Non-invasive electromagnetic detection of prostate cancer: efficiency analysis
https://doi.org/10.21886/2308-6424-2023-11-1-108-115
Abstract
Introduction. Early diagnosis of cancer is one of the most important international strategies. Malignant and healthy tissues differ in the interaction with electromagnetic waves. Pilot studies show a potential perspective for non-invasive analysis of electromagnetic anisotropy in biological tissues.
Objective. To assess the diagnostic importance of the electromagnetic detection of prostate cancer (PCa) within the prospective study.
Materials & methods. One hundred and twenty-four patients were included to undergo a prostate biopsy, transurethral prostate resection, or radical prostatectomy. The investigators did not have information on their clinical details. Research technique: the probe was applied to the perineal region, turning it in three planes. A reduction of the 465 MHz band below a threshold was fixed and was considered suspect for PCa. The results of electromagnetic evaluation were compared with the findings of a pathomorphological study after biopsy or surgery.
Results. Fourty-seven true-positive and 21 true-negative results were detected, 20 false-negative and 46 false-positive (follow-up group as potentially true-positive group). The overall sensitivity was 82%, specificity – 31%. The positive and negative predictive values were 73% and 62%, respectively. The accuracy of the method was 54%.
Conclusion. Early PCa stage could be a reason for many false-positive results and low specificity, as a result. PCa detection is significantly reduced with lesions less than 3 mm, therefore patients with false-positive results were placed in the follow-up group. Patients’ examination with the TRIMprob TM («Galileo Avionica» SpA, Torino, Italy) could increase the early PCa detection at the screening. The research is currently ongoing.
About the Authors
M. E. ChaliyRussian Federation
Mikhail E. Chaliy — M.D., Dr.Sc. (Med.), Full. Prof.; Leading Researcher, Dept. of Urology and Andrology, Faculty of Fundamental Medicine; Urologist, Medical Research and Education Centre,
Moscow
E. V. Afanasyevskaya
Russian Federation
Elizaveta V. Afanasyevskaya — Postgrad. Student, Dept. of Urology and Andrology, Faculty of Fundamental Medicine; Urologist, Medical Research and Education Centre, Moscow;
M.D.; Urologist, Urology Division, Istra Regional Clinical Hospital, Istra, Moscow region
A. S. Amirkhanyan
Russian Federation
Aram S. Amirhanyan — Postgrad. Student, Dept. of Urology and Andrology, Faculty of Fundamental Medicine; Urologist, Medical Research and Education Centre, Moscow;
M.D.; Head, Urology Division, Istra, Moscow region
A. A. Strigunov
Russian Federation
Andrey A. Strigunov —M.D.; Postgrad. Student, Dept. of Urology and Andrology, Faculty of Fundamental Medicine; Urologist, Medical Research and Education Centre,
A. M. Kadysheva
Russian Federation
Alexandra M. Kadysheva — Student, Faculty of Fundamental Medicine,
E. V. Kolygina
Russian Federation
Ekaterina V. Kolygina — Resident, Dept. of Urology and Andrology, Faculty of Fundamental Medicine,
A. S. Shurygina
Russian Federation
Alina S. Shurygina — Resident, Dept. of Urology and Andrology, Faculty of Fundamental Medicine,
A. S. Tivtikyan
Russian Federation
Alexander S. Tivtikyan — M.D.; Researcher, Urology and Andrology Unit; Urologist, Medical Research and Education Centre,
A. V. Kadrev
Russian Federation
Alexey V. Kadrev — M.D., Сand.Sc.(Med); Head, Ultrasound Diagnostics Division; Researcher, Urology and Andrology Unit, Medical Research and Education Centre,
V. K. Dzitiev
Russian Federation
Vitaly K. Dzitiev — M.D., Сand.Sc.(Med); Head, Urology Division, Researcher, Urology and Andrology Unit, Medical Research and Education Centre,
D. A. Okhobotov
Russian Federation
Dmitry A. Ohobotov — M.D., Cand.Sc.(Med); Assoc.Prof., Dept. of Urology and Andrology, Faculty of Fundamental Medicine; Urologist, Medical Research and Education Centre,
N. I. Sorokin
Russian Federation
Nikolay I. Sorokin — M.D., Dr.Sc.(Med), Full Prof.; Prof., Dept. of Urology and Andrology, Faculty of Fundamental Medicine; Leading Researcher, Urology and Andrology Unit, Medical Research and Education Centre,
A. A. Kamalov
Russian Federation
Armais A. Kamalov — M.D., Dr.Sc.(Med), Full Prof., Acad. of the RAS; Headmaster, Medical Research and Educational Centre; Head, Dept. of Urology and Andrology, Faculty of
Fundamental Medicine,
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Review
For citations:
Chaliy M.E., Afanasyevskaya E.V., Amirkhanyan A.S., Strigunov A.A., Kadysheva A.M., Kolygina E.V., Shurygina A.S., Tivtikyan A.S., Kadrev A.V., Dzitiev V.K., Okhobotov D.A., Sorokin N.I., Kamalov A.A. Non-invasive electromagnetic detection of prostate cancer: efficiency analysis. Urology Herald. 2023;11(1):108-115. (In Russ.) https://doi.org/10.21886/2308-6424-2023-11-1-108-115