Summary

The research program led by AdMeTech represents a unique, integrated multi-institutional, multi-disciplinary effort which expedites advancement, clinical evaluation and implementation of advanced imaging tools to improve screening, early diagnosis and treatment of prostate cancer.

Our Research Program is focused on the development, standardization clinical evaluation and large-scale implementation of imaging tools. Similarly to their impact on breast cancer management, advanced imaging tools will end the era of blind patient care and create the future of precisely-targeted, minimally-invasive biopsies and treatment, which can be performed in outpatient clinics, with minimal complications, discomfort and costs.

On December 1st, 2014, AdMeTech Foundation, jointly with the American College of Radiology and European Society of Urogenital Radiology, issued global standards for high quality service and reporting in prostate MRI, or PI-RADS Version 2 (v2).

In September 2016, AdMeTech completed phase II clinical trial of prostate MRI and PI-RADS v2 and presented its groundbreaking results at the First Global Summit on Precision Diagnosis for Prostate Cancer

In 2017-2021, AdMeTech Foundation supported research at the Brigham and Women’s Hospital, Harvard Medical School. This program demonstrated that multi-parametric mpMRI – using a “re-classification” approach based upon PI-RADS v2.1 and subsequent biopsy including both target and systematic sampling – improves identification of men with clinically significant prostate cancer who may no longer be suitable candidates for active surveillance. Among the 101 men – who were candidates for active surveillance based on standard clinical information and recruited into the study – a total of 85 (84%) underwent MRI. Of men who underwent mpMRI, a total of 30 (or 35%) were reclassified and underwent a definitive treatment.

In 2020-2021, AdMeTech Foundation supported research on radiogenomics at the University of Miami. This preliminary study found that using a MRI and Decipher genomic test together had better prediction of adverse cancer features and patient selection for appropriate treatment compared to a single diagnostic test. This study was done in 78 men, including 46 men enrolled in the active surveillance trial and 32 enrolled in the radiotherapy trial. Among these men, 49% had a Grade Group 2 or higher on biopsy, and 67% had a PIRADS 3 on mpMRI. Patients undergoing radiotherapy had higher grade cancer on biopsy, higher PIRADS score on MRI, and higher risk levels on Decipher genomic testing. Using MRI and Decipher together improved prediction of aggressive prostate cancer and treatment assignment compared to using either test alone (AUC 0.86 for Decipher and MRI versus 0.81 for Decipher alone and 0.77 for MRI alone).

In March 2022, we launched Prostate Cancer Equity Program in Massachusetts with two main goals:

1) To expedite access of men to leading experts, with advanced resources in screening, diagnosis and treatment; and
2) To support men every step of their medical journey (from initial appointment to clinical follow up.)

In December 2022, we launched International Working Group in Image-Guided, Focal Treatment of Prostate Cancer to expedite clinical validation and implementation of this technology.

Lead Investigator

Faina Shtern, MD
President, AdMeTech Foundation

Under Dr. Shtern’s stewardship, AdMeTech Foundation has led pioneering research and stimulated fundamental breakthroughs in prostate cancer imaging and minimally-invasive treatment, including:

  • High precision 3 Tesla (3T) multi-parametric MRI (since 1998);
  • Dedicated robotics for diagnosis and treatment (since 1998);
  • Optical visualization and spectroscopy (since 2001); and
  • Molecular imaging of prostate cancer (since 2001).

Since 1998, AdMeTech’s research has been extensively supported by federal, state and private grants, received numerous awards, and produced multiple publications in some of the most prestigious academic journals (see Landmark Accomplishments and Sources of Funding below).

Our Approach

Brain Trust as a Catalyst of Groundbreaking Innovation and its Transfer to Patients. AdMeTech’s Scientific Advisory Board, or “Brain Trust”, integrates the expertise and resources of the leading medical institutions into a comprehensive international research program, which facilitates the advancement of prostate cancer screening, diagnosis and treatment. By stimulating multi-disciplinary cross-fertilization and novel ideas, the Brain Trust makes it possible to support the early stages of high-impact research projects, when investment is at its lowest and impact is at its highest, and before other funding entities are prepared to take a risk. The research accomplishments detailed below highlight the critical importance of AdMeTech’s Brain Trust to a cost-effective approach to research support.

Goals

Our research program addresses the fundamental challenges in prostate cancer care by facilitating creation, testing and implementation of advanced prostate imaging technologies for individualized patient care, including:

  • Improved early detection of aggressive prostate cancer, which is critical for saving lives;
  • Elimination of unnecessary procedures for benign and indolent disease;
  • Improved guidance and monitoring of clinical care, including early assessment of cancer response to treatment; and
  • Transition from radical surgery to precisely guided, minimally invasive focal treatment (“male lumpectomy”), which ensures effective cancer control and can be performed in outpatient clinics with drastically reduced complications, discomfort and costs.

Landmark Accomplishments

  • AdMeTech pioneered research support for every stage of high-precision, prostate dedicated 3 Tesla (3T) multi-parametric (mp) MRI, from concept development and early stages of testing at the University of Pennsylvania in 1998 to clinical validation at Harvard Medical School, University of California at San Francisco and Los Angeles, Memorial Sloan Kettering Cancer Center and many other leading academic institutions (see Research Phase I – IV).
  • By 2005, based on the emergence of prostate mpMRI as one of the most promising diagnostic tools for prostate cancer, we established the International Prostate MRI Working Group, which integrated expertise and resources of the top scientific laboratories in order to expedite the advancement of research, testing and clinical implementation, including:
      1. Creation of standards in image creation, analysis and interpretation (PI-RADS) endorsed by the American College of Radiology and the European Society of Urogenital Radiology since 2011; and
      2. Designing a definitive multi-center clinical trial, assembling its research team and creating a formal partnership with the American College of Radiology Imaging Network (ACRIN), the NIH-funded clinical trial infrastructure.
      3. Leading retrospective, statistically powered phase II clinical trial and assembling a research team, including Harvard Medical School’s Brigham and Women’s, Massachusetts General and Boston Children’s Hospitals, as well as ACRIN’s Statistical Center at Brown University.
  •  AdMeTech established the field of molecular imaging of prostate cancer since 2001 and supported pioneering studies in PET and optical imaging at Johns Hopkins, Harvard Medical School, Boston University and other leading academic institutions (see Phase II –III).
  • AdMeTech has pioneered support and development of robotics for prostate cancer biopsy and treatment at Johns Hopkins University since 1998 (see Phase I).

Major Sources of Funding

  • Walter Robb Family Foundation
  • Henry M. Jackson Foundation / Department of Defense
  • Department of Defense Award # DAMD 17-03-2-0055 (2003 -2011)
  • Department of Defense Award # W81XMH-09-1-0552 (2009 – 2013)
  • Department of Defense Award # W81XWH-11-1-0077 (2010 – 2015)
  • Massachusetts Department of Public Health (2013 – Now)

Acknowledgments

We thank the executive leadership of the global pharmaceutical and imaging industry and the Prostate Cancer Foundation for their participation in and support of the semi-annual meetings of our Brain Trust in Molecular Imaging and International Prostate MRI Working Group:

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