Radiographic Staging of Men with Newly Diagnosed Prostate Cancer

Optimizing imaging utilization for patients with newly diagnosed prostate cancer was one of the initial priorities for MUSIC.  The goal was to better understand the current rates of utilization and ensure that imaging studies were being ordered for patients that could truly benefit from the tests.

Through the use of comparative performance feedback, review of current guidelines, and dissemination of best practices, MUSIC was able to achieve a statewide decrease in the utilization of both bone scans and CT scans for patients with low risk prostate cancer.  In considering imaging utilization for patients with intermediate and high risk prostate cancer,  MUSIC collaborated with the School of Engineering at the University of Michigan to perform multi-variable analyses based on collaborative data that would facilitate a transition from making decisions about imaging based on the probability of cancer relapse to making decisions based on the probability of a positive study that would influence clinical decision-making.  As a result of these analyses and discussions at the collaborative-wide meetings, MUSIC  developed and implemented statewide specific, evidence-based appropriateness criteria for staging bone scan and/or CT scan.  This criteria, commonly referred to as the MUSIC Imaging Appropriateness Criteria, can be found here: MUSIC Imaging Appropriateness Criteria.

A video highlighting MUSIC’s imaging QI efforts can be found below.

Below is a video of Dr. Jim Montie, urologic oncologist and MUSIC Co-Director, discussing the Imaging Appropriateness Criteria.