Related Experiment Video
Updated: Jun 14, 2026

A Cognitive Fusion-guided Prostate Biopsy Using Multiparametric Magnetic Resonance Imaging and Transrectal Ultrasound
Published on: March 21, 2025
[Mitochondrial function score combined with Gleason score for predicting the progression of prostate cancer]
Jian-jun Yu1, Tao Yan, Ying-chuan Jiang
1Department of Urology, The 6th People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200223, China. yujj917@163.com
Objective:
To evaluate the mitochondrial function score in combination with Gleason score in predicting the progression of prostate cancer.
Methods:
This study included twenty 58-79 (70.1 +/- 1.2) years old patients with prostate cancer treated by radical prostatectomy. The epithelioglandular mitochondrial function scores of the patients were obtained under the transmission electron microscope and assessed according to Flameng grading. Meanwhile, their Gleason scores were analyzed and, based on the scores, the patients were divided into Groups I (Gleason score: 2 -4) and II (Gleason score: 5 -7).
Results:
The mitochondrial function score of Group I was significantly different from that of Group II (4.0 +/- 0.8 versus 2.3 +/- 0.6, P < 0.05), with a negative correlation with the Gleason score (r = -0.793, P < 0.05). One year follow-up showed a significantly lower mortality in Group I (0/8) than in Group II (6/12) (P < 0.05).
Conclusion:
Mitochondrial dysfunction exists in prostate cancer patients, particularly in those with higher malignancy. The mitochondrial function score combined with Gleason score plays a valuable role in predicting the progression of prostate cancer.

