1. Development of preoperative nomograms to predict the risk of overall and multifocal positive surgical margin after radical prostatectomy
- Author
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Lili Xu, Qianyu Peng, Gumuyang Zhang, Daming Zhang, Jiahui Zhang, Xiaoxiao Zhang, Xin Bai, Li Chen, Erjia Guo, Yu Xiao, Zhengyu Jin, and Hao Sun
- Subjects
Magnetic resonance imaging ,Prostatic neoplasms ,Risk assessment ,Margins of excision ,Nomogram ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Abstract Objective To develop preoperative nomograms using risk factors based on clinicopathological and MRI for predicting the risk of positive surgical margin (PSM) after radical prostatectomy (RP). Patients and methods This study retrospectively enrolled patients who underwent prostate MRI before RP at our center between January 2015 and November 2022. Preoperative clinicopathological factors and MRI-based features were recorded for analysis. The presence of PSM (overall PSM [oPSM]) at pathology and the multifocality of PSM (mPSM) were evaluated. LASSO regression was employed for variable selection. For the final model construction, logistic regression was applied combined with the bootstrap method for internal verification. The risk probability of individual patients was visualized using a nomogram. Results In all, 259 patients were included in this study, and 76 (29.3%) patients had PSM, including 40 patients with mPSM. Final multivariate logistic regression revealed that the independent risk factors for oPSM were tumor diameter, frank extraprostatic extension, and annual surgery volume (all p
- Published
- 2024
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