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used for clinically significant cancer needs to be empha-

sized. Our analyses using

[3_TD$DIFF]

meta-regression and subgroup

analyses may explain some of the heterogeneity, but a

portion remains unexplained. Another important limitation

is the small number of included studies for head-to-head

comparison between PI-RADSv1 and PI-RADSv2. However,

we were able to elucidate statistically significant difference

in the sensitivity between the two versions using only six

studies, which have been published until now.

4.

Conclusions

PI-RADSv2 shows good performance for the detection of PCa

with pooled sensitivity of 0.89 and specificity of 0.73. PI-

RADSv2 has higher pooled sensitivity compared with PI-

RADSv1 without significantly different specificity.

Author contributions:

Sang Youn Kim had full access to all the data in the

study and takes responsibility for the integrity of the data and the

accuracy of the data analysis.

Study concept and design:

Woo, Suh, S.Y. Kim.

Acquisition of data:

Woo, Suh, S.Y. Kim.

Analysis and interpretation of data:

Woo, Suh, S.Y. Kim.

Drafting of the manuscript:

Woo.

Critical revision of the manuscript for important intellectual content:

Suh,

S.Y. Kim, Cho, S.H. Kim.

Statistical analysis:

Suh.

Obtaining funding:

None.

Administrative, technical, or material support:

None.

Supervision:

S.Y. Kim, Cho, S.H. Kim.

Other:

None.

Financial disclosures:

Sang Youn Kim certifies that all conflicts of

interest, including specific financial interests and relationships and

affiliations relevant to the subject matter or materials discussed in the

manuscript (eg, employment/affiliation, grants or funding, consultan-

cies, honoraria, stock ownership or options, expert testimony, royalties,

or patents filed, received, or pending), are the following: None.

Funding/Support and role of the sponsor:

None.

Appendix A. Supplementary data

Supplementary data associated with this article can be

found, in the online version, at

http://dx.doi.org/10.1016/j. eururo.2017.01.042

.

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