The Herald

Scots team set to revamp prostate cancer tests

- By John-paul Holden

SCREENING for prostate cancer is set to be transforme­d thanks to a Scottish university spin-out that has developed a device designed to boost the accuracy of early-stage tests.

Diagnosis of the illness has typically relied on a doctor conducting a physical examinatio­n and prostate-specific antigen(psa) testing, which often produces false positives.

Individual­s with a positive result are referred for MRI scans followed by biopsies if there is still a concern. These can be painful and lead to side effects including infection, bleeding and, occasional­ly, erectile dysfunctio­n.

Scientists at Intellipal­p Dx, based at Heriot-watt University in Edinburgh, believe their new technology will identify cases that are significan­t and determine severity quickly, only sending those who are likely to have cancer for a scan and biopsy.

Fitted to the end of the index finger under a doctor’s glove, the device, called Prostapalp, oscillates against the surface of the prostate to measure its firmness, which has been identified as an indicator of cancerous cells.

A computer code then takes the measuremen­ts and compares them with each other to produce a probabilit­y map of cancer distributi­on.

The accuracy of the system will also increase over time as it gathers and incorporat­es patient data from more people who undergo testing.

It is hoped the technology – already used on hundreds of individual­s as part of a study funded by The Urology Foundation/john Black Charitable Trust – will provide more certainty and deliver quicker results.

Bob Reuben, co-founder of Intellipal­p Dx and professor of materials engineerin­g at Heriot-watt University, said: “Essentiall­y, we are aiming to emulate the human sense of touch through a mechanical device to bring greater precision, repeatabil­ity and objectivit­y to an area of primary healthcare that is heavily reliant on qualitativ­e assessment. The same principles could be applied to other forms of human tissue assessment.”

Professor Alan Mcneill, co-founder and chief medical officer at Intellipal­p Dx, added: “Rather than relying on

The same principles could be applied to other forms of human tissue assessment

subjective assessment by the human finger, it will bring a level of reproducib­le objectivit­y to what was previously a qualitativ­e measure and help the health service focus investigat­ion and treatment on those who need it most.”

Intellipal­p Dx is now working with CENSIS, Scotland’s centre of excellence for sensor/imaging systems and the Internet of Things, to accelerate the process of bringing the test to market. Michael Fletcher, business developmen­t director at CENSIS, said: “The Prostapalp device is a great example of the ground-breaking medical research currently underway in Scotland, and the growing and evolving role that sensors are playing in the healthcare sector.”

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