New Genomic Test Can Eliminate Up to One-Third of Medically Unnecessary Prostate Cancer Biopsies
Genetic testing has been shown to be effective in detecting prostate cancer and eliminating the need for unnecessary biopsies. And even though the current commercial market for such tests is crowded, it appears that a new product is about to enter. The Diagnostic Challenge Prostate cancer is the most common form of cancer in men, claiming more than 10,000 lives per year. But screening for prostate cancer is more problematic than screening for its sister diseases, breast and cervical cancer. The effectiveness of current prostate-specific antigen (PSA) blood testing is marred by the PSA protein’s lack of reliability as a biomarker. Thus, while high PSA levels denote prostate cancer, the cancer is often low grade and poses no threat to the patient. High PSA may also indicate infection, inflammation or other disease. But because of the risks involved, physicians commonly order biopsies to rule out prostate cancer for patients whose screening tests show high PSA levels. A large percentage of these biopsies ultimately prove unnecessary. The Study A new study published in the Journal of Urology (March 2021) reports that a urine test called MyProstateScore can enable physicians to avoid one-third of unnecessary prostate cancer biopsies. Developed by researchers at […]
- Using a MyProstateScore threshold of 10 resulted in 97 percent sensitivity and 98 percent negative predictive value for ≥ 2 cancer, meaning the test would have prevented 387 unnecessary biopsies and missed 10 grade ≥ 2 cancers; and
- Using a MyProstateScore threshold of ≤ 10 resulted in 96 percent sensitivity and 97 percent predictive value and would have prevented 32 percent of unnecessary biopsies while missing 3.7 percent of grade ≥ 2 cancers.
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