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Related Experiment Video

Updated: Sep 16, 2025

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection
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Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection

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EpiSwitch PSE Blood Test Reduces Unnecessary Prostate Biopsies: A Real-World Clinical Utility Study.

Joos Berghausen1, Joe Abdo2, Ryan Mathis2

  • 1Department of Pharmacology and Physiology, Georgetown University Medical Center, 3900 Reservoir Rd NW, Washington, DC 20057, USA.

Cancers
|July 12, 2025
PubMed
Summary

The EpiSwitch PSE assay, a blood test for prostate cancer, can help avoid unnecessary biopsies in up to 79% of men, improving diagnostic efficiency and reducing healthcare costs.

Keywords:
3D genome conformationEpiSwitch PSE assaybiopsy avoidanceblood-based diagnosticsprecision oncologyprostate cancer detectionreal-world evidence

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Last Updated: Sep 16, 2025

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Detection and Isolation of Cancer in Prostate Biopsies Using Stimulated Raman Histology and Artificial Intelligence
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Detection and Isolation of Cancer in Prostate Biopsies Using Stimulated Raman Histology and Artificial Intelligence

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Area of Science:

  • Oncology
  • Genomics
  • Diagnostic Medicine

Background:

  • Prostate cancer (PCa) diagnosis relies on PSA screening, which has low specificity and sensitivity.
  • Current methods lead to unnecessary invasive procedures and increased healthcare costs.

Purpose of the Study:

  • Evaluate the EpiSwitch PSE assay for avoiding unnecessary prostate cancer biopsies.
  • Assess the clinical and economic benefits of the EpiSwitch PSE assay.

Main Methods:

  • 187 patients evaluated for PCa underwent the EpiSwitch PSE assay.
  • Predictive modeling used PSE results and clinical variables for 134 patients.
  • Biopsy confirmation was available for 53 patients.

Main Results:

  • Predictive modeling indicated up to 79.1% biopsy avoidance.
  • The PSE assay showed strong concordance with biopsy results.
  • PSE results were the most influential predictor in multivariate analysis.

Conclusions:

  • The EpiSwitch PSE assay enhances decision-making and reduces unnecessary biopsies.
  • The assay demonstrates significant clinical utility and economic value.
  • Potential for broader adoption as a pre-biopsy triage tool for prostate cancer.