Bladder cancer screening: The new selection and prediction model DOI Creative Commons
Vladan Radosavljević, Nataša Milić

Open Medicine, Journal Year: 2023, Volume and Issue: 18(1)

Published: Jan. 1, 2023

Abstract The objective of this study was to offer new approach for selection persons with asymptomatic bladder cancer (BC) and highly risky the BC occurrence. Also, it is a part screening protocol (study ongoing). Study populations were 100 newly diagnosed (diagnosis maximum 1-year old) males matched (by sex age ±5 years) controls (not oncology patients from same hospital). A hospital based, case–control done. Statistical analysis comprised four steps: t -test, univariate logistic regression, multivariate scoring. fifth step two changes, deleting one variable addition another variable. Six variables statistically significant: Caucasian men over 45 years age, tobacco smoking 40 pack-years, occupational and/or environmental exposure proved carcinogens 20 years, macrohematuria, difficulty urinating, in relatives up fourth degree kinships, they used an easy fast individuals high risk occurrence (optimal at population level). final results showed significant probability ( p < 0.001), area under ROC curve 0.913, negative predictive values 89.7% (95% CI 10.3–100%), specificity 78%. Positive value 80.5% 19.5–100%) sensitivity 91%. It possible recruit (primary prevention) by using model, as well (primordial prevention). This first second ongoing (urine analysis).

Language: Английский

Urine biomarkers in bladder cancer — current status and future perspectives DOI
Moritz Maas, Tilman Todenhöfer, Peter C. Black

et al.

Nature Reviews Urology, Journal Year: 2023, Volume and Issue: 20(10), P. 597 - 614

Published: May 24, 2023

Language: Английский

Citations

67

A Liquid Biopsy in Bladder Cancer—The Current Landscape in Urinary Biomarkers DOI Open Access
Milena Matuszczak,

Adam Kiljańczyk,

Maciej Salagierski

et al.

International Journal of Molecular Sciences, Journal Year: 2022, Volume and Issue: 23(15), P. 8597 - 8597

Published: Aug. 2, 2022

The non-muscle invasive bladder cancer tends to recur and progress. Therefore, it requires frequent follow-ups, generating costs making one of the most expensive neoplasms. Considering character current gold-standard diagnostic procedure, white-light cystoscopy, efforts find an alternative method are ongoing. Although last decade has seen significant advancements in urinary biomarker tests (UBTs) for cancer, international guidelines have not recommended them. Currently, paramount urgency is validate test with best specificity sensitivity, which would allow optimizing diagnosis, prognosis, a treatment plan. This review aims summarise up-to-date state knowledge relating UBTs new developments detection, surveillance their potential applications clinical practice.

Language: Английский

Citations

42

Randomized Comparison of Magnetic Resonance Imaging Versus Transurethral Resection for Staging New Bladder Cancers: Results From the Prospective BladderPath Trial DOI
Richard T. Bryan, Wenyu Liu, Sarah Pirrie

et al.

Journal of Clinical Oncology, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 14, 2025

Transurethral resection of bladder tumor (TURBT) is the initial staging procedure for new cancers (BCs). For muscle-invasive (MIBCs), TURBT may delay definitive treatment. We investigated whether treatment can be expedited MIBC using flexible cystoscopic biopsy and multiparametric magnetic resonance imaging (mpMRI) staging. conducted a prospective open-label, randomized study within 17 UK hospitals (registered as ISRCTN 35296862). Participants with suspected BC were randomly assigned 1:1 to TURBT-staged or mpMRI-staged care, minimization factors sex, age, clinician visual assessment stage. Blinding was not possible. Patients unable/unwilling undergo mpMRI previous ineligible. The had two stages separate primary outcomes feasibility time correct (TTCT) MIBC, respectively. Between May 31, 2018, December 2021, 638 patients screened, 143 participants (n = 72; 55 males, 15 MIBCs) 71; 53 14 MIBCs). feasibility, 36 39 (92% [95% CI, 79 98]) underwent mpMRI. median TTCT significantly shorter 12, days 20 89] v n 14, 98 72 125] TURBT, log-rank P .02). There no detriment non-MIBC (median TTCT: 30, 8 25] 28, 10 29] .67). No serious adverse events reported. mpMRI-directed pathway led 45-day reduction in MIBC. Incorporating ahead into standard beneficial all

Language: Английский

Citations

1

Diagnostic Potential of Circulating Tumor Cells, Urinary MicroRNA, and Urinary Cell-Free DNA for Bladder Cancer: A Review DOI Open Access

Dai Koguchi,

Kazumasa Matsumoto,

Izuru Shiba

et al.

International Journal of Molecular Sciences, Journal Year: 2022, Volume and Issue: 23(16), P. 9148 - 9148

Published: Aug. 15, 2022

Early detection of primary bladder cancer (BCa) is vital, because stage and grade have been generally accepted not only as categorical but also prognostic factors in patients with BCa. The widely screening methods for BCa, cystoscopy urine cytology, unsatisfactory diagnostic accuracy, high rates false negatives, especially flat-type BCa low-risk disease cytology. Currently, liquid biopsy has attracted much attention being compensatory that limited power. In this review, we survey the literature on focusing circulating tumor cells (CTCs), urinary cell-free DNA (ucfDNA), microRNA (umiRNA). terms, CTCs umiRNA are determined by quantitative analysis, ucfDNA relies finding genetic epigenetic changes. ideal biomarkers should be highly sensitive detecting produce an unfavorable result; however, ucfDNA, when analyzed using a panel genes, promising results. However, given small cohort size most studies, no conclusions can yet drawn about biopsy's immediate application to clinical practice. Further large studies validate value use mandatory.

Language: Английский

Citations

19

Harnessing Aggregation‐Induced Emission‐Based Detection Toolbox for Diagnostics of Urogenital Tumors DOI Creative Commons
Wenzhe Chen,

Hantian Guan,

Yongfeng Lu

et al.

Aggregate, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 13, 2025

ABSTRACT Urogenital system tumors include prostate cancer, bladder ovarian and other very common solid tumor diseases with high morbidity mortality. The unique physiological anatomical features of the urogenital render it particularly amenable to application tissue imaging techniques for diagnostic purposes. advancement aggregation‐induced emission (AIE) materials has addressed limitations associated conventional fluorescent that are prone aggregation‐caused quenching. This facilitated development innovative AIE characterized by enhanced photostability, an increased signal‐to‐noise ratio, improved quality. article reviews research progress biosensors in diagnosis tumors. It mainly involves biomarker vitro fluorescence such as uterine which based on biosensors. In addition, a comprehensive description biosensors’ synthesis strategies is provided. includes detailed elucidation platforms intracellular mechanisms basic principles AIE, accompanied presentation quantitative analysis cell results. limitations, challenges suggestions field summarized, prospect prospected. tumors, also provides catalyst exploring characteristics its wide disease diagnosis.

Language: Английский

Citations

0

Development of a technique for diagnosis and screening of superficial bladder cancer by cell-pellet DNA from urine sample DOI
Jaekwon Seok, Hee Jeong Kwak,

Chan-Koo Kang

et al.

Laboratory Investigation, Journal Year: 2025, Volume and Issue: unknown, P. 104124 - 104124

Published: March 1, 2025

Language: Английский

Citations

0

Molecular testing in urinary cytology specimens: Current status and future directions DOI
Fei Chen,

Aylin Simsir,

Liang Cheng

et al.

Urologic Oncology Seminars and Original Investigations, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

Citations

0

Improving the pathway to correct treatment for patients with muscle‐invasive bladder cancer: exploring the myths around the BladderPath trial DOI
Richard T. Bryan, Prashant Patel,

Steven Kennish

et al.

BJU International, Journal Year: 2025, Volume and Issue: unknown

Published: April 14, 2025

Language: Английский

Citations

0

A Systematic Review of Novel Intravesical Approaches for the Treatment of Patients with Non–muscle-invasive Bladder Cancer DOI Creative Commons
Saum Ghodoussipour,

Trinity Bivalacqua,

Richard T. Bryan

et al.

European Urology, Journal Year: 2025, Volume and Issue: unknown

Published: April 1, 2025

Intravesical therapy is central to managing non-muscle-invasive bladder cancer (NMIBC); yet, recurrence and progression remain common, underscoring the need for new treatments. This systematic review evaluates clinical trials of novel intravesical therapies all risk categories NMIBC. A comprehensive literature search was conducted identify assessing effectiveness, safety, tolerability The focused on studies published from 2020 2024, including bacillus Calmette-Guérin (BCG)-unresponsive/refractory disease as well BCG-naïve intermediate-risk patients. Mechanisms action drug delivery methods were summarized. No statistical syntheses performed due limited comparative data. Out 2998 identified, 36 reported efficacy six provided patient-reported outcomes (PROs). included BCG-based therapies, chemotherapy combinations, chemical-drug conjugates, thermogels, hyperthermic chemotherapy, osmotic pumps, gene therapy. Initial response rates ranged 42% 85% BCG-unresponsive/refractory patients 65% 100% treatment-naïve 12-mo recurrence-free survival 22% 83% 39% 92%, respectively. Progression severe toxicity (grade ≥3) rare (0-17% 0-20%, respectively). PROs stable. limitations early-phase studies, heterogeneous outcome assessments, a research long-term durability, quality life, cost. highlights promising However, further needed refine treatment strategies assess outcomes, economic factors. Future should include multiarm, multistage designs with focus patient-centered outcomes.

Language: Английский

Citations

0

Should We Incorporate Urinary Tumour DNA Status in Treatment Decisions for Patients with Non–muscle-invasive Bladder Cancer? DOI
Douglas G. Ward, Richard T. Bryan

European Urology, Journal Year: 2025, Volume and Issue: unknown

Published: May 1, 2025

Language: Английский

Citations

0