Volume 15 Supplement 1

Proceedings of the International Cancer Imaging Society (ICIS) 15th Annual Teaching Course

Open Access

Do we need to wait? Does reducing time to prostate MRI postbiopsy interfere with staging?

Cancer Imaging201515(Suppl 1):P46

https://doi.org/10.1186/1470-7330-15-S1-P46

Published: 2 October 2015

Aims

With an MRI scanner at the limit of capacity (and no immediate prospect of an additional scanner) we are unable to offer pre biopsy MRI due to the workload expansion - further 24 slots/ month. We aimed to evaluate if reducing the time between biopsy and scan led to a decrease in staging accuracy due to post biopsy haemorrhage.

Methods

Retrospective study comparing haemorrhagic artefact and staging accuracy in MRI studies performed before and after a pathway change reduced the time to MRI post biopsy.

Results

No difference in rate of post biopsy haemorrhage deemed to affect diagnostic accuracy.

No significant staging error in either group.

Reduced time to discussion on MDT led to improvement in treatment time and no RTT (Referral To Treatment) pathway breaches.

Pathway improved by 8.65 days (14% of RTT time).

Conclusion

In a capacity limited service there is no option to go to prebiopsy service with the increase in demand that would ensue. It is reassuring to know that reducing the time between biopsy and scan results in no difference in number of studies affected by haemorrhage, no difference in diagnostic accuracy and leads to improvement in patient treatment pathway.

Authors’ Affiliations

(1)
The Shrewsbury and Telford NHS Trust

Copyright

© Rowlands 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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