Urology department MRI use for Prostate Cancer Diagnosis

Response to this request is long overdue. By law, under all circumstances, Buckinghamshire Healthcare NHS Trust should have responded by now (details). You can complain by requesting an internal review.

Dear Buckinghamshire Healthcare 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)

Buckinghamshire Healthcare NHS Trust

2 Attachments

  • Attachment

    attachment.delivery status

    1K Download

  • Attachment

    Freedom of Information request Urology department MRI use for Prostate Cancer Diagnosis.txt

    4K Download View as HTML

Delivery has failed to these recipients or groups:

[1]FOI requests at Buckinghamshire Healthcare NHS Trust
([Buckinghamshire Healthcare NHS Trust request email])
The recipient's mailbox is full and can't accept messages now. Please try
resending this message later, or contact the recipient directly.

The following organization rejected your message: NH-SLPEX111.AD1.NHS.NET.

Diagnostic information for administrators:

Generating server: NH-HEPEX119.AD1.NHS.NET

[Buckinghamshire Healthcare NHS Trust request email]
NH-SLPEX111.AD1.NHS.NET
Remote Server returned '554 5.2.2 mailbox full;
STOREDRV.Deliver.Exception:QuotaExceededException.MapiExceptionShutoffQuotaExceeded;
Failed to process message due to a permanent exception with message Cannot
open mailbox /o=MAIL/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Configuration/cn=Servers/cn=NH-SLPEX111/cn=Microsoft
System Attendant. 16.55847:7E000000,
17.43559:0000000058010000000000000000000000000000,
20.52176:000FC1850500000000000000, 20.50032:000FC1857517103100000000,
255.23226:000FC185, 255.27962:FE000000, 255.17082:DD040000,
0.26937:00000000, 4.21921:DD040000, 255.27962:FA000000, 255.1494:00000000,
0.50608:1F000000,
5.29818:0000000035316138333866372D383738662D343537642D396637622D63653739343439646137386600000000,
1.29920:03000000, 7.29828:BB210C000100000050455831,
7.29832:00000000010000001A010480, 4.45884:DD040000, 4.29880:DD040000,
1.36108:03000000, 4.29888:DD040000, 1.56872:FE000000, 4.42712:DD040000,
5.10786:0000000031352E30302E313437332E3030353A4E482D534C504558313131002005000780,
255.1750:000FC185, 0.26849:0A000000, 255.21817:DD040000, 0.26297:0A000000,
4.16585:DD040000, 0.32441:0A000000, 4.1706:DD040000, 0.24761:AE000000,
4.20665:DD040000, 0.25785:00000000, 4.29881:DD040000 [Stage:
CreateSession]'

Original message headers:

Received: from NH-HEPEX041.AD1.NHS.NET (192.168.234.33) by
NH-HEPEX119.AD1.NHS.NET (192.168.234.68) with Microsoft SMTP Server (TLS) id
15.0.1473.3; Fri, 16 Aug 2019 13:25:57 +0100
Received: from smtp2.e.amses.net (192.168.235.249) by NH-HEPEX041.AD1.NHS.NET
(192.168.234.33) with Microsoft SMTP Server (TLS) id 15.0.1473.3 via Frontend
Transport; Fri, 16 Aug 2019 13:25:56 +0100
Received: from smtp2.e.amses.net (OP-HEPIMS03.ops.amses.net [127.0.0.1])
by IMSVA (Postfix) with ESMTP id E46096DEFD8
for <[Buckinghamshire Healthcare NHS Trust request email]>; Fri, 16 Aug 2019 13:25:56 +0100 (BST)
Received: from smtp2.e.amses.net (OP-HEPIMS03.ops.amses.net [127.0.0.1])
by IMSVA (Postfix) with ESMTP id C915C6DF032
for <[Buckinghamshire Healthcare NHS Trust request email]>; Fri, 16 Aug 2019 13:25:56 +0100 (BST)
Received: from Prefilter-postMTA12.emailsecurity.trendmicro.eu (prefilter-postmta12.emailsecurity.trendmicro.eu [150.70.236.148])
by smtp2.e.amses.net (Postfix) with ESMTPS
for <[Buckinghamshire Healthcare NHS Trust request email]>; Fri, 16 Aug 2019 13:25:56 +0100 (BST)
Received: from hes.trendmicro.com (unknown [10.36.141.134])
by Prefilter-postMTA12.emailsecurity.trendmicro.eu (Postfix) with SMTP id 263904C19F7
for <[Buckinghamshire Healthcare NHS Trust request email]>; Fri, 16 Aug 2019 12:25:29 +0000 (UTC)
Received: from mailer102.ukcod.org.uk (unknown [46.43.39.102])
by prefilter-premta6.muc1 (Postfix) with ESMTPS id E7777C40034
for <[Buckinghamshire Healthcare NHS Trust request email]>; Fri, 16 Aug 2019 12:25:26 +0000 (UTC)
DKIM-Signature: v=1; a=rsa-sha256; q=dns/txt; c=relaxed/relaxed;
d=whatdotheyknow.com; s=2014a.mysociety; h=Content-Transfer-Encoding:
Content-Type:Mime-Version:Subject:Message-ID:To:From:Date:Sender:Reply-To:Cc:
Content-ID:Content-Description:Resent-Date:Resent-From:Resent-Sender:
Resent-To:Resent-Cc:Resent-Message-ID:In-Reply-To:References:List-Id:
List-Help:List-Unsubscribe:List-Subscribe:List-Post:List-Owner:List-Archive;
bh=yuWYo6zkOZPiGaKdA7rLu0fODeIejxXCoEq+03Qp9k8=; b=jxlNon4Z94X4NpUJl1v/gamTW
6VJ8DlLInh8uRLkjlL1eNaNorbZO4FXgqu6HJhSaDG5TX74vSnbBdvIJRCAOkb4pzz5h+tbonINA1
CiArQTZjaGXXYo19dra7of+8Dh0M5v4gkIQnh16Z7ONNZSKe61PoXkVRe29JEQ8wSfDJ+CML8EeEK
ZDEqfyG52yzhDO2v8a6B0RcFiZ8WqVF7da4ToOwgvc6ZbcLHmo48nNNjYqG9NQoDqXPOOLhQqw7YN
qEgoo74lWAvDcDug1bLMzaBm1Eeu0KQB+xMTZWDFgy+VAREFwIaqD8mZP7VcqPC4B8gwVCzOZdDZ4
Arv8cfv1w==;
Received: from owl.ukcod.org.uk ([46.43.39.108]:44363)
by starling.ukcod.org.uk with esmtps (TLS1.2:ECDHE_RSA_AES_256_GCM_SHA384:256)
(Exim 4.89)
(envelope-from <[FOI #597645 email]>)
id 1hybIM-0005JX-Lh
for [Buckinghamshire Healthcare NHS Trust request email]; Fri, 16 Aug 2019 13:25:26 +0100
Received: from foi by owl.ukcod.org.uk with local (Exim 4.89)
(envelope-from <[FOI #597645 email]>)
id 1hybIM-0005id-Iu
for [Buckinghamshire Healthcare NHS Trust request email]; Fri, 16 Aug 2019 13:25:26 +0100
Date: Fri, 16 Aug 2019 13:25:26 +0100
From: Lizzie Ellis <[FOI #597645 email]>
To: FOI requests at Buckinghamshire Healthcare NHS Trust <[Buckinghamshire Healthcare NHS Trust request email]>
Message-ID: <[email address]>
Subject: Freedom of Information request - Urology department MRI use for
Prostate Cancer Diagnosis
MIME-Version: 1.0
Content-Type: text/plain; charset="UTF-8"
Content-Transfer-Encoding: quoted-printable
X-TMASE-Version: SMEX-12.5.0.1300-8.5.1010-24850.007
X-TMASE-Result: 10--3.571500-8.000000
X-TMASE-MatchedRID: c603B7+oLjakqlZb+73k3P48iDghCUMxJsCZz2Rlzn6y25qfhJxiCrxI
BSGp4Xj/f1fjuydrACJVB91udJ3b9sfaCfXJ/KL689gLoVD5VlX8t4KjQ1om5uplGC/QjwPrG5D
9M68B8K0QwZMc91dBi+6J8b01LpFgp0SPFudH7AX0VCHd+VQiHs/hZQWQn5HSC0rSO/jrpnm+WN
wn66/c7+FFaztIf1j8+sJoU84c32j2/nKuzf8U6ksh+mzT1UnbOhJ9m53n4aBtw+n+iKWyyIgFa
/+kNx3rNUV0zQEWa7iTxkYyxCSMeJvp2jLNdmv5U+OjsPhIWDgOZNXmvnJaei1k7HYSjy/sfEo0
ZDL1qWRKOB3xwGa2RRtrm29gUT3v0Tp8lRPDU9qo9+d3mTgx1DuDayXS0LqB78cdc4NcYAqVjF4
ez76JI5V4SGnTwEdqsWZmiVAkKq/Qo7KbqXZf+jfEJhkPJ1IaWw/S0HB7eoOVAd7jrEoYzG5CwO
kAovNryW5w06TV6/iUu01BT6WhZD8hXNK+3FBhyf21YeIsPYaU1za3Jug9wi6tRzC7Nk0TY/F83
al4Z17Ni7CFZJSBpgf4dF8s2p0Q0IQCeFveD65oMLOoNHsM9gebMc7dN8D4IgeIjMtrzGrvdOMO
+KVBCa4EpK+0MtIzNKikSMeeZon1lGRVqRJJbTKVTrGMDe/DgkMXwPojuxd1rRz8MGD6BMcY9/d
SZVY/X+NozexQis5SmAVjZvgCyPm4uQhw6EqGwrUhv0kAAvHTn6rZOanQr9Zd/DOmlnxIZPCnY9
KbWO7869dvUDTqiHilJ7C4hKGDNM6Fq+AUK+cE9qhQMYelf5ZhX4Uuxug0v1l2Uvx6idq3yA2Kf
6IIx8RB0bsfrpPI0PU0TdJoUtdOWsrx1Kiqobkom3TxDPD2JA8EXgk+Y1PcYtCOJ+K4Hg79qVoT
XFYCSKTUc1t2Z1alW8VkVetfqdQRS7zLNFik7Qwwd4ulNYJhSCr9s3VdAb6+pot4gj3taJ37esG
x/d8iuhprwSwv6QJuUcKLDRp+
X-TM-AS-URLRatingInfo: 81-34-=?us-ascii?B?aHR0cHM6Ly93d3cud2hhdGRvdGhleWtub3
cuY29tL2NoYW5nZV9yZXF1ZXN0L25ldz9ib2R5PWJ1Y2tpbmdoYW1zaGlyZV9oZWFsdGhjYXJlX
25oc190cnVzdA==?=
X-TM-AS-URLRatingAct: 65-
X-TM-AS-GCONF: 00
X-TM-AS-Product-Ver: SMEX-12.5.0.1300-8.5.1010-24850.007
X-TM-AS-Result: No-3.571500-8.000000-10
X-imss-scan-details: No--3.572-5.0-31-10;No--3.572-5.0-31-10;No--3.572-3.0-31-10
X-TMASE-SNAP-Result: 1.821001.0001-0-2-1:0,12:0,22:0,33:0,34:0-0
Return-Path: [FOI #597645 email]
X-TM-AS-User-Approved-Sender: No
X-TM-AS-User-Blocked-Sender: No

References

Visible links
1. mailto:[Buckinghamshire Healthcare NHS Trust request email]

Sent request to Buckinghamshire Healthcare NHS Trust again.

STIRLING, Rachael (BUCKINGHAMSHIRE HEALTHCARE NHS TRUST), Buckinghamshire Healthcare NHS Trust

2 Attachments

Dear Lizzie Ellis

Thank you for your recent request.
Please see attached the acknowledgement letter and the information leaflet for your records.

Kind regards
Freedom of Information Coordinator

show quoted sections