Urology department MRI use for Prostate Cancer Diagnosis

County Durham and Darlington NHS Foundation Trust did not have the information requested.

Dear County Durham and Darlington NHS Foundation 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)

cddftFOI (COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST), County Durham and Darlington NHS Foundation Trust

1 Attachment

Our reference: 08.19.35

 

 

Dear Ms  Ellis,

 

Freedom of Information Act 2000 – Acknowledgement.

 

I acknowledge your request for information received on 16 August 2019.

 

Your request is being considered and a response will be sent to you
promptly and not later than 20 working days as defined by the Freedom of
Information Act 2000.

 

If appropriate, the information may be provided in electronic medium in
normal font size.  If you require alternative formats such as large print
or paper format, please let me know.

 

If you have any queries or concerns, please contact me at the email
address above.

 

Further information is available from the Office of the Information
Commissioner at:

 

Information Commissioner's Office

Wycliffe House

Water Lane

Wilmslow

Cheshire

SK9 5AF

 

 

 

 

Kind Regards

Linda Wilson

 

For and on behalf of Joanna Tyrrell, FOI Officer

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|County Durham and Darlington NHS Foundation Trust |
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|Linda Wilson | |Trust Headquarters |
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|Corporate Records Assistant | |Darlington Memorial Hospital |
| | |Hollyhurst Road |
|  | |Darlington |
| | |County Durham |
|  | |DL3 6HX |
| | |Switchboard Tel: 01325 380 100 |
|  |  | |
| | |Direct Ext 43700 |
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| | |[2][email address] |
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| | |[3]www.cddft.nhs.uk |
|[1]cid:image001.png@01D525DC.45C66380| | |
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This email and any files attached to it may be of a confidential nature,
and are only to be opened by the intended recipient. If you receive this
email by error please notify the sender immediately. This email is from
County Durham and Darlington NHS Foundation Trust and any opinions
expressed in it are those of the author and do not necessarily reflect the
opinions of the Trust. The contents of any email even if marked
confidential, may be disclosed in accordance with the Freedom of
Information Act 2000 and Data Protection Act 1998.

 

 

 

 

 

 

 

 

 

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cddftFOI (COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST), County Durham and Darlington NHS Foundation Trust

2 Attachments

Dear Ms Ellis

Please find attached the response to your request for information under the Freedom of Information Act.

I have also attached a copy of our client satisfaction survey and would be most grateful if you could please take two minutes of your time to complete it and email it back to me.

Kind regards

Joanna Tyrrell
Freedom of Information Officer

Executive Corridor
Darlington Memorial Hospital
Hollyhurst Road
Darlington
DL3 6HX
Tel: 01325 743700
[email address]
www.cddft.nhs.uk

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