{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:55:27Z","timestamp":1772988927545,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The burden of prostate cancer (PCa) continues to increase in New Zealand, and remains the only solid organ cancer diagnosed by non\u2010targeted biopsy. International guidelines have changed, making MRI routine given the unequivocal evidence of increased diagnostic accuracy. In Aotearoa, MRI has not been standardised in the diagnostic pathway, and there is anecdotal evidence of geographical variation in its use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a retrospective cohort study aimed to examine the prevalence, trend, and health equity in the use of MRI prostate in the diagnosis of PCa, and investigate the effect of MRI on the accuracy in diagnosing clinically significant PCa in New Zealand. Data was obtained from the PCa Outcomes Registry New Zealand between January 2016 and June 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      13\u2009983 men (1155 M\u0101ori) were included (mean age of 67.6). Men who were diagnosed in the private sector were 3.6 times (OR: 95% CI: 3.0, 4.5) more likely to receive pre\u2010biopsy MRI compared to those diagnosed in the public system. In the non\u2010M\u0101ori group, those living in urban areas were more likely to receive pre\u2010biopsy MRI than those living in rural areas (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200939.8;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). There was a strong pre\u2010biopsy MRI scan effect on the odds of detecting low\u2010risk and higher grade PCa.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There are clear inequities in the access to pre\u2010biopsy MRI between the public and private sectors, and in between the regions in Aotearoa. We need to identify and overcome the barriers in implementing standardised access to this invaluable diagnostic resource.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70270","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T10:07:46Z","timestamp":1755857266000},"page":"1896-1905","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Utilisation of\n                    <scp>MRI<\/scp>\n                    in Newly Diagnosed Prostate Cancer in Aotearoa New Zealand"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9812-9026","authenticated-orcid":false,"given":"Matthew","family":"McCall","sequence":"first","affiliation":[{"name":"Te Whatu Ora Waitaha  Canterbury New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"McIntyre\u2010Robinson","sequence":"additional","affiliation":[{"name":"Te Whatu Ora Waitaha  Canterbury New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3056-0512","authenticated-orcid":false,"given":"Eng","family":"Toh","sequence":"additional","affiliation":[{"name":"Te Whatu Ora Waitaha  Canterbury New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamish","family":"Green","sequence":"additional","affiliation":[{"name":"Te Whatu Ora Te Toka Tumai  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel","family":"Dunn","sequence":"additional","affiliation":[{"name":"Te Whatu Ora Waitaha  Canterbury New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jared","family":"White","sequence":"additional","affiliation":[{"name":"Te Whatu Ora Te Toka Tumai  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Mark","sequence":"additional","affiliation":[{"name":"Te Whatu Ora Waitaha  Canterbury New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,22]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Health New Zealand (Te Whatu Ora)","author":"Health New Zealand","year":"2024"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2019.08.005"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012663.pub2"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mric.2014.01.002"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.190568"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1910038"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/apm.12533"},{"key":"e_1_2_9_9_1","unstructured":"EAU\u2010EANM\u2010ESTRO\u2010ESUR\u2010ISUP\u2010SIOG Guidelines on Prostate Cancer 2024 https:\/\/uroweb.org\/guidelines\/prostate\u2010cancer."},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2016.0004"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1569-9056(18)32040-2"},{"key":"e_1_2_9_12_1","volume-title":"European Association of Urology Guidelines, 2020 Edition","author":"Mottet N.","year":"2020"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000617"},{"issue":"6","key":"e_1_2_9_14_1","article-title":"Use of PROMIS (Patient\u2010Reported Outcomes Measurement Information System) for Assessing Prostate Cancer Risk in a Prospective Cohort Study","volume":"10","author":"Simko J.","year":"2015","journal-title":"PLoS One"},{"issue":"2","key":"e_1_2_9_15_1","first-page":"314","article-title":"Evaluating Biparametric Versus Multiparametric Magnetic Resonance Imaging for Diagnosing Clinically Significant Prostate Cancer: An International, Paired, Noninferiority, Confirmatory Observer Study","volume":"204","author":"Twilt J. 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