Tag: prostate cancer
What Happens When Prostate Biopsies Are Negative?
The annual American Urological Society meeting (AUA 2015, May 15-19) has more presentations than ever on multiparametric MRI detection of prostate cancer, MRI targeted biopsies, MRI/ultrasound fusion, and MRI-guided focal therapies. The urologic world is sitting up and taking notice as advanced imaging is changing the prostate cancer landscape. I will be sharing selected presentations keep readingExperts Weigh In On MRI and Active Surveillance
An international team of experts on imaging prostate cancer participated in a review of the literature on prostate MRI and active surveillance.[i] To give you an idea of how impressive the team was, here is a list of the institutions they represent: Erasmus University Medical Center (Depts. of Urology and Radiology), Rotterday, the Netherlands University keep readingThe Impact of the Recommendation Against PSA Screening
In 2012, the U.S. Preventive Services Task Force (USPSTF) issued a recommendation against routine PSA screening for otherwise healthy men. Almost immediately, prostate cancer support organizations and hundreds of clinical professionals raised an outcry. While acknowledging that the non-prostate cancer specific blood test often led to over-detection and over-treatment of indolent prostate cancer, countless lives keep readingLet’s Speak the Same MRI Diagnostic Language
A man who is suspected of having prostate cancer, or whose cancer has been biopsy confirmed, can develop the best right treatment plan if he also has a multiparametric MRI (mpMRI) of the prostate. When his own doctor sends him to an imaging center, his scan is “read” by the center’s radiologist who writes a keep readingMRI Before TRUS Re-Biopsy Increases Accuracy
It seems intuitive, if not obvious, that superior imaging of the prostate gives precise information to guide a biopsy needle into a cancerous tumor. The typical ultrasound imaging used by urologists in their offices is inferior to magnetic resonance imaging (MRI). Ultrasound-guided transrectal (TRUS) biopsy has a minimum 35% chance of missing cancer. If our keep readingWould You Change Your Diet to Prevent PCa?
Do you know what causes cancer? Do you believe that diet can affect your chances of either causing or preventing prostate cancer? Would you change what you eat if you thought it could make a positive difference? I ran across an interesting small study that grew out of a larger British program called the ProDiet keep reading
How Do You Feel About Screening?
If you’re like most men age 40+, you probably get your PSA (prostate specific antigen) test when you go for a physical that includes a blood draw. You learned either from your doctor, or a health promotion, that men should get a baseline PSA at age 45 (40 if you have known risk factors) and keep reading
TRUS Biopsy: Still Trying to Solve the Riddle
Matt Mullenweg, the originator of the popular open source WordPress software, has been quoted as saying, “Whenever there’s a new form of media, we always think it’s going to replace the old thing, and it never does. We still have radio, however long after TV was introduced.” It can be just as true in medicine. keep reading
The PSA Controversy and the New York Times
The New York Times, like all news media, is a vehicle to air conflicting views. The November 25, 2014 issue ran a strongly-worded editorial opinion piece by Richard Ablin, PhD, the self-proclaimed “discoverer of PSA”... keep reading
