Urology department MRI use for Prostate Cancer Diagnosis
Dear Nottingham University Hospitals 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)
REF: NUH 57529 FREEDOM OF INFORMATION ACT 2000 - INFORMATION REQUEST –
FINAL DISCLOSURE
I am writing in response to your correspondence dated 20^th August 2019
requesting information under the Freedom of Information Act 2000.
Nottingham University Hospitals NHS Trust (NUH) came into being on 1st
April 2006 and assumed responsibility for the services provided by both
the Queen's Medical Centre (QMC) and Nottingham City Hospital NHS Trust
(NCH).
Your request for information has now been considered and I am pleased to
be able to answer your questions as follows:
o Please refer to the attached document
You are advised that this information is provided in accordance with the
Freedom of Information Act 2000 and is for your personal use. Any re-use
of this information will be subject to copyright and the Re-Use of Public
Sector Information Regulations (18^th July 2015). In the event of any
re-use, the information must be reproduced accurately and not used in a
misleading manner.
If you have any queries or concerns then please contact me. Please
remember to quote the reference number above in any future communications.
If you are unhappy with the response you have received and wish to make an
appeal, you should write to:
Information Governance Manager
Nottingham University Hospitals NHS Trust
ICT Services, Heathfield House
City Campus
Hucknall Road
Nottingham
NG5 1PB
If are unhappy with the overall service you have received and wish to make
a complaint, you should write to:
Complaints Lead
Nottingham University Hospitals NHS Trust,
Queen’s Medical Centre Campus,
Derby Road,
Nottingham, NG7 2UH.
If, after exhausting our internal process, you are still unhappy with the
information received, you may write to:
The Information Commissioner’s Office,
Wycliffe House,
Water Lane,
Cheshire, SK9 5AF.
Telephone: 08456 30 60 60 or 01625 54 57 45
[1]www.ico.gov.uk
Yours sincerely
James Foulds
Freedom of Information (FOI) Administrator
Information Governance Team
ICT Services, Nottingham University Hospitals NHS Trust
City Hospital
Heathfield House
Tel: 0115 9691169 ext 54656
Please note my working hours are 08.00 -16.00 through the working week.
ICT Services are always happy to help, you can access our services by
calling 69000 or for non-urgent enquiries please use the Self Service form
[2]http://ictselfservice
Help us prevent infections at our hospitals by cleaning your hands.
Remember – hand washing is the simplest and most effective way of
preventing infections.
Please note my working hours are 08.00 -16.00 through the working week.
ICT Services are always happy to help, you can access our services by
calling 69000 or for non-urgent enquiries please use the Self Service form
[3]http://ictselfservice
Help us prevent infections at our hospitals by cleaning your hands.
Remember – hand washing is the simplest and most effective way of
preventing infections.
Sent on behalf of:
Rory King
Information Governance Manager
ICT Services
Nottingham University Hospitals NHS Trust
City Hospital
Nottingham
NG5 1PB
Tel: 0115 9691169 Ext. 57169
Email: [4][email address]
References
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2. http://ictselfservice/
3. http://ictselfservice/
4. mailto:[email address]
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Tracking ID: 36CBC1CD-91A2-EB05-9521-3CB7D69E0490 - Tue Sep 3 10:43:30 2019
REF: NUH 57529 FREEDOM OF INFORMATION ACT 2000 - INFORMATION REQUEST –
FINAL DISCLOSURE
I am writing in response to your correspondence dated 20^th August 2019
requesting information under the Freedom of Information Act 2000.
Nottingham University Hospitals NHS Trust (NUH) came into being on 1st
April 2006 and assumed responsibility for the services provided by both
the Queen's Medical Centre (QMC) and Nottingham City Hospital NHS Trust
(NCH).
Your request for information has now been considered and I am pleased to
be able to answer your questions as follows:
o Please refer to the attached document
You are advised that this information is provided in accordance with the
Freedom of Information Act 2000 and is for your personal use. Any re-use
of this information will be subject to copyright and the Re-Use of Public
Sector Information Regulations (18^th July 2015). In the event of any
re-use, the information must be reproduced accurately and not used in a
misleading manner.
If you have any queries or concerns then please contact me. Please
remember to quote the reference number above in any future communications.
If you are unhappy with the response you have received and wish to make an
appeal, you should write to:
Information Governance Manager
Nottingham University Hospitals NHS Trust
ICT Services, Heathfield House
City Campus
Hucknall Road
Nottingham
NG5 1PB
If are unhappy with the overall service you have received and wish to make
a complaint, you should write to:
Complaints Lead
Nottingham University Hospitals NHS Trust,
Queen’s Medical Centre Campus,
Derby Road,
Nottingham, NG7 2UH.
If, after exhausting our internal process, you are still unhappy with the
information received, you may write to:
The Information Commissioner’s Office,
Wycliffe House,
Water Lane,
Cheshire, SK9 5AF.
Telephone: 08456 30 60 60 or 01625 54 57 45
[1]www.ico.gov.uk
Yours sincerely
James Foulds
Freedom of Information (FOI) Administrator
Information Governance Team
ICT Services, Nottingham University Hospitals NHS Trust
City Hospital
Heathfield House
Tel: 0115 9691169 ext 54656
Please note my working hours are 08.00 -16.00 through the working week.
ICT Services are always happy to help, you can access our services by
calling 69000 or for non-urgent enquiries please use the Self Service form
[2]http://ictselfservice
Help us prevent infections at our hospitals by cleaning your hands.
Remember – hand washing is the simplest and most effective way of
preventing infections.
Please note my working hours are 08.00 -16.00 through the working week.
ICT Services are always happy to help, you can access our services by
calling 69000 or for non-urgent enquiries please use the Self Service form
[3]http://ictselfservice
Help us prevent infections at our hospitals by cleaning your hands.
Remember – hand washing is the simplest and most effective way of
preventing infections.
Sent on behalf of:
Rory King
Information Governance Manager
ICT Services
Nottingham University Hospitals NHS Trust
City Hospital
Nottingham
NG5 1PB
Tel: 0115 9691169 Ext. 57169
Email: [4][email address]
References
Visible links
1. http://www.ico.gov.uk/
2. http://ictselfservice/
3. http://ictselfservice/
4. mailto:[email address]
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