Urology department MRI use for Prostate Cancer Diagnosis

Roedd y cais yn llwyddiannus.

Dear University Hospitals Coventry and Warwickshire NHS Trust,
Prostate Cancer UK undertook a Freedom of Information Act (FOI) request of all Trusts, Health Boards and Health and Social Care Trusts in 2016, and again in 2018, with the aim of achieving a state of the nation overview of the use of mpMRI before biopsy.

We gained an in-depth understanding of the current status of mpMRI before prostate biopsy across the UK. We have used the data to make the case to National Commissioners for implementation support. It has also guided our funding and development of resources that respond to some of the challenges and barriers to implementation that centres told us they faced.

This third and final round of questions is our means of understanding what progress has been made and to identify where we can target our resources and National Commissioners’ support to have maximum impact.

We really appreciate your help with this. Please pass the below on to your urology department for them to complete. If this is not possible we would really appreciate your help to provide as much information as you can.

Yours faithfully,

Lizzie Ellis

1. Do you routinely conduct prostate MRI (bpMRI/mpMRI) scans before first prostate biopsy as part of the initial diagnostic process? (please tick all that apply):

a. Yes, using T2-weighted, diffusion-weighted (multi-b ADC and high/long b) and dynamic contrast enhanced (DCE) sequences
b. Yes, using T2-weighted, diffusion-weighted (multi-b ADC and high/long b) sequences but not DCE
c. No but we refer to another provider (please provide details)
d. No (please provide details)

2. If yes, to 1a: What percentage of men with suspected prostate cancer receive mpMRI before biopsy as part of the initial diagnostic process?

3. If yes, to 1b: What percentage of men with suspected prostate cancer receive bpMRI before biopsy as part of the initial diagnostic process?

4. What are your eligibility criteria/exclusion criteria for prostate MRI? (please tick all that apply):
a. Age (please provide details)
b. Symptoms (please provide details)
c. Life expectancy (please provide details)
d. Contra-indications (please provide details)
e. Other (please provide details)

5. Are you using results from the prostate MRI before biopsy to rule some men out of biopsy as part of the initial diagnostic process? (yes/no)

6. Do you biopsy all PI-RADS or LIKERT 3 scores?
a. Yes
b. No
c. Dependent on patient histology

7. What threshold do you mostly use for ruling men out of biopsy?
a. PI-RADs 3 and above
b. LIKERT 3 and above
c. PI-RADs 4 and above
d. LIKERT 4 and above
e. Varies depending on age (Please provide detail)
f. Varies depending on other factors (Please provide detail)

8. What percentage of men do you estimate are ruled out of biopsy?

9. Have there been any changes to your prostate MRI capacity in the last year? (please choose all that apply):
a. An additional or new MRI scanner
b. Increased MRI scanner slots for prostate
c. Agreement to use Dynamic Contrast Enhancement
d. No longer using Dynamic Contrast Enhancement
e. A scanner/magnet upgrade
f. other (free text)

10. Has the number of radiologists at your trust/health board who report prostate MRI scans changed in the last year?
a. Increased
b. Decreased
c. Stayed the same

11. How many radiologists at your trust/health board report at least 250 prostate MRI scans per year?

12. Which of the following processes do you follow to manage men ruled out of an immediate biopsy, but with a raised PSA?
a. NICE Guidelines: prostate cancer diagnosis and management (NG131)
b. A local protocol (please provide details)
c. Other (please provide details)

Freedom Of Information (RKB), University Hospitals Coventry and Warwickshire NHS Trust

Good afternoon,

We acknowledge receipt of your Freedom of Information request received 21st August 2019 and can confirm that we are currently considering your request and we will respond within 20 working days.

Kind regards

Angela Selvam
FOI and Access to Health Records Officer
University Hospitals Coventry & Warwickshire NHS Trust
CSB Room 20018
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Internal 28761
Direct Line 024 76968761

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Address: UHCW NHS Trust, Executive suite, 3rd Floor Rotunda, University Hospital, Clifford Bridge Road, Coventry, CV2 2DX

dangos adrannau a ddyfynnir

Freedom Of Information (RKB), University Hospitals Coventry and Warwickshire NHS Trust

2 Atodiad

Good morning,

 

Please find our response to your Freedom of Information request attached.

 

Kind regards

 

 

Phyllidia Kelly

FOI and Access to Health Records Officer

University Hospitals Coventry & Warwickshire NHS Trust

CSB Room 20018

Clifford Bridge Road

Walsgrave

Coventry

CV2 2DX

 

DISCLAIMER: This email and any attachments are confidential and may be
privileged or otherwise protected from disclosure.

If you are not the intended recipient you must not copy this message or
any attachment or disclose the contents to any other

person, nor take any action in reliance of its contents: to do so is
strictly prohibited and may be unlawful. If you have received

this message in error please accept our apologies and contact us at the
address below or by email at [1][email address]

Any files attached to this email will have been checked by us with virus
detection software before transmission. You should

carry out your own virus checks before opening any attachment. UHCW
(University Hospitals Coventry and Warwickshire NHS Trust)

accepts no liability for any loss or damage which may be caused by
software viruses.

Any views or opinions expressed are those of the author and do not
represent the views of the Trust unless explicitly stated.

The information contained in this email may be subject to public
disclosure under the Freedom of Information Act 2000. Unless

the information is legally exempt from disclosure, the confidentiality of
this email and your reply cannot be guaranteed.

Address: UHCW NHS Trust, Executive suite, 3rd Floor Rotunda, University
Hospital, Clifford Bridge Road, Coventry, CV2 2DX

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