PREDICT-EC: A risk prediction tool to streamline diagnostic pathways for suspected endometrial cancer

Closing date: 15/11/2024

Clinical Research Training Fellowship Project: PREDICT-EC: A risk prediction tool to streamline diagnostic pathways for suspected endometrial cancer

Lead Supervisors: Prof. Emma Crosbie
Co-Supervisors: 
Dr Jamie Sergeant, Prof. Caroline Sanders 

Applications Deadline: Friday 15th November 2024
Interviews: Friday 17th January 2025
Clinical Research Training Fellowship start date: September 2025

Project Keywords: Endometrial cancer, Risk prediction, Triage tool
Research Opportunity: Clinical Research Training Fellowship leading to the award of PhD

Project Outline

In the UK, nearly 10,000 women are diagnosed with endometrial cancer every year. The red flag symptom for endometrial cancer is postmenopausal bleeding (PMB). PMB prompts urgent referral on the ‘suspected cancer’ pathway for transvaginal ultrasound followed by hysteroscopy and/or biopsy if cancer cannot be ruled out. These are invasive tests that are uncomfortable for many, painful for some and unnecessary for most since only 5 out of 100 women with PMB have endometrial cancer. A tool to help decide which women need invasive testing and which women do not, would improve patient care. It could save thousands of women every year in the UK alone from the harms of invasive testing and ensure an efficient use of healthcare resources.

We have developed a tool called PREDICT-EC. It uses age, BMI, symptoms, scan results and a simple urine test for blood. We showed that PREDICT-EC identifies women for invasive testing better than standard care. It identified 99/100 women with endometrial cancer whilst sparing an additional 24/100 women from invasive testing.

This project will validate PREDICT-EC in around 3,000 women referred to hospital with suspected endometrial cancer. We will record patient demographics, test results and clinical outcomes. Women will be managed according to routine clinical practice. Alongside routine care, we will calculate their PREDICT-EC score. The score could be used to help identify women for invasive testing or no testing. We will see how well the tool would work across people from different ethnic and socioeconomic backgrounds and for all types of endometrial cancer. We will ask women and patients from a range of backgrounds, as well as doctors from primary and secondary care, what they think of the tool. The results of this study will be used to design a digital clinician-facing calculator to generate PREDICT-EC scores for use in the NHS.  

Applications for this project are now open. Please complete your application on The University of Manchester website.

About Professor Emma Crosbie (project Lead Supervisor)

Professor Emma Crosbie is an NIHR Research Professor and Honorary Consultant Gynaecological Oncologist at the University of Manchester. Her research focuses on the screening, prevention and early detection of gynaecological cancers. She has a strong track record in postgraduate degree supervision and has been awarded several local (University of Manchester FBMH Postgraduate Supervisor of the Year, 2020) and national awards (BMJ Role Model, 2019; FindAPhD Postgraduate Supervisor of the Year, 2024). Her team won the American Association of Cancer Research Team Science Award (2024) and was Highly Commended in the BMJ Cancer Care Team of the Year Awards (2022) for their work in Lynch syndrome associated endometrial cancer.

Find out more

Emma Crosbie headshot

Key information

Before submitting an application, please ensure you have read the information below about the funding arrangements and eligibility for the Leeds-Manchester Clinical Research Training Fellowships.

We also encourage you to get in contact with the lead supervisor to discuss the project and any particulars.

Further information is available on the Clinical Research Training Fellowships webpage.

Fees and Funding
Eligibility
Applications Timelines

Useful Links

Submit your application

Interested in applying for this opportunity? Go to The University of Manchester website to submit your application.

Clinical Research Training Fellowships

Discover our various opportunities for clinicians looking to undertake a period of PhD training in a cancer-relevant field.

Get in Touch

Contact Dr Georgina Binnie-Wright, Postgraduate Programme Manager.

Researcher Stories

Read first-hand experiences of from cancer scientists from across Manchester.

Why Manchester?

Find out why postgraduate students choose to study in Manchester.

A Day in the Life of a Clinical PhD Student

Watch our short video to see what it's like to be a Clinical Research Training Fellow in Manchester.