Multiparametric methods for early detection of prostate cancer

We investigate predictive (epi)genetic modifications in circulating cell-free DNA from prostate cancer patients as a non-invasive method of distinguishing aggressive tumors from indolent prostate cancer and healthy patients.

The multimodal analysis of plasma and urine for non-invasive diagnostics holds great potential for advancing early detection and risk stratification in prostate cancer. Circulating tumor DNA mirrors the heterogeneous molecular status of the primary tumor and its metastasis. Our research group has developed a comprehensive pipeline to evaluate methylation patterns, fragmentation profiles, and copy number alterations in liquid biopsy samples from newly diagnosed prostate cancer patients and cancer-free controls. Multimodal analysis has shown promising results in early cancer detection, as it harnesses synergy between various data types. Our aim is to enable precise molecular characterization and an accurate assessment of tumor aggressiveness at initial diagnosis, supporting optimal, risk-adapted therapeutic decisions for prostate cancer. 

Cooperation:

Division of “Cancer Genome Research”, DKFZ 

HI-STEM Junior Research Group „Pattern Recognition and Digital Medicine“, DKFZ

Early Cancer Institute, Department of Oncology, University of Cambridge

We combine clinical data, routine blood parameters, and metabolomics to develop non-invasive strategies for the early detection of aggressive prostate cancer.

We prospectively assess whether integrating clinical data with routine blood parameters can improve early, non-invasive prediction of aggressive prostate cancer. Our research identified widely available serum markers that, when combined with traditional PSA testing and clinical factors, significantly increase diagnostic accuracy. The resulting multi-stage risk model outperforms PSA-only methods, offering a cost-effective, non-invasive, and personalized approach for early detection. Using widely available and affordable parameters, our model identified patients at high risk for prostate cancer who require further diagnostic intervention.

In parallel, we are exploring metabolomics as a promising strategy for early detection of aggressive prostate cancer. By comparing metabolomic profiles in blood and urine samples, we aim to identify relevant variations in metabolite concentrations among patients with aggressive prostate cancer, indolent disease, and healthy individuals.

By extracting quantitative features from MRI data, integrating clinical and molecular data and applying machine learning technologies, we uncover correlations between imaging findings and underlying tumor biology. 

Given the limited sensitivity and specificity of current early detection methods for prostate cancer, integrating multiple data sources is crucial for achieving more accurate diagnostics. Our projects focus on combining clinical data and advanced imaging techniques to optimize decision-making in prostate cancer care. This includes the integration of clinical and imaging data for personalized early detection and patient follow-up strategies, as well as improving MRI-ultrasound fusion during prostate biopsies for precision diagnostics.

To further refine non-invasive screening, our research aims to improve risk assessment and reduce unnecessary prostate biopsies by applying deep learning to imaging data and integrating these findings with clinical and molecular data. By merging insights from clinical and imaging findings with molecular data from liquid biopsies, we aim to establish more precise, non-invasive diagnostic strategies. Radiomic features extracted from MRI scans serve as inputs for machine-learning algorithms and are correlated with fragmentation profiles and markers of genomic instability obtained from liquid biopsy samples. This comprehensive integration of clinical data, radiomic features, and molecular markers not only enhances non-invasive assessment of prostate cancer but also provides deeper insights into genotype-phenotype correlations, advancing the field of precision diagnostics.

Cooperation:

Division of “Radiology”, DKFZ