Urology department MRI use for Prostate Cancer Diagnosis

The request was successful.

Dear Dartford and Gravesham 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)

Freedomofinformation (DARTFORD AND GRAVESHAM NHS TRUST), Dartford and Gravesham NHS Trust

Hi Lizzie,

 

 

FOI request duly noted – I will ensure you receive a response within the
statutory 20 working day deadline.

 

It would truly help our statistics for internal reporting if you could
confirm if you are a freelance journalist or from a commercial company?

               

Please note that in order to gather together the information requested; it
is necessary to share your details within the Trust as your request will
be forwarded onto the relevant departments involved.

 

As part of our responsibilities under the Freedom of Information Act, it
will also be necessary to include your request within our disclosure log
published via the Trust’s website.

 

Regards,

 

FOI Act Lead

Dartford and Gravesham NHS Trust

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Freedomofinformation (DARTFORD AND GRAVESHAM NHS TRUST), Dartford and Gravesham NHS Trust

Dear Lizzie,

 

Freedom of Information

With reference to your request detailed below, please see the Trust’s
response below in bold text.

                                                           

Kind regards,

 

FOI Act Lead
Dartford and Gravesham NHS Trust

 

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Freedomofinformation (DARTFORD AND GRAVESHAM NHS TRUST), Dartford and Gravesham NHS Trust

1 Attachment

Dear Lizzie,

 

We would be grateful if you could take the trouble to complete the
attached questionnaire by way of feedback on the service provided to you
in relation to this request.

 

The information we collect will be used for the purposes of monitoring the
quality of our responses to requests for information that we receive under
the Freedom of Information Act 2000 and Environmental Regulations 2004.

 

All information will be held anonymously and the feedback given will not
affect any future requests you may send to us.

 

Kind regards,

 

FOI Act Lead

Dartford and Gravesham NHS Trust

 

From: Freedomofinformation (DARTFORD AND GRAVESHAM NHS TRUST)
Sent: 28 August 2019 09:33
To: [FOI #597687 email]
Subject: FW: Freedom of Information request - Urology department MRI use
for Prostate Cancer Diagnosis - 08/2019 - Prostate Cancer

 

Dear Lizzie,

 

Freedom of Information

With reference to your request detailed below, please see the Trust’s
response below in bold text.

                                                           

Kind regards,

 

FOI Act Lead
Dartford and Gravesham NHS Trust

 

show quoted sections

Dear Freedomofinformation (DARTFORD AND GRAVESHAM NHS TRUST),
Please could we request a word document or pdf for your request. Bold text does not show up on this platform. I would be grateful if you could please acknowledge receipt of this email.

Yours sincerely,

Lizzie Ellis

Freedomofinformation (DARTFORD AND GRAVESHAM NHS TRUST), Dartford and Gravesham NHS Trust

1 Attachment

Dear Lizzie,

 

Freedom of Information

With reference to your request detailed below, please see the Trust’s
response attached.

                               

Kind regards,

 

FOI Act Lead

Dartford and Gravesham NHS Trust

 

show quoted sections