{"title":"Bridging the Gap: Implementing the 2024 National Cancer Control Programme (NCCP) Melanoma Imaging Guidelines in Real-World Practice.","authors":"A Foo, A O'Regan, L Mahon, B L O'Neill, D Goodman","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Malignant Melanoma is the fourth most common cancer in Ireland, known for rapid progression and metastasis. Targeted immunotherapy has significantly improved 5-year survival. In May 2024, the National Cancer Control Programme issued guidelines for radiological staging and surveillance, helping clinicians in determining the appropriate radiological modality and timeline for staging and surveillance. This audit revealed gaps in follow-up imaging due to organizational constraints and health service pressures. Compliance with staging imaging was high at 92% (11/12), improving to 100% (12/12) following re-audit. In contrast, compliance with surveillance imaging was lower, with 55% (6/11) for PET-CT and 27% (3/11) for MRI/CT brain, improving to 87.5% (7/8) and 50% (4/8), respectively, in the second cycle. Continued audit and multidisciplinary education are vital for consistent, guideline-based melanoma follow-up.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 6","pages":"100"},"PeriodicalIF":0.0000,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Irish medical journal","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Malignant Melanoma is the fourth most common cancer in Ireland, known for rapid progression and metastasis. Targeted immunotherapy has significantly improved 5-year survival. In May 2024, the National Cancer Control Programme issued guidelines for radiological staging and surveillance, helping clinicians in determining the appropriate radiological modality and timeline for staging and surveillance. This audit revealed gaps in follow-up imaging due to organizational constraints and health service pressures. Compliance with staging imaging was high at 92% (11/12), improving to 100% (12/12) following re-audit. In contrast, compliance with surveillance imaging was lower, with 55% (6/11) for PET-CT and 27% (3/11) for MRI/CT brain, improving to 87.5% (7/8) and 50% (4/8), respectively, in the second cycle. Continued audit and multidisciplinary education are vital for consistent, guideline-based melanoma follow-up.
期刊介绍:
Since its inception in 1867, the Journal of the Medical Association of Ireland and now in its present format, the Irish Medical Journal, has provided the medical community in Ireland with an invaluable service. As one of the leading biomedical publications in Ireland, it has sought to continue the education of medical students and postgraduates through scientific research, review articles and updates on contemporary clinical practices while providing an ongoing forum for medical debate. A measure of our stature is that we are listed in the Index Medicus and issued annually with a citation factor from the Institute for Scientific Information.