Planning & Performance
Borders General Hospital
Freedom of Information request 410-19
Request & Response
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
If yes, to 1a: What percentage of men with suspected prostate cancer receive mpMRI before biopsy as
part of the initial diagnostic process? 100%
If yes, to 1b: What percentage of men with suspected prostate cancer receive bpMRI before biopsy as
part of the initial diagnostic process? Not applicable.
What are your eligibility criteria/exclusion criteria for prostate MRI? (please tick all that apply):
a. Age (please provide details)
Any man with 2x raised PSAs is eligible. Over 75 patients are assessed to correlate with other
c. Life expectancy (please provide details)
Arbitrarily 10 years but if significant medical co-morbidity then this would be assessed on a
case by case basis.
d. Contra-indications (please provide details)
Standard contraindications to MRI
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?
6. Do you biopsy all PI-RADS or LIKERT 3 scores?
7. What threshold do you mostly use for ruling men out of biopsy?
f. Varies depending on other factors (Please provide detail) - At present all MRIs are reviewed in MDM and a decision is made regarding biopsy. There is a
mixture of Pirads and Likert reporting
8. What percentage of men do you estimate are ruled out of biopsy?
At least 30%
9. Have there been any changes to your prostate MRI capacity in the last year?
(please choose all that apply):
10. Has the number of radiologists at your trust/health board who report prostate MRI scans changed in the
c. Stayed the same
11. How many radiologists at your trust/health board report at least 250 prostate MRI scans per year?
None, but all MRIs are currently independently reviewed in a tertiary centre
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)
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Borders to review its actions and the decision. If you would like to request a review please apply in writing to,
Freedom of Information Review, NHS Borders, Room 2EC3, Education Centre, Borders General Hospital,
Melrose, TD6 9BS or email@example.com.
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information to which the request relates and the issue which you wish to be reviewed. Please state the
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