erg fusion. If the null hypothesis is rejected, we would conclude that MRI in the setting of an initial prostate biopsy is value added and should be included in the evaluation of men in the initial biopsy setting when PCA3 and TMPRSS2:erg fusion are performed.

Analytic Method

see Protocol

Comments

No comments available.

Outcome

Ongoing

Secure Outcome

No secure outcome available.

Publications

  • No publications available at this time for this protocol.

Biomarkers

  • No biomarkers available at this time for this protocol.

Data Collections

  • No data collections available at this time for this protocol.
Start Date
Oct 12 2017
Estimated Finish Date
Aug 31 2027
Protocol ID
430
Protocol Type
Validation
Fields of Research
  • Other
  • Proteomics
Collaborative Group
Prostate and Urologic Cancers Research Group
Cancer Types
  • Malignant neoplasm of prostate
Phased Status
2

Associated Forms