Description

Zhu et al reported a nomogram for diagnosing prostate cancer in Chinese males. This using the prostate health index (PHI) calculated from p2PSA. The authors are from multiple institutions in China, Hong Kong and the United States.


Patient selection: Chinese male

 

Parameters:

(1) age in years from 45 to 80

(2) volume of the prostate in mL, from 10 to 100

(3) prostate health index (PHI) based on p2PSA ([-2]proPSA), from 10 to 75

 

PHI =

= (p2PSA) / (free PSA) * SQRT(PSA)

 

points for age =

= (1.22857 * (years)) - 55.2857

 

points for prostate volume =

= (-0.14778 * (volume)) + 14.778

 

points for PHI =

= (1.53846 * (PHI)) - 15.3846

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

minimum score: 0

maximum score: 156.3

The higher the score the greater the risk of prostate cancer.

 

Score

Probability of Prostate Cancer

< 78.1

< 10%

78.1 to 138.8

X = (0.072268 * (score)) - 7.8338

probability = 1/(1+EXP((-1)*X))

> 138.8

> 90%

 

Performance:

The area under the ROC curve is 0.79.


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