Multiparametric MRI usage data for your Trust

The request was successful.

Martin Abrams (Prostate Cancer UK)

I am writing to you under the Freedom of Information Act to request the following information from your Trust.

Within your Trust, we would be grateful for the following information at your earliest convenience:

1. Do you conduct multi-parametric MRI (mpMRI) scans (using T2-weighted, diffusion-weighted and dynamically enhanced sequences) before prostate biopsies?

If no, it would be helpful to know what the main reasons are:
If yes, it would be helpful if you can you provide an estimate of the percentage of men who receive an mpMRI scan before prostate biopsy:

2. How many scanners do you have available to use for mpMRI scans before prostate biopsy?

3. For each individual scanner used for mpMRI scans before prostate biopsy, please provide the following:
• Make
• Model
• Magnetic field strength
• Age
• When the scanner is due to be replaced

4. How many mpMRI scans before prostate biopsy do you estimate you carry out per year?
• 0
• Up to 50
• 50 -100
• 100 – 250
• 250 – 500
• 500 – 750
• 750 – 1000
• More than 1000

5.i. Do you intend to increase the number of mpMRI scans before prostate biopsy following the first results from the large clinical trial PROMIS?

The ASCO 2016 abstract has shown mpMRI as a triage test can identify one quarter of men (27%) who might safely avoid unnecessary biopsy, without impairing the detection of clinically significant cancer (http://abstract.asco.org/176/AbstView_17...).

5.ii If yes, do you currently have sufficient resources and capacity to cope with this increase?
The information you provide may be re-used publicly. We look forward to hearing from you soon.

Yours sincerely,

Dr Ali Cooper
Knowledge Manager
Prostate Cancer UK
4th Floor, Counting House
53 Tooley Street
London
SE1 2QN

0203 310 7000

Freedom of Information Requests,

Dear Mr Abrams,
 
York Teaching Hospital has received your request.
 
We have allocated the reference 134-16 and will contact you in due course.
The Freedom of Information Act allows a period of 20 working days for
response. The due date for our response to you is 6^th July.
Sincerely
 
 
Andy Thompson
Information Governance Team
York Teaching Hospital NHS Foundation Trust
Park House, Bridge Lane, York, YO31 8ZZ
Direct Line: (01904 72) 5306 / 6201
E-mail: [York Teaching Hospital NHS Foundation Trust request email]
 
 
 
 
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Martin Abrams (Prostate Cancer UK)

Dear Andy,

The response to this FOI request is now overdue. Please can you send a reply asap?

Many thanks,
Ali Cooper

Freedom of Information Requests,

Dear Ms Cooper,

Thank you for your email of 13th July.

I am sorry that it is taking longer than expected to get back to you.

Unfortunately, I am still awaiting one or two pieces of information, which I have chased up today.

Once I have this, I shall respond back to you without any further delay.

Kind regards,

Andy Thompson
Information Governance Team
York Teaching Hospital NHS Foundation Trust
Park House, Bridge Lane, York, YO31 8ZZ
Direct Line: (01904 72) 5118
E-mail: [York Teaching Hospital NHS Foundation Trust request email]

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Martin Abrams (Prostate Cancer UK)

Dear Andy,

Any update on this request please?

Thanks,
Ali

Freedom of Information Requests,

Dear Applicant

Please accept our apologies for the delay in responding to your request. Our York radiology department are working alongside clinical activity to finalise the response and we will contact you as soon as possible with the information you require.

Sincerely

Susan Hall
Information Governance Lead
York Teaching Hospital NHS Foundation Trust
1st Floor
Park House
Bridge Lane
York YO31 8ZZ
Direct Line: 01904 725306

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Freedom of Information Requests,

Dear Dr Cooper

Our Ref: FOI 134-2016

Further to your request dated 8th June and our subsequent correspondence, please find below York Teaching Hospital Trust's response. Please note we operate two MRI units, one at York and one at Scarborough Hospital. Taking each element of your query in turn:

1. Do you conduct multi-parametric MRI (mpMRI) scans (using T2-weighted, diffusion-weighted and dynamically enhanced sequences) before prostate biopsies?
York - Yes (Without Dynamic enhanced imaging) increasingly, on consultant request. Pathway in process of being agreed.
Scarborough - No. Limited scanner capability. We plan to introduce this when the scanner is replaced, planned within the next 12 months.

2. How many scanners do you have available to use for mpMRI scans before prostate biopsy?
Two

3. For each individual scanner used for mpMRI scans before prostate biopsy, please provide the following:
• Make Both Siemens
• Model Avanto and Area
• Magnetic field strength Both 1.5T
• Age Avanto 10 years, Area 4 years
• When the scanner is due to be replaced Avanto – currently looking to replace/upgrade, Area 5-7 years

4. How many mpMRI scans before prostate biopsy do you estimate you carry out per year?
• 250 – 500

5.i. Do you intend to increase the number of mpMRI scans before prostate biopsy following the first results from the large clinical trial PROMIS?
See response to Q1.

5.ii If yes, do you currently have sufficient resources and capacity to cope with this increase?
Will be subject to approval of business case and recruitment of appropriately qualified staff.

Once again, please accept our apologies for the delay in getting the information to you.

Sincerely

Susan Hall
Information Governance Lead
York Teaching Hospital NHS Foundation Trust
1st Floor
Park House
Bridge Lane
York YO31 8ZZ
Direct Line: 01904 725306

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Martin Abrams (Prostate Cancer UK)

Dear Susan,

Thank you for your response. Since you answered 'yes' to Q1, please provide a response to the sub-question too to provide the % of men who do have an mpMRI scan before prostate biopsy as a % of all men who have a prostate biopsy:
"If yes, it would be helpful if you can you provide an estimate of the percentage of men who receive an mpMRI scan before prostate biopsy"

Many thanks,
Ali Cooper

Freedom of Information Requests,

Dear Ali

Apologies, we read helpful rather than absolutely required. Estimate supplied by colleagues is 80% pre-biopsy.

Regards

Susan Hall

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