UPDATED - 02/05/2025
MRI is the best available test for the detection of prostate cancer, but at present this can only be provided in a hospital setting. Whilst MRI is being used, there are still many men (about 16%) that are being diagnosed with late-stage disease and almost 12,000 men dying per year from prostate cancer in the UK. Clearly, these men are not being scanned early enough in the time-course of their disease for treatment to make a difference. If we can detect their cancer earlier, we think we might be able to reduce deaths from prostate cancer.
We have developed a new MRI technique that can allow prostate cancer to be detected using a 5-minute scan as opposed to the current 35-40 minute MRI scan. As this novel scan is simple, cheap and has good performance, it can be delivered within the community setting even using an MRI scanner located in a travelling van. We believe that providing scans in the community setting could allow men, who would otherwise not be scanned, the opportunity to have their cancer detected earlier.
In this project, leading doctors and scientists from both hospital and GP settings are collaborating to elaborate the best pathway to deliver a community-based MRI scan. We will collect feasibility data and determine how acceptable is a short MRI-based prostate cancer screening process for participants, GPs, urologists and commissioners. We will explore screening invitations sent by GPs and within the community (via leaflets, social media, transport for London, barber shops, influencers…), hoping to attract more participants at risk due to their ethnicity. This first step will inform us whether a large national trial of our detection strategy using our new MRI technique is feasible. Should it be feasible, the results of this study will allow us to plan the national trial
INCLUSION CRITERIA:
1. Men aged 50-75 .
2. No prior prostate cancer diagnosis / treatment
3. Willing and able to provide a written informed consent
EXCLUSION CRITERIA:
1. Previous diagnosis of prostate cancer
2. Contraindication to MRI scan (Contraindication for MRI scanning (as assessed by the MRI safety questionnaire of the PET/MRI department) which includes but is not limited to: Intracranial aneurysm clips or other metallic objects; Intra-orbital metal fragments that have not been removed; Pacemakers or other implanted cardiac rhythm management devices and non-MRI compatible heart valves; Inner ear implants; and History of claustrophobia.)
3. Men who require assisted living e.g. care homes living.
4. Lacks the capacity to consent. RN to keep eye on point 3 - Caroline might take it out according to comments 2
Study Resources
Access for the SystmOne and EMIS study resources can be requested below.
For further guidance on using the resources, please refer to the guidance documents and further useful information on the PRIDES page.
The searches have been created with the study specific inclusion and exclusion criteria.
If you require any further information or help, please contact the IT Specialists:
EMIS: Jodie Button – jodie.button@nihr.ac.uk
SystmOne: James Baslington – james.baslington@nhs.net
Disclaimer:
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