The American Urological Association 2014 meeting

By: Dan Sperling, M.D. As I write this, I’m preparing to attend the 2014 Annual Meeting of the American Urological Association (AUA). As a radiologist who specializes in detection, diagnosis and focal treatment of prostate cancer, my work and that of urologists overlaps considerably. I have previously written about my commitment to professional collaboration between medical specialties, keep reading

Making 3TmpMRI More Accessible

By: Dan Sperling, MD I recently spoke with a Florida patient whose healthcare coverage is through a PPO. Two years ago, the urologist he sees through his PPO performed a TRUS biopsy two years ago that found two small areas of early stage cancer. He chose to go on Active Surveillance, and monitor using PSA. keep reading

We’ve Come A Long Way

By: Dan Sperling, MD I was a bit shocked when I came across an older research study titled “Two Consecutive Sets of Transrectal Ultrasound [TRUS] Guided Sextant Biopsies of the Prostate for the Detection of Prostate Cancer.”[i] I could hardly believe my eyes—two consecutive TRUS biopsies? The study is from 1998, and it gave me keep reading

Focal Laser Ablation in Clinical Trials

By: Dan Sperling, MD Two well-respected clinical institutions, the National Cancer Institute (NCI), and the University of Chicago Medicine (UCM), have been conducting clinical trials on Focal Laser Ablation (FLA). They are considered interventional trials, meaning that a treatment is under investigation. Here is a little description of what each center is doing: a)      NCI, under keep reading

Testing PI-RADS Accuracy

By: Dan Sperling, MD I recently posted a blog describing PI-RADS (Prostate Imaging Reporting and Data System) which is a means of standardizing prostate MRI interpretation. I found a very encouraging study[i] that evaluates how well this scoring system stands up to actual prostate biopsies, especially when compared to an earlier scoring system called the keep reading

What is the PI-RADS Score?

By: Dan Sperling, MD The tremendous international interest in 3T multiparametric MRI (mpMRI) brought with it the challenge of how to standardize the reporting of prostate image analysis among radiologists around the globe. The European Society of Urogenital Radiology (ESUR) proposed a numeric system called the Prostate Imaging Reporting and Data System, or PI-RADS, for prostate keep reading