Publications by authors named "Xiaohao Ruan"

Article Synopsis
  • This study evaluated if combining prostate health index (PHI) with PSMA-PET/MR scans improves prostate cancer diagnosis over using each method individually.
  • A total of 41 patients were analyzed, revealing that those with prostate cancer showed significantly higher PHI and PSMA-PET/MR positive rates than those without the disease.
  • The combination method was found useful for reducing unnecessary biopsies, but was not significantly better than PSMA-PET/MR alone in patients with higher PHI levels (≥43.5).
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Article Synopsis
  • The study investigates a machine learning model using radiomics analysis of MRI T2-weighted images to improve prebiopsy diagnosis of prostate cancer, addressing the limitations of the existing PI-RADS scoring system.
  • A retrospective analysis involved 820 lesions for model development and validation, comparing the new models' predictive performance against traditional PI-RADS scores.
  • Results showed that the machine learning model significantly outperformed PI-RADS in both internal and external validations, achieving higher area under the curve (AUC) and better diagnostic values, suggesting it could enhance prostate cancer diagnosis.
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Background: Anticipating the postoperative pathological stage and potential for adverse features of prostate cancer (PCa) patients before radical prostatectomy (RP) is crucial for guiding perioperative treatment.

Methods: A cohort consisting of three sub-cohorts with a total of 709 patients has been enlisted from two major tertiary medical centres in China. The primary assessment parameters for adverse pathological features in this study are the pathological T stage, the AJCC prognostic stage groups and perineural invasion (PNI).

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Article Synopsis
  • Systematic prostate biopsies can lead to both overdiagnosis of less serious cancer and underdiagnosis of more serious cases; MRI-guided biopsies might offer better accuracy.
  • A study compared cancer detection rates between systematic biopsies and combined biopsies (systematic plus MRI-targeted) in Hong Kong men from 2015 to 2022, involving 1,391 participants.
  • While overall prostate cancer detection rates were similar (36.3% vs 36.6%), combined biopsies were better at identifying clinically significant cancer, particularly in men with PSA levels between 2-10 ng/ml, highlighting the potential benefits of MRI-targeted approaches.
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The aim of liquid biopsies is to obtain tumor information via the molecular interrogation of liquid samples, including blood and urine. As a minimally invasive procedure, liquid biopsies have attracted attention. A series of studies have reported associations of biomarkers such as circulating tumor DNA, cell-free DNA and extracellular vesicles with urological cancers, especially prostate cancer (PCa), and demonstrated the promising potential of liquid biopsies.

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Background: The status of prostate-specific antigen (PSA) screening is unclear in China. Evidence regarding the optimal frequency and interval of serial screening for prostate cancer (PCa) is disputable.

Objective: This study aimed to depict the status of PSA screening and to explore the optimal screening frequency for PCa in China.

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Background: The risk of second primary cancers (SPC) is increasing after the first primary cancers (FPC) are diagnosed and treated. The underlying causal relationship remains unclear.

Methods: We conducted a pan-cancer association (26 cancers) study in the Surveillance, Epidemiology, and End Results (SEER) database (non-Hispanic whites).

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Background: The genetic risk of aggressive prostate cancer (PCa) is hard to be assessed due to the lack of aggressiveness-related single-nucleotide polymorphisms (SNPs). Prostate volume (PV) is a potential well-established risk factor for aggressive PCa, we hypothesize that polygenic risk score (PRS) based on benign prostate hyperplasia (BPH) or PV-related SNPs may also predict the risk of aggressive PCa or PCa death.

Methods: We evaluated a PRS using 21 BPH/PV-associated SNPs, two established PCa risk-related PRS and 10 guideline-recommended hereditary cancer risk genes in the population-based UK Biobank cohort (N = 209,502).

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Objective: Early evidence is disputable for the effects of modifiable lifestyle behaviors on prostate cancer (PCa) risk. No research has yet appraised such causality in different ancestries using a Mendelian randomization (MR) approach.

Methods: A two-sample univariable and multivariable MR analysis was performed.

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Background: Telomerase reverse transcriptase () has been consistently associated with prostate cancer (PCa) risk. However, few studies have explored the association between variants and PCa aggressiveness.

Methods: Individual and genetic data were obtained from UK Biobank and a Chinese PCa cohort (Chinese Consortium for Prostate Cancer Genetics).

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The aim of this study was to assess the narrow-sense validity of polygenic risk score (PRS) for prostate cancer (PCa) in a Chinese prostate biopsy cohort. We performed an observational prospective study with 2640 men who underwent prostate biopsy. Germline DNA samples were genotyped and PRS was calculated for each subject using 17 PCa risk-associated genetic variants.

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To date, the combined effect of polygenic risk score (PRS) and prostate health index () on PCa diagnosis in men undergoing prostate biopsy has never been investigated. A total of 3166 patients who underwent initial prostate biopsy in three tertiary medical centers from August 2013 to March 2019 were included. PRS was calculated on the basis of the genotype of 102 reported East-Asian-specific risk variants.

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Background: Active surveillance/watchful waiting (AS/WW) is feasible and effective for favorable-risk prostate cancer (PCa). Understanding socioeconomic determinants of AS/WW may help determine the target population for social support and improve cancer-related survival.

Methods: The Surveillance, Epidemiology, and End Results Prostate with Watchful Waiting Database 18 Registries identified 229,428 adult men diagnosed with primary localized PCa (clinical T1-T2c, N0M0) during a median follow-up of 45 months between 2010 and 2016.

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Prostate cancer (PCa) is one of the most lethal causes of cancer-related death in male. It is characterized by chromosomal instability and disturbed signaling transduction. E3 ubiquitin ligases are well-recognized as mediators leading to genomic alterations and malignant phenotypes.

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Heterogeneity of kidney cancer poses great challenges in clinical management. Practicians are still in need of an effective way to identify high-risk patients. Here we browsed big data from The Cancer Genome Atlas database with reference to cancer cell stemness and identified genes of interest in clear cell renal cell carcinoma.

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Genome-wide association studies have identified 270 loci conferring risk for prostate cancer (PCa), yet the underlying biology and clinical impact remain to be investigated. Here we observe an enrichment of transcription factor genes including HNF1B within PCa risk-associated regions. While focused on the 17q12/HNF1B locus, we find a strong eQTL for HNF1B and multiple potential causal variants involved in the regulation of HNF1B expression in PCa.

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Background And Objective: Urine culture is time consuming, which may take days to get the results and impede further timely treatment. Our objective is to evaluate whether the fast urinalysis and bacterial discrimination system called Sysmex UF-5000 may predict urinary tract infections (UTIs) (within minutes) compared with the clinical routine test in suspected UTI patients. In addition, we aimed to explore the accuracy of microbiologic information by UF-5000.

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Article Synopsis
  • A study analyzed the long-term survival outcomes of 782 Chinese prostate cancer patients who underwent radical prostatectomy (RP) from 1998 to 2022 at Queen Mary Hospital.
  • The 5-year, 10-year, and 15-year overall survival rates were reported as 96.6%, 86.8%, and 70.6%, while the prostate cancer-specific survival rates were 99.7%, 98.6%, and 97.8%, respectively.
  • Key findings indicated that higher Surgical ISUP grade (≥4) and factors like lymph node invasion and extracapsular extension correlated with poorer cancer-specific survival, but different surgical methods showed no significant differences in outcomes.
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Purpose: To explore the impact of family history (FH) on renal cell carcinoma (RCC) and its pathological subtype clear cell RCC (ccRCC) in a Chinese population; a significant association has previously been determined not only in familial cancer syndrome but also in sporadic cases in western populations.

Methods: Consecutive patients with kidney tumors from October 2017 to May 2021 at a tertiary hospital in Shanghai were enrolled in the study. Demographic and clinical information was collected, including age, gender, FH (positive or negative, types of cancers, degree of relatives, etc.

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Background: Polygenic risk score (PRS) has shown promise in predicting prostate cancer (PCa) risk. However, the application of PRS in non-European ancestry was poorly studied.

Methods: We constructed PRS using 68, 86, or 128 PCa-associated single-nucleotide polymorphisms (SNPs) identified through a large-scale Genome-wide association study (GWAS) in the European ancestry population.

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Background: Legislation of cannabis use has been approved in many European and North American countries. Its impact on urological cancers is unclear. This study was conducted to explore the association between cannabis use and the risk of urological cancers.

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MicroRNAs (miRNAs) are involved in the regulation of gene expression via incomplete base pairing to sequence motifs at the three prime untranslated regions (3'-UTRs) of mRNAs and play critical roles in the etiology of cancers. Single nucleotide polymorphisms (SNPs) in the 3'-UTR miRNA-binding regions may influence the miRNA affinity. However, this biological mechanism in prostate cancer (PCa) remains unclear.

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Article Synopsis
  • A prospective study involving 351 patients from January 2017 to September 2020 aimed to assess the Prostate Health Index (phi) in predicting Gleason score upgrades from prostate biopsies to radical prostatectomies (RP) in a Chinese cohort.
  • Phi and its derivative, phi density (PHID), were found to be significantly associated with upgrading Gleason scores in clinically low-risk patients, particularly those with low biopsy Gleason Grades (GG ≤2).
  • The inclusion of phi and PHID improved predictive accuracy for score upgrades, as demonstrated by higher area under the curve (AUC) values when compared to the base model.
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Background: Prostate health index (phi), a derivative of [-2]proPSA (p2PSA), has shown better accuracy than prostate-specific antigen (PSA) in prostate cancer (PCa) detection. The present study was to investigate whether previously identified PSA-associated single nucleotide polymorphisms (SNPs) influence p2PSA or phi levels and lead to potential clinical utility.

Methods: We conducted an observational prospective study with 2268 consecutive patients who underwent prostate biopsy in three tertiary medical centers from August 2013 to March 2019.

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