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Prostate Cancer3DmpUS for PCaNCT04605276

Threedimensional Multiparametric Ultrasound for Prostate Cancer Detection

An observational study of Prostate Cancer, run by Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) at 3 sites in Netherlands.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Rationale: Current imaging techniques for the detection and grading of prostate cancer are imperfect, leading to unnecessary biopsies, suboptimal treatment decisions and missed clinically significant cancers. Read more about this study

Who is it for?
Ages 18 years and older, men only
Conditions the study is for
Prostate Cancer
How many people
608 participants
Where
3 sitesNetherlands
Study dates
28 Jun 2021to 7 Mar 2024
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Study population: 1. Male patients of age ≥18 suspected for prostate cancer who are scheduled for systematic and/or targeted biopsy after mpMRI examination. 2. patients of age ≥18 with confirmed prostate cancer who are scheduled for radical prostatectomy.

Who may be able to join

  • In order to be eligible to participate in this study, a subject must meet all of the following criteria:
  • Men ≥18 years with a clinical suspicion of prostate cancer or confirmed prostate cancer.
  • Scheduled for either systematic and/or targeted biopsy after mpMRI examination or radical prostatectomy
  • Signed informed consent

Who cannot join

  • A potential subject who meets any of the following criteria will be excluded from participation in this study:
  • No mpMRI performed prior to prostate biopsy or radical prostatectomy
  • A history of chemotherapy for PCa or currently being treated with chemotherapy for PCa.
  • A patient history that includes any of the following prostate related interventions:
  • Brachytherapy or external radiotherapy for PCa;
  • Focal therapy for prostate cancer;
Show all 12Show fewer
  • Prostate biopsy within the last 30 days.
  • Hormonal therapy for prostate cancer within the last six months
  • A patient history with a cardiac right to left shunt.
  • Current treatment with dobutamine
  • Known severe pulmonary hypertension (pulmonary artery pressure >90 mmHg), uncontrolled systemic hypertension or respiratory distress syndrome
  • Incapable of understanding the language in which the patient information is given.

Trial locations and contacts

3 sites in 1 country.

Netherlands3 sites
  • Netherlands Cancer Institute

    Amsterdam, North Holland, 1066 CX

  • Amsterdam Univesity Medical Centers location VUmc

    Amsterdam, North Holland, 1081HV

  • Academic Medical Center

    Amsterdam, North Holland, 1105AZ

Other trials in Netherlands

About this study

Official title: Improving the AI-based Image Analysis Algorithm for 3D Multiparametric Ultrasound for the Detection, Grading and Localization of Prostate Cancer

Rationale: Current imaging techniques for the detection and grading of prostate cancer are imperfect, leading to unnecessary biopsies, suboptimal treatment decisions and missed clinically significant cancers. The hypothesis of this study is that computer assisted analysis of 3D multiparametric ultrasound (mpUS) images can accurately detect, grade and localize prostate cancer. 3D mpUS may then become a more cost-effective and more streamlined imaging strategy than the current standard: mpMRI.

Objective: The primary objective is to collect high-quality 3D mpUS and histology data, to train and improve the classifier algorithm with the goal of achieving an accurate ultrasound imaging tool for the detection of clinically significant prostate cancer.

Read more

Secondary objectives are related to the preliminary assessment of the performance of 3D mpUS with computer assisted analysis.

Study design: This is a prospective, multi-center study in men with a suspicion of prostate cancer who are scheduled for prostate biopsies, and men with confirmed prostate cancer who are scheduled to undergo a radical prostatectomy. Prior to prostate biopsies or the radical prostatectomy, 3D mpUS imaging will be performed. The ultrasound images will be analyzed and used for algorithm training using the biopsies and/or prostatecomy specimens as gold standard. Additional research coupes of pathology material (both biopsies and radical prostatectomy specimens) from study subjects will be anonymized and separately analyzed and stored in a central, independent institution. The outcome of the 3D mpUS analysis and the additional pathology evaluation are for research purposes only and will not interfere with standard patient care.

Study population: 1) Male patients of age ≥18 suspected for prostate cancer who are scheduled for systematic and/or targeted biopsy after mpMRI examination.

  1. patients of age ≥18 with confirmed prostate cancer who are scheduled for radical prostatectomy.

Main study parameters/endpoints:

  • Gleason/Grade group scoring based on histology. Using histology as the reference standard the accuracy of the algorithm will be optimized to be differentiating between benign tissue and various grades of malignancy.
  • Localization and size of lesions at full-gland histology in the subset of patients undergoing radical prostatectomy. Correlation in tumour size and location will be optimized between 3D mpUS findings and histology of the full gland.

For the secondary objective, preliminary assessment of the performance of 3D mpUS, the following endpoints are evaluated

  • Among all clinically significant detected cancers confirmed by histology, the proportion of these cancers that would have been detected by 3D mpUS will be calculated. The number of false positive findings by 3D mpUS both as an absolute count and expressed as a mean rate per patient.
  • The concordance in the detection and grading of abnormalities between mpMRI and 3D mpUS by examining the frequency and type of disagreements and calculating the kappa statistic.
Conditions
Prostate Cancer
Being tested
No intervention
Keywords
Contrast Enhanced Ultrasound, CEUS, Machine Learning, Artificial Intelligence, Multiparametric Ultrasound
Medical subject headings
Prostatic Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • No interventionOther

    No intervention

Study groups in NCT04605276
Study groupRoleWhat they receive
Pre-biopsy cohortMale patients of age ≥18 suspected for prostate cancer who are scheduled for systematic and/or targeted biopsy after mpMRI examination. No intervention study
Receives: Other: No intervention
Pre-radical prostatectomy cohortMale patients of age ≥18 diagnosed with prostate cancer who are scheduled for radical prostatectomy
Receives: Other: No intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. To collect high quality 3D multiparametric ultrasound and histology data to train and improve the classifier algorithm with the goal of achieving an accurate ultrasound imaging tool for detection, grading and localization of prostate cancer.

    This is a diagnostic accuracy study with cross-sectional interest between 3D multiparametric ultrasound results and histological findings at biopsy or histological examination of the full grand as the reference standards.

    Measured: The 3D multiparametric ultrasound images collected te moment the ultrasound is done. Histology findings will be collected 2 week after prostatebiopsies or radical prostatectomy. No patient follow-up is needed.

Secondary outcomes (3)
  1. The number of histologically proven clinically relevant cancer that can be detected by 3D multiparametric ultrasound using full mount prostate histopathology as the reference standard.

    Sensitivity / Negative predictive value

    Measured: The 3D multiparametric ultrasound images collected the moment the ultrasound is done. Histology findings will be collected 2 week after prostatebiopsies or radical prostatectomy. No patient follow-up is needed.

  2. The frequency of false-positive result by 3D multiparametric ultrasound using full mount prostate histopathology as the reference standard.

    Specificity / Positive Predictive Value

    Measured: The 3D multiparametric ultrasound images collected the moment the ultrasound is done. Histology findings will be collected 2 week after prostatebiopsies or radical prostatectomy. No patient follow-up is needed.

  3. The concordance between findings from mpMRI and 3D multiparametric ultrasound.

    Cancer detection rates, relative sensitivity / specificity

    Measured: mpMRI is present at time of inclusion, 3D mpUS images will be collected 1-3 weeks after inclusion. The concordance between mpMRI and 3DmpUS can be evaluated after imaging and histpathology data is in.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Oct 2020
  2. Study start28 Jun 2021
  3. Primary completion4 Mar 2024
  4. Study completion7 Mar 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
608 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04605276
Sponsor's protocol ID
CUDI - PCa
Acronym
3DmpUS for PCa
Status last verified
Mar 2024
First submitted
15 Oct 2020
Last updated
15 Oct 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • van Moorselaar RJ, Voest EE. Angiogenesis in prostate cancer: its role in disease progression and possible therapeutic approaches. Mol Cell Endocrinol. 2002 Nov 29;197(1-2):239-50. doi: 10.1016/s0303-7207(02)00262-9.

    PubMed 12431818
  • Russo G, Mischi M, Scheepens W, De la Rosette JJ, Wijkstra H. Angiogenesis in prostate cancer: onset, progression and imaging. BJU Int. 2012 Dec;110(11 Pt C):E794-808. doi: 10.1111/j.1464-410X.2012.11444.x. Epub 2012 Sep 7.

    PubMed 22958524
  • Mischi M, Kuenen MP, Wijkstra H. Angiogenesis imaging by spatiotemporal analysis of ultrasound contrast agent dispersion kinetics. IEEE Trans Ultrason Ferroelectr Freq Control. 2012 Apr;59(4):621-9. doi: 10.1109/TUFFC.2012.2241.

    PubMed 22547274
  • Kuenen MP, Saidov TA, Wijkstra H, de la Rosette JJ, Mischi M. Spatiotemporal correlation of ultrasound contrast agent dilution curves for angiogenesis localization by dispersion imaging. IEEE Trans Ultrason Ferroelectr Freq Control. 2013 Dec;60(12):2665-9. doi: 10.1109/TUFFC.2013.2865.

    PubMed 24297031
  • Postema AW, Frinking PJ, Smeenge M, De Reijke TM, De la Rosette JJ, Tranquart F, Wijkstra H. Dynamic contrast-enhanced ultrasound parametric imaging for the detection of prostate cancer. BJU Int. 2016 Apr;117(4):598-603. doi: 10.1111/bju.13116. Epub 2015 Jun 29.

    PubMed 25754526
  • Postema AW, Gayet MCW, van Sloun RJG, Wildeboer RR, Mannaerts CK, Savci-Heijink CD, Schalk SG, Kajtazovic A, van der Poel H, Mulders PFA, Beerlage HP, Mischi M, Wijkstra H. Contrast-enhanced ultrasound with dispersion analysis for the localization of prostate cancer: correlation with radical prostatectomy specimens. World J Urol. 2020 Nov;38(11):2811-2818. doi: 10.1007/s00345-020-03103-4. Epub 2020 Feb 20.

    PubMed 32078707
  • Mannaerts CK, Engelbrecht MRW, Postema AW, van Kollenburg RAA, Hoeks CMA, Savci-Heijink CD, Van Sloun RJG, Wildeboer RR, De Reijke TM, Mischi M, Wijkstra H. Detection of clinically significant prostate cancer in biopsy-naive men: direct comparison of systematic biopsy, multiparametric MRI- and contrast-ultrasound-dispersion imaging-targeted biopsy. BJU Int. 2020 Oct;126(4):481-493. doi: 10.1111/bju.15093. Epub 2020 May 13.

    PubMed 32315112
  • Mannaerts CK, Wildeboer RR, Remmers S, van Kollenburg RAA, Kajtazovic A, Hagemann J, Postema AW, van Sloun RJG, J Roobol M, Tilki D, Mischi M, Wijkstra H, Salomon G. Multiparametric Ultrasound for Prostate Cancer Detection and Localization: Correlation of B-mode, Shear Wave Elastography and Contrast Enhanced Ultrasound with Radical Prostatectomy Specimens. J Urol. 2019 Dec;202(6):1166-1173. doi: 10.1097/JU.0000000000000415. Epub 2019 Jun 27.

    PubMed 31246546
  • van den Kroonenberg DL, Delberghe F, Jager A, Postema AW, de Bie KCC, Reitsma JB, Zwart M, Wijkstra H, Garrido-Utrilla A, de Baaij J, van Basten JA, van der Poel HG, Beerlage HP, Mischi M, Oddens JR. Evaluation of an artificial intelligence model based on multiparametric transrectal ultrasound for localizing clinically significant prostate cancer by simulation of targeted biopsies. Eur Radiol. 2026 Apr;36(4):3043-3049. doi: 10.1007/s00330-025-12114-x. Epub 2025 Nov 6.

    PubMed 41196365
  • van den Kroonenberg DL, Delberghe FT, Jager A, Postema AW, Beerlage HP, Zwart W, Mischi M, Oddens JR. Development and Validation of an Algorithm for Segmentation of the Prostate and its Zones from Three-dimensional Transrectal Multiparametric Ultrasound Images. Eur Urol Open Sci. 2025 Apr 6;75:48-54. doi: 10.1016/j.euros.2025.03.005. eCollection 2025 May.

    PubMed 40241852
  • van den Kroonenberg DL, Went J, Jager A, Garrido-Utrilla A, Trappenburg JCA, Postema AW, Beerlage HP, Oddens JR. Developing a training for 3D transrectal multiparametric ultrasound of the prostate: a human factors engineering approach. Expert Rev Med Devices. 2025 Apr;22(4):361-367. doi: 10.1080/17434440.2025.2473632. Epub 2025 Mar 6.

    PubMed 40040313

Questions about this trial

What is this clinical trial studying?

An observational study of Prostate Cancer, run by Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) at 3 sites in Netherlands.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To collect high quality 3D multiparametric ultrasound and histology data to train and improve the classifier algorithm with the goal of achieving an accurate ultrasound imaging tool for detection, grading and localization of prostate cancer. (time frame: The 3D multiparametric ultrasound images collected te moment the ultrasound is done. Histology findings will be collected 2 week after prostatebiopsies or radical prostatectomy. No patient follow-up is needed.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04605276, which also lists 11 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Oct 2024.

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