Imperial College London

Professor Hashim Ahmed

Faculty of MedicineDepartment of Surgery & Cancer

Chair in Urology (Clinical)
 
 
 
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Contact

 

hashim.ahmed

 
 
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Location

 

5L28Lab BlockCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Brizmohun:2018:10.1111/bju.14361,
author = {Brizmohun, Appayya M and Adshead, J and Ahmed, HU and Allen, C and Bainbridge, A and Barrett, T and Giganti, F and Graham, J and Haslam, P and Johnston, EW and Kastner, C and Kirkham, APS and Lipton, A and McNeill, A and Moniz, L and Moore, CM and Nabi, G and Padhani, AR and Parker, C and Patel, A and Pursey, J and Richenberg, J and Staffurth, J and van, der Meulen J and Walls, D and Punwani, S},
doi = {10.1111/bju.14361},
journal = {BJU Int},
pages = {13--25},
title = {National implementation of multi-parametric magnetic resonance imaging for prostate cancer detection - recommendations from a UK consensus meeting.},
url = {http://dx.doi.org/10.1111/bju.14361},
volume = {122},
year = {2018}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - OBJECTIVES: To identify areas of agreement and disagreement in the implementation of multi-parametric magnetic resonance imaging (mpMRI) of the prostate in the diagnostic pathway. MATERIALS AND METHODS: Fifteen UK experts in prostate mpMRI and/or prostate cancer management across the UK (involving nine NHS centres to provide for geographical spread) participated in a consensus meeting following the Research and Development Corporation and University of California-Los Angeles (UCLA-RAND) Appropriateness Method, and were moderated by an independent chair. The experts considered 354 items pertaining to who can request an mpMRI, prostate mpMRI protocol, reporting guidelines, training, quality assurance (QA) and patient management based on mpMRI levels of suspicion for cancer. Each item was rated for agreement on a 9-point scale. A panel median score of ≥7 constituted 'agreement' for an item; for an item to reach 'consensus', a panel majority scoring was required. RESULTS: Consensus was reached on 59% of items (208/354); these were used to provide recommendations for the implementation of prostate mpMRI in the UK. Key findings include prostate mpMRI requests should be made in consultation with the urological team; mpMRI scanners should undergo QA checks to guarantee consistently high diagnostic quality scans; scans should only be reported by trained and experienced radiologists to ensure that men with unsuspicious prostate mpMRI might consider avoiding an immediate biopsy. CONCLUSIONS: Our consensus statements demonstrate a set of criteria that are required for the practical dissemination of consistently high-quality prostate mpMRI as a diagnostic test before biopsy in men at risk.
AU - Brizmohun,Appayya M
AU - Adshead,J
AU - Ahmed,HU
AU - Allen,C
AU - Bainbridge,A
AU - Barrett,T
AU - Giganti,F
AU - Graham,J
AU - Haslam,P
AU - Johnston,EW
AU - Kastner,C
AU - Kirkham,APS
AU - Lipton,A
AU - McNeill,A
AU - Moniz,L
AU - Moore,CM
AU - Nabi,G
AU - Padhani,AR
AU - Parker,C
AU - Patel,A
AU - Pursey,J
AU - Richenberg,J
AU - Staffurth,J
AU - van,der Meulen J
AU - Walls,D
AU - Punwani,S
DO - 10.1111/bju.14361
EP - 25
PY - 2018///
SP - 13
TI - National implementation of multi-parametric magnetic resonance imaging for prostate cancer detection - recommendations from a UK consensus meeting.
T2 - BJU Int
UR - http://dx.doi.org/10.1111/bju.14361
UR - https://www.ncbi.nlm.nih.gov/pubmed/29699001
UR - http://hdl.handle.net/10044/1/59175
VL - 122
ER -