Prostate Cancer Awareness Month

By Dr. George W. Privett Jr.

Though it?s not the most comfortable of topics, prostate cancer diagnosis and treatment affects so many of us today. There is a one in two chance that a man will develop prostate cancer, as he ages. Most cases of prostate cancer are detected by elevation of a blood test, Prostate Specific Antigen (PSA) and/or Digital Rectal Exam (DRE).

The great majority of Prostate ?cancers? are benign and without symptoms. The two major treatments for the disease are radical surgery and x-radiation, both of which will likely have two serious life altering side effects ? impotence and incontinence. Radical surgery with or without robotic assistance is particularly prone to immediate symptoms of impotence and incontinence and some prostate cancer specialists recommend against surgery at all.

A third plan of attack is to use new MRI imaging techniques to determine if a tumor can be found, where it is, its size and the likelihood of it being malignant. If a tumor is identified that looks suspicious, then a targeted biopsy can be performed and a rational treatment plan designed. If no tumor is identified or if a biopsy shows low or medium grade tumor, then ?watchful waiting? or active surveillance can be the best choice and avoid any complications. If high grade tumor or cancer is detected, the more definitive treatment or external radiation and/or radium seeds will be good options, with or without hormone treatment.

When faced with an elevated PSA, men should know their diagnostic and treatment options in order to make an informed decision that is best for them. Prostate cancer, whether low grade or high grade, does not require an emergent or urgent decision and there is plenty of time to do your own research and get several opinions, not only from Urologists, but also from Radiation Oncologists and Medical Oncologists. Support groups such as UsToo can give valuable information.

A good place to start is the Prostate Cancer Research Institute (PCRI), whose founder, Mark Scholz, MD, a Medical Oncologist specializing in Prostate Cancer diagnosis and treatment. PCRI can be found on line at http://www.prostateoncology.com/

Lexington Diagnostic Center & OPEN MRI offers multi-paramentic MRIs of the prostate which can demonstrate the presence/location or the absence of cancer. This test utilizes an MRI of the pelvic area with and without contrast enhancement using a surface coil. (Contrast is a substance injected intravenously to enhance the visibility of blood vessels, follow the movement of blood and detect abnormal tissue.)

Visualizing cancer within the prostate has been difficult because the prostate is small and deep in the body. Random blind biopsies have been the main diagnostic tool. However with prostate MRI, physicians can more easily perform targeted biopsies or opt for active surveillance.

?There is a lot of confusion in prostate cancer diagnoses stemming from unclear results and recommendations for when men should have a biopsy,? said Dr. George Privett, Medical Director, Lexington Diagnostic Center & OPEN MRI. ?By using modalities such as magnetic resonance imaging (MRI), we can more accurately localize and stage prostate cancer while potentially minimizing the number of prostate biopsies a patient may require. This is a significant diagnostic tool, and can add potentially life-saving enhancement to the diagnosis and treatment of disease.?

Prostate-specific antigen, or PSA, is a protein produced by cells of the prostate gland. The PSA test measures the level of PSA in a man?s blood. For this test, a blood sample is sent to a laboratory for analysis. The results are usually reported as nanograms of PSA per milliliter (ng/mL) of blood. The blood level of PSA is often elevated in men with prostate cancer, however, PSA may be elevated in several non-cancer conditions, such as BPH (or benign prostatic hypertrophy) and chronic prostate infections).

Call now to compare and save on your out-of-pocket expenses (859) 278-6724

1725 Harrodsburg Road
Suite 100
Lexington, KY 40504

New radiologists lead to brand new service line for Lexington Diagnostic Center & Open MRI

Doctors Robert Pope and Jason Harris each completed a musculoskeletal fellowship at Virginia Commonwealth University/Medical College of Virginia. ?Their expertise in musculoskeletal MRI and joint and?epidural?steroid injections led to a new service line at Lexington Diagnostic Center and OPEN MRI.

M.D. Update article, December 2012 issue (online page 14).

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M.D. Update, December 2012

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Doctors bring new service line

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Bobby Pope, DO and Jason Harris, MD join the radiology staff at LDC

Doctors Pope and Harris are Board Certified radiologists and both are fellowship trained in musculoskeletal and spine imaging. They bring to Lexington Diagnostic Center & Open MRI general radiology skills, as well as excellent skills in musculoskeletal imaging of joint and ligaments, specific spine imaging skills, and extensive training in lumbar epidural and facet joint injections for reduction of inflammation and pain in the lower back.

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Dr. Pope on Left

Dr. Harris on Right

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Staff of Lexington Diagnostic Center & Open MRI
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Lexington Diagnostic Center provides trained Spanish medical interpretation services

Lexington Diagnostic Center provides trained Spanish medical interpretation services.

Deborah Winslow, the Administrator of Lexington Diagnostic Center said, ?There is great need for this type of service in the Bluegrass. It is essential for all patients to be able to communicate effectively with medical staff.? The more understanding there is between patients and medical staff, the more accurate the diagnosis.”

We find that using children or friends of patients to interpret is not as effective and can leave gaps in understanding. ?We utilize telephone interpreting when a patient speaks a language other than Spanish.? ?Bridging the Gap” is a course provided by The Cross Cultural Health Care group. ?To find out more about this group, go to this link:?http://www.xculture.org/BTGwelcome.php

Study Shows that CT Scan Screening for Lung Cancer is Better than Chest X-ray

Study Shows that CT Scan Screening for Lung Cancer is Better than Chest X-ray.

A huge National Cancer Institute study was in process to settle the long debate about screening for lung cancer with low dose spiral CT as opposed to Chest X-Ray. This study was terminated early because of significant findings that favored the use of CT.? ??

Click here: Lung cancer trial results show mortality benefit with CT – National Cancer Institute

According to NPR News, the ?The massive National Lung Screening Trial enrolled 53,000 current or former smokers to try to settle the debate. It found 20 percent fewer deaths from lung cancer among those screened with spiral CTs than among those given chest X-rays, the NCI said Thursday, a difference significant enough that it ended the study early.?
Click here: Study: CT Scans Modestly Cut Lung Cancer Deaths : NPR?

Lexington Diagnostic Center & OPEN MRI has been providing spiral low-dose CT Lung Cancer Screening for several years and continues to be a leader in Screening Imaging Technology services. LDC has long provided Cardiac Calcium Score, Virtual Colonoscopy, Abdominal Aortic Aneurysm Ultrasound Screening and DEXA for Osteoporosis Screening.

Save big on Health-care costs

Save big on Health-care costs. Use an independent outpatient diagnostic center.

You can save lots of money by having your medical imaging performed at a licensed, accredited independent outpatient imaging center such as Lexington Diagnostic Center & Open MRI (LDC). You may not be aware of the crazy practice in which insurance companies pay hospital-based imaging centers much more for studies than they pay for the same studies at Lexington Diagnostic Center. Often times the insurance payment or allowable is 2, 3 or even 5 times higher for the hospital-based imaging centers! In this day and age of high deductibles and high co-pays these savings can make a huge difference to your pocketbook and can help keep down the cost of medical care and insurance premiums.

We have discovered two actual, recent examples of this situation in relation to Central Baptist Hospital outpatient centers. In one case a CT sinus exam had a Humana insurance allowable which was $300 more at CB’s Southland Drive location than LDC’s allowable would have been. In another situation a 2 view x-ray of the foot had an Anthem insurance allowable of $160 more at CB’s Hamburg location than it would have been at LDC (and at both hospital outpatient locations radiologist?s fees were not included).

On these insurance company websites, comparisons for fees allowed are published for various local facilities which show the same patterns. For example, an MRI of the lumbar spine is reimbursed $393 (which includes the radiologist fee) at Lexington Diagnostic Center, while the price is $707 + radiologist fee at several Lexington hospital outpatient centers and the price is $1,021 + radiologist fee for these procedures at hospitals in Georgetown, Versailles, Paris and Richmond. The differences are even more marked at hospitals in Eastern Kentucky.

These are unfair business practices and makes for an unequal playing field and we are trying to remedy this practice. However, until it changes this is an opportunity for you to demand that your doctor send you to LDC for High Field MRI, Open MRI, CT, ultrasound, nuclear medicine, DEXA, arthrograms, epidural and facet joint injections, and x-rays. Your friends, family and pocketbook will love you for this tip, as well as for recommending them to a facility that provides excellent services and treats all patients royally.

Our billing department is available to quote estimated benefits so you can make a cost comparison for any procedure. Please feel free to call us at 859-278-6724 or toll-free at 800-600-2797.

New MRI Prostate Imaging Scan

LDC Acquires New MRI Prostate Imaging Scan September is Prostate Cancer Awareness Month

Lexington Diagnostic Center & OPEN MRI has acquired the capability of providing MRI of the prostate to demonstrate the presence and localization or the absence of cancer. This test utilizes an MRI of the pelvis area with and without contrast enhancement using a surface coil.

Special MRI protocols and software (VividLook? by iCAD?) provides dynamic contrast enhanced (DCE-MRI) images that measure abnormal blood flow through leaky blood vessels that are present in cancer. Colorized maps indicate areas in the prostate that are suspicious or abnormal. The test takes about 40 minutes and does not require a rectal probe or difficult bowel preparations.

Prostate cancer is the second most common cancer in men after skin cancer. There is a one in two chance that a man will develop prostate cancer. Most cases of prostate cancer are detected by elevation of a blood test, Prostate Specific Antigen (PSA) and/or Digital Rectal Exam (DRE).

Statistics show that when the PSA is abnormal, only 12 to 20% of men will have a biopsy positive for cancer. When the PSA is normal, 15% of men will still have cancer. At least 20% of cancers are missed when 10 to 30 random (blind) biopsies of the prostate are taken.

Visualizing cancer within the prostate has been difficult because the prostate is small and deep in the body. Power Doppler Ultrasound using a rectal probe may be useful but random biopsies have been the main diagnostic tool.

Dynamic Contrast Enhanced (DCE-MRI) images have for the first time provided the ability to highlight and localize prostate cancer. This allows urologists to target specific areas of the prostate for biopsy and increase the chances for finding cancer if is there. In addition DCE-MRI can help in pre-treatment planning and in post-treatment follow up. DCE-MRI will also be useful in patients who are on blood thinners and who cannot have a biopsy.

Prostate Scan

Red Crescent Shaped Area DCE-MRI on the Left Image Indicates Prostate Cancer.

Other diagnostic imaging tests used to evaluate prostate cancer at Lexington Diagnostic Center are Prostacint? nuclear scans, nuclear bone scans, PET scans, CT scans and chest x-rays. Lexington Diagnostic Center and OPEN MRI is the exclusive provider in the Bluegrass of VividLook? DCE-MRI and Prostacint? nuclear medicine scans.

For more information contact Dr. George Privett by e-mail at:?gwprivett@aol.com?or by phone at 859-278-7226.

 

FDA Releases Silicone Breast Implants for Use

FDA Releases Silicone Breast Implants for Use.

Recommends Breast MRI to detect ruptures.

Silicone breast implants were removed from the market for several years due to concerns about the health implication of rupture. After much research, the suspected side effects of rupture were found to be very low and silicone implants have again been released for use. However, because of concerns about local reactions or migration of the silicone from the chest wall to other organs, MRI has been recommended every 3 years to detect silent rupture.

Lexington Diagnostic Center has been on the forefront of providing Breast MRI for implant rupture determination as well as for Cancer detection in women with high risk for breast cancer, or who have very dense breasts or implants. (See press release below)

Click here for the Breast MRI press release

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