Category: Uncategorized

The Many Uses of DWI-MRI

By: Dan Sperling, MD Diffusion weighted magnetic resonance imaging (DWI-MRI) has tremendous diagnostic value for conditions throughout the body, not just the prostate. Diffusion weighting is one of parameters that distinguish unhealthy tissue from normal tissue. It gives qualitative and quantitative information about the random motion of water molecules in tissues, and can give functional keep reading

Panel Reaches Consensus On Focal Therapy Trial Design

By: Dan Sperling, MD There are many published reports the safety, effectiveness and sides effects of various focal treatment methods (cryotherapy, HIFU, photodynamic therapy and laser ablation), but they are difficult to compare side by side because they are designed differently. When patients ask me how one treatment compares with another, I try to explain keep reading

Got Prostate Cancer? Get Slim!

By: Dan Sperling, MD You would hardly think we need another reason to maintain healthy weight, but the threat of prostate cancer should add incentive. For overweight prostate cancer patients, losing weight before AND after treatment might save your life. Numerous clinical studies make this increasingly clear. The studies explore two areas: a) the connection keep reading

Cooperation Between Radiology and Urology

By: Dan Sperling, MD Bertrand Russell, a British philosopher, wrote, “The only thing that will redeem mankind is cooperation.” Having recently had the honor of serving as a Guest Faculty member at NYU Urology’s course on advanced prostate imaging and focal ablation, I’ll paraphrase his words: The only thing that will redeem the world of keep reading

Tell Me What’s Going On

By: Dan Sperling, MD “Big boys don’t cry.” How many of us, as young boys, got that message one way or another? Perhaps the world is changing and we no longer expect our sons to “tough it out” when they get scrapes and bruises, or a favorite toy break. But common sense tells us that keep reading

Diet and Prostate Cancer

By: Dan Sperling, MD In 1826, a Frenchman named Anthelme Brillat-Savarin published a text on gout from which we derive the quote, “Tell me what you eat and I will tell you what you are.” A century later, a 1923 newspaper advertisement for beef preceded the same sentiment with a word of caution: “Ninety percent keep reading

Repeat HIFU Has More Urinary Side Effects

By: Dan Sperling, MD Prostate cancer patients seeking an alternative to surgery or radiation are attracted to treatments that are minimally invasive (less pain, rapid recovery), repeatable if necessary, and able to be done focally (fewer side effects). Of course, not everyone will qualify for a focal treatment, but patients who require a whole-gland treatment keep reading

MRI vs. the Partin Tables

By: Dan Sperling, MD This year’s annual meeting of the American Urological Association (Orlando, FL) brought numerous papers and presentations on multiparametric MRI (3T mpMRI) of the prostate. I interpret this to mean that the value of radiologic imaging for the detection, diagnosis and guided treatment of prostate cancer has gained considerable—perhaps even definitive—recognition by keep reading

The Risks of TRUS Biopsy

By: Dan Sperling, MD I have to credit the content of this blog to a fellow blogger. He is the Sitemaster at The “New” Prostate Cancer Infolink[i], a site dedicated to informing prostate cancer patients about their disease and their options, as well as other facets of living with prostate cancer. Although the posting I’m keep reading

Does Radiation Therapy for Prostate Cancer Cause Rectal Cancer?

By: Dan Sperling, MD Perhaps because I am a radiologist, I have been asked by prostate cancer patients whose urologists are recommending proton beam or IMRT if radiation can cause rectal cancer. In a sense, this is a tricky question because there is a difference between “causality” and “correlation.” Radiation is everywhere around us. Here keep reading

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