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  • prostate

    Prostate Cancer Services

    According to the American Cancer Society, an estimated 241,740 new cases of prostate cancer (PCa) will occur in the U.S. during 2012. PCa is the most frequently diagnosed cancer in men, aside from skin cancer. With an estimated 28,170 deaths in 2012, prostate cancer is the second-leading cause of cancer death in men.1*

    Other Prostate Cancer Statistics

    • Two men every five minutes are diagnosed with prostate cancer. 2***
    • Every year, over 217,730 men are diagnosed with prostate cancer and approximately 32,050 will die from this cancer. 1**

    Understanding the Prostate

    The prostate is a small gland, found only in men, located at the bottom of the bladder and in front of the rectum; it is about the size of a walnut. The tube that carries urine (the urethra) runs through the prostate. The prostate’s job is to make some of the fluid that protects and nourishes sperm cells in semen.

    References
    1* American Cancer Society (www.cancer.org)
    2** Us TOO International, Inc. (www.ustoo.org)
    3*** The Journal of Urology (R) Vol 183. 520-528, February 2010
    4**** Radiological Society of North America, Inc. (
    www.radiologyinfo.org)

    http://www.invivocorp.com/education/prostate.php

    The Risk Factors of Prostate Cancer

    Researchers do not know the exact cause of prostate cancer, but have found that men with certain risk factors are more likely to develop the disease. Risk factors to consider include age, family history, race and diet.2**

    Age: In men younger than 45, prostate cancer is rare, but the chance of getting it goes up significantly as they get older. The disease is mainly found in men age 55 and over with the average age of 70 at the time of diagnosis. 2**

    Family History: A man’s risk of prostate cancer is higher if his brother or father had the disease. A man with one close relative with the disease has double the risk of developing the disease. With two close relatives, his risk is five times higher. With three, the chance is 97%. Risk for developing prostate cancer is two times higher in men whose father or a brother has been diagnosed with cancer. 2**

    Race: Prostate cancer is more common in African American men. African American males have a prostate cancer incidence rate up to 60% higher than white males and double the mortality rate. Prostate cancer is less common in Asian and American Indian men. 2**

    Diet: A man’s risk of prostate cancer is greater if he is obese or in danger of developing obesity. Men with a body mass index over 32.5 have about a one-third greater risk of dying from prostate cancer than men who are not obese. Diets high in fat may increase a man’s risk of prostate cancer by increasing testosterone, which stimulates prostate cell growth. 2**

    References
    1* American Cancer Society (www.cancer.org)
    2** Us TOO International, Inc. (www.ustoo.org)
    3*** The Journal of Urology (R) Vol 183. 520-528, February 2010
    4**** Radiological Society of North America, Inc. (
    www.radiologyinfo.org

    Understanding Prostate Cancer

    Prostate cancer is a disease in which malignant (cancer) cells form in the tissues of the prostate. Normally, cells within the prostate grow, divide, interact, and die to make sure the prostate functions properly. Normal prostate cells become cancerous when this process is disrupted. This disruption causes cells to lose control and grow on top of each other, thus forming a tumor.

    Signs and Symptoms: Early-stage prostate cancer may not be associated with any obvious signs or symptoms and, often times, symptoms can be mistaken for those of other disorders. Most cases of prostate cancer are not detected until they have spread out of the prostate and begin to cause noticeable symptoms.

    Some of these symptoms may include:

    • Loss of appetite and weight
    • Frequent need for urination
    • Difficult of painful urination
    • Blood in the urine
    • Painful ejaculation
    • Bone pain
    • Pelvic pain

    Early Detection: Thanks to new technology, prostate cancer is being detected and treated earlier, before it can spread to other tissues. The earlier prostate cancer is detected, the more easily it can be treated.

    Current Standard of Care

    PSA Testing: When determining whether patients have prostate cancer or another prostate-related condition, a prostate-specific antigen (PSA) blood test is typically initially conducted. PSA is a protein produced by cells of the prostate gland and the test measures the level of PSA in the blood. Men typically have a low level of PSA in their blood; however, conditions such as prostate cancer or even benign (not cancerous) conditions can increase PSA levels in men.

    Digital Rectal Exam: PSA levels alone to not provide physicians with enough information to distinguish between benign prostate conditions and cancer. Physicians typically use the PSA test results, along with a digital rectal exam (DRE), to help detect prostate cancer in men. During the DRE, a physician inserts a gloved finger into the rectum and then feels the prostate gland through the rectal wall to check for bumps or abnormal areas.

    TRUS-Guided Biopsy: If a man’s PSA level has been increasing or if a suspicious lump is detected during a DRE, a physician may recommend other tests to determine if there is cancer or another problem with the prostate. Physicians often recommend a transrectal ultrasound (TRUS) guided prostate biopsy which involves taking samples of tissue from the prostate.

    Emerging Technology with MRI Available at Advanced Imaging of Port Charlotte

    MRI is an emerging tool for possible early detection of prostate cancer and other prostate-related conditions. MRI uses radiofrequency waves to create a detailed cross-sectional image of the prostate and surrounding tissues.

    Prostate MR uses advanced magnetic resonance imaging to create very accurate and clear images of the prostate gland. These images are diagnostic quality and can be useful when diagnosing possible prostate diseases. Medical images resulting from prostate MR can be combined with powerful post-processing computer programs to provide detailed information about the prostate. This information can offer a wider variety of diagnosis and treatment options for clinicans and patients. If you feel you could benefit from a prostate MRI please discuss with your physician.

    Images provided from MR, however, do not always indicate cancer. Prostate MR images identify specific regions of the gland that may appear suspicious and can be further evaluated through a targeted MR-guided biopsy procedure (also available at Advanced Imaging of Port Charlotte). MRI of the prostate can also be used to evaluate other prostate conditions, including prostatitis (inflammation of the prostate) and benign prostatic hyperplasia (BPH)(enlargement of the prostate)

    mri-guided

    MR-guided biopsies may be helpful to patients who have had several sessions of TRUS-guided biopsies with negative results. Compared to published cancer yield rates of up to 15% greater with their TRUS-guided biopsies, the increased rate of detection may give greater confidence to both physicians and patients.3***

    Benefits:

    • Prostate MRI is a noninvasive imaging technique that does not require exposure to ionizing radiation.
    • Prostate MRI provides clear and detailed images of the soft-tissue structures of the prostate that may not be assessed adequately with other imaging methods such as x-ray, ultrasound or computed tomography (also called CT or CAT scanning). The detail makes MRI a helpful tool in early diagnosis and evaluation of tumors.4***
    • Prostate MR images can help physicians evaluate the function as well as the structure of many organs.
    • MRI contrast material is less likely to produce an allergic reaction than the iodine-based materials used for conventional x-rays and CT scanning.

    References
    1* American Cancer Society (www.cancer.org)
    2** Us TOO International, Inc. (www.ustoo.org)
    3*** The Journal of Urology (R) Vol 183. 520-528, February 2010
    4**** Radiological Society of North America, Inc. (
    www.radiologyinfo.org

    dynacadOverview of Advanced Imaging’s Use of Invivo’s DynaCAD & DynaTRIM

    Advanced Imaging first introduced Invivo’sMR prostate solution to the area 4 years ago.We have successfully diagnosed a multitude of prostate cancers that were unreachable by TRUS biopsy.  This high tech service is offered right here at Advanced Imaging of Port Charlotte;we offer this highly specific extremely accurate service in a comfortable caring environment.  Our facility is staffed by Board Certified Radiologists and your biopsy is performed with your comfort and care in mind you will be tended to by caring technologists, registered nurses and highly trained interventional radiologists.

    Invivo’sDynaCAD for Prostate solution provides physicians with a customizable set of advanced tools for performing immediate analysis of prostate MR images. Invivo’sDynaTRIM is a fully MRI-compatible device for Trans-Rectal Interventional MRI of the prostate gland. A removable device, DynaTRIM is designed to attach to an MR imaging table with an open design that allows for flexibility and a cleanable foam pad for extra patient comfort.

    The pairing of DynaCAD for Prostate with DynaTRIM then enables our radiologists to conduct targeted MRI examinations of suspicious areas within the prostate gland.

    When patients show elevated and/or rising PSA levels, some go through multiple TRUS-guided biopsies with negative results and are left without a diagnosis. The DynaCAD for Prostate and DynaTRIM may offer another option for clinicians and their patients.

    What to Expect from the MR Imaging Process and DynaTRIM Procedure

    Diagnostic MR Imaging Process:
    An MRI is a non-invasive and painless medical procedure used to produce accurate, detailed pictures of organs and tissues to diagnose a variety of medical conditions. When receiving an MRI, patients are positioned on a moveable examination table, and in some cases, straps and bolsters are used to help patients remain still and in the correct position during imaging. Small devices that contain coils capable of sending and receiving radio waves, may then be placed around or adjacent to the area of the body that is being studied.

    The patient is then moved into the magnet of the MRI unit. The radiologist and the technologist will leave the room while the MRI examination is performed on the patient. When the examination is completed, patients may be asked to wait until the technologist or radiologist checks the images, in the event additional images are required.

    MRI exams generally include multiple runs (sequences), some of which may last several minutes. The entire exam is usually completed in 15-45 minutes.

    Prostate Biopsy Overview (DynaTRIM Procedure):
    A prostate biopsy is a process where multiple small tissue samples are taken from the prostate for evaluation by a pathologist (doctors who examine tissue under the microscope). MRI technology is used to guide the biopsy needle and samples are then taken that reflect each of the different zones of the prostate.

    The DynaTRIM prostate biopsy procedure typically takes less than one hour and an oral sedative medication may be given before the procedure to help a patient who is very anxious.

    The procedure begins by placing the patient lying face down on the MRI table. MR images are taken a few times, an MRI probe is adjusted to find a specific area, and then a small needle is then gently placed through the sheath in the rectum. Mainly patients will hear a click or a snap sound for each biopsy and feel a small little pinch.

    The amount of biopsy samples taken will depend on the decision of each radiologist, the patient’s anatomy, and possibly on whether a prostate biopsy has been done in the past.

  • Did You Know

    The staff at Advanced Imaging has over 75 years of experience in the imaging industry! With that kind of experience you can rest assured that you are in the best hands.
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