Posts tagged ‘risk’

July 31, 2015

Vaccines Save Lives!

Vaccines save lives. In a world before them, many people of all ages died from common and painful diseases. The adoption of vaccines into society brought about a radical change – a reduction of mortality across all ages, especially true for children. For pediatricians who lived through this medical revolution, it was time for cheers and champagne.

Now vaccines are again in the news – this time for sad reasons. Not everyone is getting them, and as a result, people are suffering. The good news is: we have the power to affect change. We can share the important message that vaccines work and help make sure that everyone gets their vaccines.

This is why Diagnostic Imaging Centers is proud to support Vaccines Work KC! On Sunday, August 2nd from 2p-4p at Mill Creek Park (better known as J. C. Nichols Fountain on the Plaza).

We believe in the power of knowledge and medicine – that the two can go hand in hand and make the world a healthier and safer place for all. We invite you to join us for family fun and sharing of knowledge – see you Sunday!

More details can be found here.

 

 

“Immunizations are the cornerstone of public health. I’ve seen many of the  diseases of the past  that are preventable with immunizations. When I was a young doctor I saw some of  these diseases and the damage they would do to children. I’ve seen countless lives saved by vaccines.

We don’t just vaccinate  for our health and safety, but for that of our children and our grandchildren and their children too. If we don’t continue to vaccinate today, the diseases like polio and meningitis that we have vaccines for and can eradicate will return to cripple, infect or kill children in the future. The future generations will  be asking why we didn’t do more to put an end to these diseases like we have done for smallpox.

“An act of prevention is worth a pound of cure!” This is why it’s important to get the word out and take care of our children now. We need to vaccinate everyone to put an end to diseases that are preventable! Vaccines work!”

Dr. Edna Perez-Koury

February 11, 2015

3D Mammography Is HERE!

February 9, 2015

Medicare: A Life-Saving Screening Now Covered

CT chestThis past week brought great news for Medicare patients! Medicare is now covering the cost of low-dose screening CT chests in selected patients. Screening with low-dose CT chest has been shown to save lives with the ability to diagnose lung cancer when it is small and more treatable.

Here are the details:

WHO is covered?

  •         Must be between 55 and 77 years of age
  •         Must be a current smoker or have quit smoking in the past 15 years
  •         Must have smoked the equivalent of 30 pack years (that means 1 pack a day for 30 years or 2 packs per day for 15 years, or any other such combination)

WHAT steps are needed for coverage?

  •         Must have a  visit with their referring physician or nurse practitioner prior to the CT for “a shared-decision making/smoking cessation counseling session prior to being referred for their first screening exam.” This is not needed for studies after the first.
  •         Must have an order from the doctor or nurse practitioner.

HOW is the test done?

  •         This is a quick,  non-contrast CT of the chest done with low dose.
  •         This is part of a total program to reduce lung cancer risk, including the most important part – a goal of smoking cessation.
  •         The test is a screening test – meaning, if something is found (about 10% of the time) something else may be recommended – this could mean further imaging, including a CT chest with contrast, PET imaging or short-term follow up CT studies, or could mean a lung biopsy.
  •         This is intended to be repeated annually.
  •         Sites providing coverage must meet many requirements, including specifications on dose and follow-up of patients.

The possibility of decreasing the number of deaths from lung cancer by getting patients into a screening program is exciting.

 

If you or someone you know fits the above criteria, get an appointment with your doctor.  If it’s a loved one, you may be the voice that prompts their action!

 

Screening of smokers with low-dose CT chest is a huge leap forward in the fight against lung cancer.

 

 

 

Diagnostic Imaging Centers blogs on regularly about women’s health at www.mammographykc.com and general radiology at www.diagnosticimagingcenterskc.com. Visit our sites for more helpful information!

September 22, 2014

We Love… Prostate Cancer Networking Group!

PCNGWe love Prostate Cancer Networking Group… and we think you should like them too!

 

In Kansas City, this wonderful organization seeks to help:

 

Men who have, or have had, prostate cancer give valuable support to others through their involvement with the prostate cancer networking group.  Just as men have received support from this group, they can in turn offer other patients and their families patience, strength, and endurance through their experiences with diagnosis, treatment and recovery.

 

Isn’t that just what the doctor ordered? Cancer care reaches far beyond treatments and deeply into the lives of those affected by it.

 

Emotional support isn’t spoken of nearly often enough when it comes to the Big Battle – partly because patients are so focused on physical well-being that repercussions elsewhere in life fall second to simple survival. But to live the best possible life during and after cancer is our wish for all those who fight… and the Prostate Cancer Networking Group is here to fill that gap!

 

As doctors, our biggest hope is to see and end to cancer entirely.  Until then, we work as a team providing care and support needed. Everyone deserves a guide on the road to their best possible health and we appreciate Prostate Cancer Networking Group for filling that role for men with prostate cancer!

 

PCNG meets regularly:

We invite all prostate cancer survivors, their partners and those helping in the fight to join us.”

Meetings held 3rd Wednesday, monthly 6:30 – 7:30 PM

Gilda’s Club Kansas City 21 West 43rd KC, MO

Diagnostic Imaging Centers blogs on regularly about women’s health at www.mammographykc.com and general radiology at www.diagnosticimagingcenterskc.com. Visit our sites for more helpful information!

 

September 19, 2014

Pattern Baldness: Prostate Indicator Light?

Larry David at the 2009 Tribeca Film Festival by David Shankbone via Wikimedia Commons Copyright Creative Commons Attribution 3.0 Unported (CC BY 3.0)If the trashcan is tipped over AND you see the dog racing out of the kitchen, you may assume that one caused the other to happen. It’s a common way of looking at the world.

 

However, the dog may just be chasing a naughty four-year-old from the room… IF something happens about the same time as something else, did one cause the other?

 

In medicine, studies ask this question all the time.

 

A recent study in the Journal of Clinical Oncology suggests there’s a relationship between a specific type of baldness and aggressive prostate cancer. This study proves a relationship, but does not answer the question of cause.

 

As with too many cancers, we don’t know what causes prostate cancer, but we can identify risk factors (age and family history most importantly). This study newly identifies baldness as a risk factor for prostate cancer. With certain types of baldness, the risk of aggressive prostate cancer was increased by 39%. That’s a big increase!

 

What type of baldness was associated with this significant increase in cancer risk? So called male pattern baldness is the type associated with prostate cancer risk. This is the type of baldness you most often associate with older men – hair loss at the crown of the head in conjunction with a receding front hairline. So, should this type of hair loss send you running to the oncologist’s office? No. But knowing the risk of prostate cancer is increased should mean increased vigilance. Regular screening exams are important for those at high risk – and that’s the most important takeaway from this study.

 

No matter what, embrace the hair you have (or don’t) and take care of the rest of your body too. That’s how you stay on the road to your best possible health!

(Image Credit: Larry David at the 2009 Tribeca Film Festival by David Shankbone via Wikimedia Commons Copyright Creative Commons Attribution 3.0 Unported (CC BY 3.0))

Diagnostic Imaging Centers blogs on regularly about women’s health at www.mammographykc.com and general radiology at www.diagnosticimagingcenterskc.com. Visit our sites for more helpful information!

 

September 17, 2014

There’s a Better Way To Calculate Body Fat (and We’ve Got It!)

3D-printed Laughing Buddha (right) by Digital Nuisance via Flickr Copyright Creative Commons Attribution-ShareAlike 2.0 Generic (CC BY-SA 2.0)Obesity and its negative effects on our collective health has been covered repeatedly in the news. There are ways of defining being overweight or obese, most based on height, weight and body mass index (BMI). Body composition is another means of analyzing percentage of body fat, and another tool to help guide and follow treatment.

 

Let’s start with the numbers: accurate weight and height are a starting point. Getting your body mass index (which you can do here once you have your height and weight) is helpful in determining whether your weight is appropriate for your height. But to be truly accurate about weight, body fat and its affect on health, knowing what percentage of your body tissue is fat specifically can be helpful. Here is where radiology can help: DEXA is the most accurate means of assessing body composition.

 

DEXA is known most commonly for measuring bone mineral density. This can identify those with osteoporosis or those beginning to show signs of bone loss. Knowing your bone mineral density is increasingly important with age, and preventing fractures is a goal.

 

DEXA (or Dual Energy X-ray Absorptiometry if you want to know the words behind the acronym) is the most accurate method of assessing body composition. A DEXA scan is a medical test and is considered the Gold Standard in body composition testing with over 99% accuracy. This imaging technique using low dose x-rays can evaluate bone density, fat density and lean body mass. DEXA gives a total picture of body composition, useful for planning a course of action and then seeing the success (we’ll think positive!) of those actions.

 

Eating well, exercising regularly, talking to your doctor or consulting with a dietician are all actions that can help you on the way to better numbers. Decreasing body fat percentage while maintaining healthy lean body mass is the goal. Decreasing body fat percentage is as significant as overall weight loss to your health.

 

So start with your numbers and move from there. You have the power to get yourself on the road to your best possible health! And we’re happy to help in any way we can, from sharing healthy recipes to exercise tips and tricks to advising you on your DEXA scores to cheering you on and educating you along the way! If you follow us on Pinterest you’ll see more ideas everyday!

(Image attribution: 3D-printed Laughing Buddha (right) by Digital Nuisance via Flickr Copyright Creative Commons Attribution-ShareAlike 2.0 Generic (CC BY-SA 2.0))

Diagnostic Imaging Centers blogs on regularly about women’s health at www.mammographykc.com and general radiology at www.diagnosticimagingcenterskc.com. Visit our sites for more helpful information!

September 15, 2014

Prostate Health: 4 W’s + an H

Elderly_exerciseProstate health awareness is lagging in the national conversation and plaguing men in the United States. We’ve all heard the 1-in-8 statistic for women’s breast cancer… but do you know the number for men’s prostate cancer? Hold onto your hats: this is a 1-in-7 occurrence.

 

What do these numbers add up to? More than a quarter million men in the US will be diagnosed with prostate cancer this year and 30,000 will die from it.

Why is prostate cancer so serious? Prostate cancer is the second most common cancer in men (just behind skin cancer), and the second most common cancer-killer for men (just behind lung cancer). If signs and symptoms show up and are handled appropriately, a prostate cancer warrior can turn into a prostate cancer survivor – and join the 2.5 million healthy others in this country.

 

Who is at risk? The answer is every man. For better or worse, prostate cancer occurs mostly in men over the age of 65 (66 is the average age of detection) and is seldom seen in men under the age of 40. Though no one knows for certain what causes prostate cancer, there are certain risks to be aware of for prostate cancer:

 

Main risk factors for prostate cancer:

 

  • age over 60
  • African American men are more often affected and may have more serious (advanced stage) disease
  • genetics plays a role in prostate cancer in a small percentage of cases
  • family history, particularly if prostate cancer is present in a brother or father
  • family history when prostate cancer is seen in a brother or father before the age of 65 is even more important in risk
  • some studies have shown a link to higher consumption of red meat

 

Possible signs and symptoms:

 

  • Most men will be asymptomatic! Or..
  • Blood in urine.
  • Impotence.
  • Pain in bones of the back, chest and hips.
  • Trouble urinating.

Where do we go from here? Because early stages of prostate cancer are not associated with signs or symptoms, regular screenings are imperative. To understand your personal risk and to figure out what steps you should be taking, have a discussion with your doctor.

 

How do we look for prostate cancer? The screening tests include digital rectal exam (DRE) and prostate-specific antigen (PSA) blood tests. These two steps are the cornerstone of screening asymptomatic men for the disease. These should begin around the age of 50 for average risk men, possibly earlier for those at higher risk due to family history or for African American men. If either of the screening tests is abnormal, further evaluation by a urologist will likely follow. Prostate ultrasound and biopsy may be the next step. Prostate MRI may be indicated in some men as well, particularly for problem-solving complex cases.

 

For more information, here’s a link to the American Cancer Society prostate health site. Special thanks to Kansas City Urology Care for sponsoring the Zero Prostate Cancer Run/Walk!

(Image attribution: “Elderly exercise” by National Institutes of Health. Licensed under Public domain via Wikimedia Commons)

Diagnostic Imaging Centers blogs on regularly about women’s health at www.mammographykc.com and general radiology at www.diagnosticimagingcenterskc.com. Visit our sites for more helpful information!

 

June 25, 2014

Lung Cancer Screening Gets Another Leg Up

Symbol kept vote Green by Zorglub via Wikimedia Commons Copyright Creative Commons Attribution-Share Alike 3.0 UnportedThe votes in support of low-dose screening CT chest for high risk smokers are growing. Recently the American Medical Association – the largest association of doctors from all specialties in the US – added their support to guidelines recommending this potentially life-saving exam.

 

Lung cancer is a killer. In the US, lung cancer causes more deaths than breast + prostate + colon cancer – more deaths than all of those cancers combined! Studies on low-dose CT screening (the National Lung Screening Trial) showed early detection saves lives! There was a 20% reduction in deaths in heavy smokers from lung cancer due to CT screening in this study. This is why low dose chest CT is so crucial. Finding lung cancer early, when it is potentially treatable is the goal of screening.

 

As accredited members of the American College of Radiology, we are thrilled that the ACR is fighting to support the recommendations of the United States Preventative Services Task Force for high-risk patients. (Read all about it here.) The Task Force recommended coverage beginning January 2015 for high risk patients, including those 55-80 years with significant smoking histories (defined as greater than a 30 pack-year history of smoking) or for those who were former heavy smokers who have quit in the last 15 years. The Task Force recommendations will apply to those patients with insurance.

 

The fight for coverage of Medicare patients is still on-going, and is the focus of the ACR and other groups. The Medicare Evidence Development and Coverage Advising Committee made a controversial stand against support of low-dose CT screening early this year. Medicare will make its final vote in the fall. We think including Medicare patients in coverage for this important, potentially life-saving exam is crucial.

Make your voice heard – add your vote in favor of low-dose screening CT chest for all who will benefit- including Medicare patients! Contact your local congresspersons (here) and let them know you agree.

(Image credit: Symbol kept vote Green by Zorglub via Wikimedia Commons Copyright Creative CommonsAttribution-Share Alike 3.0 Unported)

 

Diagnostic Imaging Centers blogs on regularly about women’s health atwww.mammographykc.com and general radiology atwww.diagnosticimagingcenterskc.com. Visit our sites for more helpful information!

 

June 20, 2014

We Love… The National Stroke Association!

Does the face look uneven by Charles Hope via Flickr Copyright Creative Commons Attribution-NonCommercial-ShareAlike 2.0 Generic (CC BY-NC-SA 2.0)Just to be clear, we love the National Stroke Association, which is the opposite of loving strokes. After our series on vascular imaging as well reporting on recent studies on stroke prevention, it’s important to talk about the warning signs, additional prevention and what can be done if someone is suspected of having a stroke.

 

In health, action is everything.- for strokes, time means brain.The longer those neurons or brain cells go without blood flow, the greater their chance of death and loss of function. The sooner we  react to a situation, the better the chances of recovery. This is why it’s important to know the signs of a stroke and what to do if one is happening.

 

First, if you believe a stroke is occurring, call 911 immediately. What are signs of a stroke? They are sudden and can include any of the following: numbness, weakness, confusion, trouble seeing, walking or speaking, and/or severe headache. Nerve changes like numbness and weakness may occur on only one side of the body. Act immediately – time equals brain!

 

Risks for cerebrovascular disease and stroke include modifiable and nonmodifiable risk factors. The National Stroke Association has an excellent breakdown of the many, many potential risk factors here. If you have any of these risk factors, from family history of strokes, to diabetes or high blood pressure (to name just a few), extra vigilance and modification of those factors you can control is key.

 

Strokes are disorienting experiences and can present with a wide spectrum of findings, based on which part of the brain is being affected. For an insightful first-person account, Jill Bolte Taylor’s TEDtalk about her experience (“My Stroke of Insight”) is a fascinating video.

 

Because of all their hard work toward the best possible health for all, we love The National Stroke Association. And if you like them too, you can do so here!

(Image Attribution: Does the face look uneven? by Charles Hope via Flickr Copyright Creative CommonsAttribution-NonCommercial-ShareAlike 2.0 Generic (CC BY-NC-SA 2.0))

Diagnostic Imaging Centers blogs on regularly about women’s health atwww.mammographykc.com and general radiology atwww.diagnosticimagingcenterskc.com. Visit our sites for more helpful information!

 

June 18, 2014

The Study Is Out: Animal Proteins and Strokes

 

Copper river sockeye smoked salmon mit salat und crumpet 07.04.2012 20-30-53 by Dirk Ingo Franke via Wikimedia Commons Copyright Creative Commons Attribution-Share Alike 3.0 UnportedNow that we’ve discussed carotid Doppler, CT angiography and MR angiography, here’s a reminder that we are advocates for an ounce of prevention over a pound of cure. Preventing vascular disease is much better than detecting it!

 

According to a recent analysis of seven health studies, one of the best ways to fight stroke is by a healthy diet (pause to act surprised here). One key to that healthy diet is lean animal protein (okay, you’re allowed to be surprised now).

 

The study showed that as lean protein intake increases, stroke risk decreases. This study included over 250,000 patients but was focused on those living in countries where unsaturated, lean proteins like fish are popular. Those who ate 20 additional grams of protein a day had a 26% lower risk of stroke. What is behind the reduced risk is less well-understood. Likely, there are multiple factors involved. For instance, a protein-rich diet can also naturally include extra nutrients like potassium, magnesium and dietary fiber, all of which may be stroke deterrents.

 

We should not take this study to mean increase your protein intake without considering the type or quality of the protein -lean animal protein seems to be the key here. While the occasional steak or hamburger is acceptable, increasing your daily dietary intake of these type proteins will not yield the same results seen in this study.

 

The long and the short of it is this: a careful diet is good for you; proteins, including lean animal proteins, seem to help with reducing stroke risk. For further reading, there are articles summarizing the findings here and here.


For your best vascular health, don’t smoke, keep cholesterol and glucose levels healthy, and consider a diet focused on healthy lean proteins.