Urology department MRI use for Prostate Cancer Diagnosis

The request was successful.

Dear Imperial College 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)

FOI (IMPERIAL COLLEGE HEALTHCARE NHS TRUST), Imperial College Healthcare NHS Trust

1 Attachment

Dear Lizzie Eliis,

                     

Thank you for your Freedom of Information request.

 

We are currently reviewing your request and investigating whether there is
any information available for disclosure. In accordance with Section 10 of
the Freedom of Information Act 2000, Imperial College Healthcare NHS Trust
will reply to your request promptly and in any event no later than the
twentieth working day following the date of receipt.

 

The Trust’s response to your request will contain information available
for disclosure or explain in detail the reasons why we may have been
unable to supply all of the information you requested. It may also detail
where you can find information that is already publicly available or if
the Trust does not hold the information, where you will be able to access
it. It will also detail your right of appeal if you feel that the Trust
has not treated your request fairly.

 

Kind regards,

 

Barney

[1]cid:image001.jpg@01D4089D.9D22AC90

 

Barney Langrish | Freedom of Information manager | Imperial College
Healthcare NHS Trust

Email: [2][email address] | [3][email address] | Phone: 020 3312
5585 | [4]www.imperial.nhs.uk | [5]@ImperialNHS

 

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Dear FOI (IMPERIAL COLLEGE HEALTHCARE NHS TRUST),

Further to our Freedom of Information request of 19th August 2019, we have received a large number of responses, however, we are still awaiting a response from your Trust. This response is now long overdue. Please provide a response as soon as possible as the deadline has passed.
Please let me know if you are having any problems completing the request.

Yours sincerely,

Lizzie Ellis

FOI (IMPERIAL COLLEGE HEALTHCARE NHS TRUST), Imperial College Healthcare NHS Trust

1 Attachment

Dear Lizzie Ellis,

Apologies for the delay, please find the Trust's response attached.

Kind regards,

Barney

Barney Langrish | Freedom of Information manager | Imperial College Healthcare NHS Trust
Email: [email address] | [email address] | Phone: 020 3312 5585 | www.imperial.nhs.uk | @ImperialNHS

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