Assynt House, Beechwood Park,
INVERNESS IV2 3BW
Telephone 01463 717123
Fax 01463 235189
RD/am FOI Ref 6874
Direct Line 01463 717123
Dear Ms El is,
Freedom of Information Act Request Ref 6874
With reference to your request for information dated September 2nd 2019 regarding the
above, please find below your questions and our responses:-
Do you routinely conduct prostate MRI (bpMRI/mpMRI) scans before first
prostate biopsy as part of the initial diagnostic process? (please tick all that
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?
What are your eligibility criteria/exclusion criteria for prostate MRI? (please tick
all that apply):
Age (please provide details)
80 years or less.
Symptoms (please provide details)
Life expectancy (please provide details)
Contra-indications (please provide details)
Only MRI contraindications.
Head quarters: Assynt House, Beechwood Park, INVERNESS IV2 3BW
Interim Chair: Professor Boyd Robertson
Chief Executive: Iain Stewart
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)
Do you biopsy all PI-RADS or LIKERT 3 scores?
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)
Co-morbidities and likelihood of receiving chemotherapy.
What percentage of men do you estimate are ruled out of biopsy?
Have there been any changes to your prostate MRI capacity in the last year?
(please choose all that apply):
An additional or new MRI scanner
Increased MRI scanner slots for prostate YES.
Agreement to use Dynamic Contrast Enhancement
No longer using Dynamic Contrast Enhancement
A scanner/magnet upgrade
other (free text)
Has the number of radiologists at your trust/health board who report prostate
MRI scans changed in the last year?
How many radiologists at your trust/health board report at least 250 prostate
MRI scans per year?
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)
I hope this information is helpful. If you are unhappy with my response, I am very happy to
discuss this with you further. Alternatively you have the right to ask for an internal review by
making a formal request in writing to the Freedom of Information Officer, NHS Highland,
Assynt House, Beechwood Park, Inverness, IV2 3BW or via email at High-
firstname.lastname@example.org. Your request should explain why you wish a
review to be carried out and should be made within forty working days of receiving this
If you remain dissatisfied fol owing the investigation of your review, then you have the right
to appeal to the Scottish Information Commissioner within 6 months of the date of receiving
the review response. Contact details are as fol ows:
Scottish Information Commissioner
Telephone: 01334 464610
Fax: 01334 464611
Freedom of Information Administrator
On behalf of