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B. Turkbey

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Open access Sep 2026

Impact of MRI Quality on the Accuracy of Targeted Prostate Biopsy: A Prospective PI-QUAL Analysis

Background and Objectives: Multiparametric MRI (mpMRI) has improved the detection of clinically significant prostate cancer (csPCa). However, the diagnostic utility of mpMRI is heavily dependent on image quality, which is often inconsistent across clinical settings. We investigated the association between mpMRI quality...

Donald C. Wunsch, O. Esengur, R. Makwana et al. · 0 citations
Aug 2026

Long‐Term Oncologic Outcomes of Neoadjuvant Tumor‐Directed Immunotherapy (PROSTVAC) Before Radical Prostatectomy for Localized Prostate Cancer: A Secondary Analysis of a Neoadjuvant Trial

Biochemical recurrence (BCR) following radical prostatectomy (RP) occurs in 20%–40% of patients with localized prostate cancer. Neoadjuvant PROSTVAC has been shown to enhance T‐cell infiltration into the tumor immune microenvironment, but whether these immunologic changes translate into improved long‐term oncologic out...

B. Millan, Alexander P. Kenigsberg, Charles Hesswani et al. · 0 citations
Open access Sep 2026

Defining a Safe Biopsy Deferral Strategy in Patients With Low-Risk or Equivocal MRI Findings Using Prostate-Specific Antigen-Based Metrics.

BACKGROUND Management of men with equivocal MRI findings remains uncertain, while low-risk MRI may still harbor clinically significant prostate cancer (csPCa). We examined whether prostate-specific antigen (PSA)-based measures could identify a low-risk subgroup suitable for biopsy deferral in patients with Prostate Ima...

O. Esengur, S. Harmon, Emma J. Stevenson et al. · 0 citations
Open access Sep 2026

Inter-reader variability for quality assessment of synthetically degraded prostate MR images aligned with PIQUAL version 2.

PURPOSE The purpose of this study was to evaluate expert radiologists' perceptions of the quality of magnetic resonance imaging (MRI) of the prostate for images that underwent controlled degradation. MATERIALS AND METHODS Seven-levels of controlled degradations were applied to 10 single-slice image sets, with T2-weig...

Kang-Lung Lee, Jobie Budd, Shu-Huei Shen et al. · 0 citations
Open access Aug 2026

Deep learning-based histologic classifiers enable molecular subtyping of metastatic prostate cancer.

A deep learning model that leverages interpretable cellular features to improve feature extraction from H&E-stained tissue sections (NEURAL-PC) and represents an extensively validated diagnostic and prognostic model for advanced prostate cancer.

Zhi-Jun Chen, Erolcan Sayar, D. Guevara et al. · 0 citations
Sep 2026

Quantitative Thresholds on 18F-DCFPyL PET for Determining Malignancy in Prostate Cancer with Pathologic Correlation.

In this article, we assess histologically validated quantitative parameters on 18F-piflufolastat (18F-DCFPyL) prostate-specific membrane antigen (PSMA) PET and identify thresholds for differentiating malignant prostate cancer from benign tissue. Methods: In this multicenter retrospective study, men with prostate cancer...

L. Lindenberg, Erich P. Huang, G. Ulaner et al. · 0 citations
Review Open access Jul 2026

Uncertainty quantification for artificial intelligence in medical imaging: what every radiologist needs to know.

Although UQ has the potential to improve the safety and interpretability of AI-assisted screening, challenges remain, including calibration, threshold selection, computational cost, and the need for prospective clinical validation.

Fernando Vega Lara, Lisa Koopmans, Christian Roest et al. · 1 citation
Open access Aug 2026

Toward Autonomous Prostate Cancer Clinical Significance Determination from Spectral/Statistics Features in Bi-Parametric MRI

This study developed, applied, and tested new automation tools to expedite the spectral/statistics approach, and resulted in sufficiently high AUCs and a reduction in processing time, warranting future applications in large patient cohorts.

Rulon Mayer, Yuan Yuan, J. Udupa et al. · 0 citations
Review Open access Aug 2026

Autonomous AI in prostate cancer: the road ahead towards clinical implementation.

The findings highlight the need for evidence from large, multicenter, prospective trials and evaluation frameworks that reflect the consequences of clinical decision-making, as well as further exploration of safeguards to monitor and address mismatches between training data and incoming scans during deployment.

Lisa Koopmans, Fernando Vega Lara, Christian Roest et al. · 0 citations

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