AI Test Changes Prostate Cancer Decisions - Takeaways - MDSpire
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AI Test Changes Prostate Cancer Decisions

  • October 12, 2026

  • 4 min

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  • 1

    The prospective, multicenter ASTuTE implementation study included 786 men receiving radiotherapy for intermediate-risk prostate cancer.

  • 2

    After receiving the test results, 176 of 230 patients initially recommended short-term androgen deprivation therapy (ST-ADT) decided against it.

  • 3

    Testing supported newly recommending ST-ADT for 21 patients, while planned use across the cohort fell by a net 20.7%.

  • 4

    The test combines clinical factors with biopsy-slide information to estimate 10-year distant metastasis risk and predict benefit from adding 4 to 6 months of ST-ADT.

  • 5

    The interim findings show changes in treatment decisions, but longer-term outcomes are needed to determine effects on quality of life and disease control.

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