Description of Medical ServiceThe Urological and Radiological procedure of MR-guided prostate biopsy. Instead of the current random biopsy protocols in use since circa 1990, only a small number of biopsies are required directly into the tumour. This can be done:
(a) in the MRI machine (MRGB) in read time, or by
(b) using previously acquired MR images and fusing them with a special ultrasound machine.
Description of Medical ConditionIn patients with a raised or concerning PSA and under clinical suspicion for prostate cancer, sent by the GP to a specialist Urologist, imaging the prostate with mpMRI before biopsy has major patient benefits, increases patient QALY’s, and is cheaper than the current diagnostic pathway. The number of men that need any biopsy at all by about 50%.The number of men diagnosed with low risk cancer reduces by about 90%, preventing overtreatment and the MRI and targeted biopsy pathway is more accurate than random TRUS biopsies and also gives a better grading of the patient’s particular tumour and uses 90% less needles.
Reason for ApplicationNew MBS item
Medical Service TypeInvestigative
Previous Application NumberNot Applicable
PICO ConfirmationFinal Protocol (PDF 1849 KB)
Final Protocol (Word 361 KB)
Public Summary Document-
Meetings for this Application
PASC16 April 2015
13 August 2015