Diagnostic Markers of Genitourinary Tumors

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Pathology and Molecular Diagnostics".

Deadline for manuscript submissions: 31 July 2025 | Viewed by 742

Special Issue Editors


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Guest Editor
Section of Pathological Anatomy, Department of Biomedical Sciences and Public Health, United Hospitals, Università Politecnica delle Marche, 60126 Ancona, Italy
Interests: uropathology; nephropathology; surgical pathology
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Special Issue Information

Dear Colleagues,

This Special Issue, entitled "Diagnostic Markers of Genitourinary Tumors," aims to explore the latest advancements in the field of diagnostic markers for genitourinary (GU) tumors and their application in routine practice. Genitourinary cancers, including those affecting the bladder, kidneys, prostate, and testes, present significant challenges in both diagnosis and treatment. This SI will focus on novel biomarkers, imaging techniques, molecular assays, and other diagnostic tools that allow early detection, refine prognostication, and tailor personalized treatment strategies for GU tumors, with a particular interest in immunohistochemistry, electron microscopy, in situ hybridization, DNA- and RNA-based techniques, and proteomics. By highlighting cutting-edge research and clinical applications, this Special Issue aims to advance the field of GU oncology, ultimately enhancing patient care and outcomes. In this setting, we look forward to receiving high-quality original articles, reviews, and case reports/case series. Papers dealing with the application of digital imaging systems and artificial intelligence to the field of diagnostics are particularly welcome.

Dr. Francesca Sanguedolce
Dr. Roberta Mazzucchelli
Guest Editors

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Keywords

  • genitourinary tumors
  • diagnostic markers
  • biomarkers
  • molecular diagnostics
  • personalized medicine

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Published Papers (1 paper)

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Research

12 pages, 600 KiB  
Article
Expanded Performance Comparison of the Oncuria 10-Plex Bladder Cancer Urine Assay Using Three Different Luminex xMAP Instruments
by Sunao Tanaka, Takuto Shimizu, Ian Pagano, Wayne Hogrefe, Sherry Dunbar, Charles J. Rosser and Hideki Furuya
Diagnostics 2025, 15(14), 1749; https://doi.org/10.3390/diagnostics15141749 - 10 Jul 2025
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Abstract
Background/Objectives: The clinically validated multiplex Oncuria bladder cancer (BC) assay quickly and noninvasively identifies disease risk and tracks treatment success by simultaneously profiling 10 protein biomarkers in voided urine samples. Oncuria uses paramagnetic bead-based fluorescence multiplex technology (xMAP®; Luminex, Austin, [...] Read more.
Background/Objectives: The clinically validated multiplex Oncuria bladder cancer (BC) assay quickly and noninvasively identifies disease risk and tracks treatment success by simultaneously profiling 10 protein biomarkers in voided urine samples. Oncuria uses paramagnetic bead-based fluorescence multiplex technology (xMAP®; Luminex, Austin, TX, USA) to simultaneously measure 10 protein analytes in urine [angiogenin, apolipoprotein E, carbonic anhydrase IX (CA9), interleukin-8, matrix metalloproteinase-9 and -10, alpha-1 anti-trypsin, plasminogen activator inhibitor-1, syndecan-1, and vascular endothelial growth factor]. Methods: In a pilot study (N = 36 subjects; 18 with BC), Oncuria performed essentially identically across three different common analyzers (the laser/flow-based FlexMap 3D and 200 systems, and the LED/image-based MagPix system; Luminex). The current study compared Oncuria performance across instrumentation platforms using a larger study population (N = 181 subjects; 51 with BC). Results: All three analyzers assessed all 10 analytes in identical samples with excellent concordance. The percent coefficient of variation (%CV) in protein concentrations across systems was ≤2.3% for 9/10 analytes, with only CA9 having %CVs > 2.3%. In pairwise correlation plot comparisons between instruments for all 10 biomarkers, R2 values were 0.999 for 15/30 comparisons and R2 ≥ 0.995 for 27/30 comparisons; CA9 showed the greatest variability (R2 = 0.948–0.970). Standard curve slopes were statistically indistinguishable for all 10 biomarkers across analyzers. Conclusions: The Oncuria BC assay generates comprehensive urinary protein signatures useful for assisting BC diagnosis, predicting treatment response, and tracking disease progression and recurrence. The equivalent performance of the multiplex BC assay using three popular analyzers rationalizes test adoption by CLIA (Clinical Laboratory Improvement Amendments) clinical and research laboratories. Full article
(This article belongs to the Special Issue Diagnostic Markers of Genitourinary Tumors)
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