Vestnik Urologii (Apr 2023)

Non-invasive electromagnetic detection of prostate cancer: efficiency analysis

  • M. E. Chaliy,
  • E. V. Afanasyevskaya,
  • A. S. Amirkhanyan,
  • A. A. Strigunov,
  • A. M. Kadysheva,
  • E. V. Kolygina,
  • A. S. Shurygina,
  • A. S. Tivtikyan,
  • A. V. Kadrev,
  • V. K. Dzitiev,
  • D. A. Okhobotov,
  • N. I. Sorokin,
  • A. A. Kamalov

DOI
https://doi.org/10.21886/2308-6424-2023-11-1-108-115
Journal volume & issue
Vol. 11, no. 1
pp. 108 – 115

Abstract

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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.

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