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The study aims to evaluate the detection rate and characteristics of prostate cancer among males with PSA values between 2.5 and 4.0 ng/mL in Nanjing, meanwhile, to access the effectiveness of conducting multi-parametric MRI (mpMRI) after PSA assay.
The investigators are going to collect serum samples and clinical information from men aged ≥50 years in community health service centers in Nanjing. The investigators will propose mpMRI for those met our criteria of PSA values between 2.5 and 4.0 ng/ml. Transperineal systematic biopsy and MRI/ultrasound fusion targeted biopsy will be offered for those who scored ≥3 points on the Prostate Imaging-Reporting and Data System Version 2 (PI-RADS v2). Follow-up examinations annually will be offered for those with a PI-RADS score <3. Sequences obtained while conducting mpMRI included T2-weighted imaging, diffusion-weighted imaging, and dynamic contrast-enhanced using a 3.0-T system.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| participants | Experimental | All of the participants tested serum PSA, some of them conducted mpMRI with/without prostate biopsy under instruction. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| mpMRI scanning | Diagnostic Test | The patients whose PSA levels are between 2.5 and 4.0ng/ml will be recommended to mpMRI scanning at first but not biopsy or active surveillance. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of prostate cancer | among PSA between 2.5 and 4.0 ng/ml | 3 years |
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Inclusion Criteria:
Exclusion Criteria:
prostate cancer screening is limited only among males
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiaozhi Zhao | Contact | 13851744779 | 13851744779 | zhaoxz@nju.edu.cn |
| Hongqian Guo | Contact | 13605171690 | 13605171690 | dr.ghq@nju.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| Hongqian Guo | Department of Urology, Drum Tower Hospital, Medical School of Nanjing University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Urology, Drum Tower Hospital, Medical School of Nanjing University, Institute of Urology, Nanjing University | Recruiting | Nanjing | Jiangsu | 210000 | China |
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| ID | Term |
|---|---|
| D011471 | Prostatic Neoplasms |
| ID | Term |
|---|---|
| D005834 | Genital Neoplasms, Male |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| D005832 |
| Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |