One-Stop MRI and MRI/transrectal ultrasound fusion-guided biopsy: an expedited pathway for prostate cancer diagnosis

Multiparametric magnetic resonance imaging facilitates reclassification during active surveillance for prostate cancer

“…A 12‐core systematic biopsy with the addition of two or more targeted biopsies cores for each PI‐RADS 3–5 lesion identified on mpMRI were performed during the same session [6,18,19]. Patients with PI‐RADS 1–2 (negative mpMRI) underwent a 12‐core systematic biopsy as previously described [6,18,19]. PCa was reported according to the International Society of Urological Pathology standards [20].…”

Comparative Effectiveness of Techniques in Targeted Prostate Biopsy

“…Another alternative to improve MRI efficiency is the “one-stop” pathway, in which mpMRI and MRI-TB (SB if MRI-negative) are performed on the same day, reducing time to diagnosis and decreasing the financial and time burden to the patient. Tafuri et al found that the one-stop pathway had similar csPCa detection rate when compared to a traditional pathway (49% one-stop vs. 41% traditional, p = 0.55) [ 41 ].…”

Interventions to improve early cancer diagnosis of symptomatic individuals: a scoping review

“…Four articles were from the UK, 17 52 53 78 two articles each from Canada 24 64 and Sweden, 10 80 and one article each from Botswana, 94 Columbia, 75 Indonesia 77 and the USA. 83 The focus and metrics for assessment of the effectiveness of the interventions varied across the publications, and while most were effective, one intervention for lung cancer and one intervention for skin cancer in the UK 53 and Sweden, 10 respectively, were ineffective. The effective interventions were reducing diagnosis through emergency presentation by improving general practice referral in England, UK, 52 the guided personal quality of life (QoL) feedback intervention during the Cancer Research UK's North West regional summer roadshow in Manchester, UK, aimed at offering guided feedback about personal QoL to adults with Open access potential cancer symptoms, living in deprived communities to promote help seeking in primary care among the communities, 78 the mandatory primary care access to faecal immunochemical testing in Nottingham, UK, integrated with the 2-week wait pathway, aimed at improving gastrointestinal cancer diagnosis rather than relying on age and symptoms alone, 17 the Stronach Regional Cancer Centre lung diagnostic assessment programme at Southlake Regional Health Centre, Ontario, Canada, aimed at using learnings from a Lean improvement event to provide coordinated, expedited care for all patients undergoing a possible lung cancer diagnosis and to achieve/improve on the provincial wait time target from consultation to diagnosis for patients with lung cancer, 24 the nurse practitioner-led lymphoma rapid diagnosis clinic in a tertiary care cancer centre (Princess Margaret Cancer Centre, part of University Health Network) in Ontario, Canada, aimed at reducing wait times for a definitive diagnosis of lymphoma, 64 the expedited one-stop prostate cancer diagnosis using advanced imaging and biopsy techniques in a health institution (name not reported) in the USA, aimed at expediting prostate cancer diagnosis.…”

“…The effective interventions were reducing diagnosis through emergency presentation by improving general practice referral in England, UK, 52 the guided personal quality of life (QoL) feedback intervention during the Cancer Research UK's North West regional summer roadshow in Manchester, UK, aimed at offering guided feedback about personal QoL to adults with Open access potential cancer symptoms, living in deprived communities to promote help seeking in primary care among the communities, 78 the mandatory primary care access to faecal immunochemical testing in Nottingham, UK, integrated with the 2-week wait pathway, aimed at improving gastrointestinal cancer diagnosis rather than relying on age and symptoms alone, 17 the Stronach Regional Cancer Centre lung diagnostic assessment programme at Southlake Regional Health Centre, Ontario, Canada, aimed at using learnings from a Lean improvement event to provide coordinated, expedited care for all patients undergoing a possible lung cancer diagnosis and to achieve/improve on the provincial wait time target from consultation to diagnosis for patients with lung cancer, 24 the nurse practitioner-led lymphoma rapid diagnosis clinic in a tertiary care cancer centre (Princess Margaret Cancer Centre, part of University Health Network) in Ontario, Canada, aimed at reducing wait times for a definitive diagnosis of lymphoma, 64 the expedited one-stop prostate cancer diagnosis using advanced imaging and biopsy techniques in a health institution (name not reported) in the USA, aimed at expediting prostate cancer diagnosis. 83 There was also the Swedish Diagnostic Center at the Central Hospital of Kristianstad, Sweden, introduced as a separate outpatient unit within the Department of Internal Medicine to expedite diagnostics, 80 the Partners for Cancer Care and Prevention action plan in Cali, Columbia, aimed at improving access to a coordinated programme of screening and early diagnosis of breast and cervical cancers in three healthcare centres that serve subsidised populations, 75 the dermatology-led quality improvement initiatives in Gaborone, Botswana, aimed at improving multispecialty care coordination, 94 and the culturally sensitive, narrative self-help intervention named PERAN-TARA (PEngantar peRAwataN kesehaTAn payudaRA (translated as introduction to breast health treatment)) across four hospitals in Bandung, West Java, Indonesia, aimed at reducing time to diagnosis in women with breast cancer symptoms. 77 In addition to the above, one unpublished article on the Accelerate, Coordinate, Evaluate programme in the UK was identified.…”