Health
Breast Cancer Detection Is Better With MRIs Or CEMs?
(CTN News) – When it comes to diagnosing breast cancer, which modality—contrast-enhanced mammography or dynamic contrast-enhanced breast magnetic resonance imaging—is more effective?
Radiologic Clinics published an article in July stating that it is dependent on a variety of factors, and the paper was quite informative.
In spite of the fact that CEM performs marginally worse than MRI when it comes to breast cancer diagnostic imaging, colleagues Dr. Valentina Longo of Fondazione Policlinico Universitario in Rome and Dr. Ritse Mann, PhD, of Radboud University Medical Center in Nijmegen, the Netherlands, pointed out that in “many situations [it is] a viable alternative.”
Mammography is the most common way to screen for breast cancer.
Despite its limitations, the most notable of which is a diminished capacity to detect disease in thick breast tissue, mammography is the method that is being used.
Mammography has a number of limitations, however ultrasonography is an alternative screening tool that can circumvent some of those limitations.
Nevertheless, the group made the observation that contrast-enhanced imaging, which provides functional information about the vascularity of the tumor, “strongly boosts the cancer detection rate in screening and also improve staging,” indicating that this imaging modality has the potential to be useful in the diagnosis of breast cancer.
Although contrast-enhanced mammography (CEM) was not available until 2011, dynamic contrast-enhanced breast MRI has been available since 1984.
CEM has been approved by the Food and Drug Administration (FDA) of the United States of America as an auxiliary modality for follow-up diagnostic testing for breast cancer; however, it has not been approved for screening purposes.
“CEM is mainly suggested as an alternative to MR imaging when MR imaging is not feasible for a patient,” according to the researchers Mann and Longo.
In addition to providing guidance on which of these contrast-enhanced treatments should be utilized in a certain clinical setting, the researchers also discussed some of the many benefits and drawbacks associated with each procedure:
Upon diagnosis of breast cancer,
Contrast-enhanced mammography (CEM) has shown to have enhanced sensitivity (90.5% versus 52.4%) and decreased specificity (76.1% versus 90.5%) in comparison to regular mammography.
Based on earlier studies, the specificity of breast magnetic resonance imaging (MRI) can reach up to 98%, while its sensitivity can reach up to 100%. Nevertheless, this would suggest that the variable settings that were utilized in the process of calculating these statistics had to be taken into consideration.
Particularly well-visible on magnetic resonance imaging (MRI) are regions such as the axilla and far posterior locations, which are sometimes difficult to identify on mammography. The price, on the other hand, is significantly higher, and insurance might not always cover it.
According to the study participants, breast MRI is specifically recommended for very high-risk patients, such as carriers of the BRCA gene mutation, since they begin screening early in life and are more susceptible to radiation damage.
It will take contrast-enhanced microscopy (CEM) significantly longer to obtain images of the prepectoral and axillary breast regions than it does with breast magnetic resonance imaging (MRI).
Magnetic resonance imaging (MRI) of the breast is an extremely useful imaging technique for individuals who have had implants placed since it allows an examination of the integrity of the implants.
Chemotherapy response evaluation using breast magnetic resonance imaging (MRI) is considered to be a regular practice.
Breast Cancer MRIs do not administer radiation.
What’s the last word? It is necessary to give some consideration to the selection of an imaging modality for the diagnosis of breast cancer.
“Factors to take into account when choosing between modalities include the likelihood of strong background parenchymal enhancement (that can be better managed with MR imaging), the importance of radiation (particularly relevant in young women), the availability of equipment, and women’s preferences (due to claustrophobia, compression, noise, and so forth),” according to the researchers Mann and Longo.
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Health
Report Causes Pfizer Stock to Climb Approximately $1 Billion Acquired by Starboard
(VOR News) – According to a rumor that activist investor Pfizer Starboard Value has taken a holding in the struggling pharmaceutical business that is expected to be worth around one billion dollars, the stock of Pfizer (PFE) is on the increase in premarket trading on Monday.
This comes after the report was made public. The report was made available to the general public following this. Starboard Value was successful in moving forward with the acquisition of the position.
Starboard is said to have approached Ian Read, a former chief executive officer of Pfizer, and Frank D’Amelio, a former chief financial officer, in order to seek assistance with its goals of boosting the performance of the company, according to the Wall Street Journal. Read and D’Amelio are both former Pfizer executives.
The purpose of this is to facilitate the accomplishment of its objectives, which include enhancing the overall performance of the firm.
In their previous jobs, D’Amelio and Read were chief financial officers.
It is stated in the report that the hedge fund is of the opinion that Pfizer, which is currently being managed by Albert Bourla, who succeeded Read as Chief Executive Officer (CEO) in 2019, does not demonstrate the same level of mergers and acquisitions (M&A) discipline that Read did. Bourla took over for Read in 2019. Read was succeeded by Bourla in the year 2019.
Pfizer, a multinational pharmaceutical conglomerate, has made substantial investments in the acquisition of more companies that are involved in the research and development of cancer medicines.
These businesses have been acquired for billions of dollars. The biotechnology company Seagen, which was acquired by Pfizer in the previous year for a price of $43 billion, is included in this category. One of the businesses that can be classified as belonging to this category is Seagen.
In spite of the fact that the S&P 500 Index experienced a 21% increase in 2024.
No major trading occurred in Pfizer stock that year.
Due to the fact that the demand for Pfizer’s COVID-19 vaccines fell after the firm reached its pandemic peak in 2021, the share price of the corporation has decreased by over fifty percent since that time.
This drop has occurred ever since the company’s shares reached their maximum peak, which was during the time that this decline occurred. Not only have they not changed at all, but they have also remained essentially stable. This is in contrast to the S&P 500, which has gained 21% since the beginning of this year.
Recently, the corporation was forced to take a hit when it decided to recall all of the sickle cell illness medications that it had distributed all over the world.
Fears that the prescription could lead patients to experience severe agony and possibly even death were the impetus for the decision to recall the product. In spite of the fact that Pfizer’s stock is increasing by almost three percent as a result of the news that followed the company’s decision, this is the circumstance that has come about.
SOURCE: IPN
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New Study Reveals Drinking Soda Pop Increases the Risk of Stroke
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Health
New Study Reveals Drinking Soda Pop Increases the Risk of Stroke
A recent report from global research indicates that excessive consumption of coffee or soda pop is associated with an increased risk of stroke, although the intake of black and green tea is correlated with a reduced risk. Excessive consumption of soda pop or coffee warrants caution!
Recent research indicates that it may substantially elevate the risk of stroke.
Consuming four cups of coffee daily elevates the risk of stroke, according to studies, although ingesting 3-4 cups of black or green tea daily typically offers protection against stroke. Additionally, consume more coffee; it may reduce your risk of mortality.
Recent findings from global research studies co-led by the University of Galway and McMaster University, alongside an international consortium of stroke researchers, indicate that soda, encompassing both sugar-sweetened and artificially sweetened variants such as diet or zero sugar, is associated with a 22 percent heightened risk of stroke. The risk escalated significantly with the consumption of two or more of these beverages daily.
Stroke Risk Fizzy Drinks and Soda Pop
The correlation between fizzy drinks consumption and stroke risk was most pronounced in Europe, the Middle East, Africa, and South America. Women exhibit the most elevated risk of stroke from bleeding (intracranial hemorrhage) associated with fruit juice beverages. Consuming over 7 cups of water daily diminishes the likelihood of stroke due to a clot.
Researchers observed that numerous items advertised as fruit juice are derived from concentrates and have added sugars and preservatives, potentially negating the advantages often associated with fresh fruit and instead elevating stroke risk.
Fruit juice beverages were associated with a 37 percent heightened risk of stroke resulting from bleeding (intracranial hemorrhage). Consuming two of these beverages daily increases the risk thrice.
Consuming over four cups of coffee daily elevates the risk of stroke by 37 percent, although lower consumption levels do not correlate with stroke risk. Conversely, tea consumption was associated with an 18-20 percent reduction in stroke risk. Additionally, consuming 3-4 cups daily of black tea, such as Breakfast and Earl Grey varieties, excluding green and herbal teas, was associated with a 29 percent reduced risk of stroke.
Consuming 3-4 cups of green tea daily was associated with a 27 percent reduction in stroke risk. Notably, the addition of milk may diminish or inhibit the advantageous effects of antioxidants present in tea. The lower risk of stroke associated with tea consumption was negated for individuals who added milk.
Disclaimer: This article is intended solely for informational reasons and should not be considered a replacement for professional medical counsel. Consistently consult your physician regarding any inquiries pertaining to a medical problem.
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Health
Following a Diagnosis of Breast Cancer, What Else Should You Know?
(VOR News) – Even though breast cancer affects one in eight American women, receiving a diagnosis can make a woman feel isolated.
Experts in breast cancer from the American College of Physicians (ACS) advise patients on how to manage their disease so that they may better cope with this awful information.
First, the kind and stage of breast cancer dictates the course of your care.
In addition to immunotherapy and chemotherapy, there are various surgical options available for the treatment of breast cancer.
Women of African descent are disproportionately affected by triple-negative breast cancer, an extremely aggressive form of the disease that has never proven easy to treat.
According to the American Cancer Society, pembrolizumab (Keytruda), an immunotherapy, has been shown to be helpful when combined with chemotherapy and is currently the recommended course of treatment for certain combinations of triple-negative breast cancer.
In her presentation, Dr. Katharine Yao said, “It’s really important that the patient and physician discuss the patient’s preferences and values when deciding what type of treatment to pursue and that they have an honest, individualized discussion with their care team.”
She is currently responsible for developing breast cancer treatment recommendations for more than 575 hospitals and institutions nationwide in her role as chair of the American College of Surgeons’ National Accreditation Program for Breast Institutions (NAPBC).
Yao, vice chair of research at Endeavor Health NorthShore Hospitals in New York, pointed out that each decision made about a patient’s treatment plan should take her preferences and diagnosis into consideration.
She ought to think about whether she would prefer a mastectomy—a surgical procedure that involves removing the entire breast with or without reconstruction—or a lumpectomy, which involves a surgical procedure that spares part of the breast tissue.
She stated that “the breast cancer you have may be very different from the breast cancer you hear about in your neighbor, colleague, or friend” in a press release issued by the American Cancer Society (ACS).
“Consider that while discussing breast cancer with others.”
Throughout your journey, it is critical that you look after your emotional health because having breast cancer may have a detrimental impact on your mental health.
“Getting a cancer diagnosis does not mean that everything in your life stops to be normal.” Director of the Fellowship in the Diseases of the Breast program at the Winthrop P. Rockefeller Cancer Institute at the University of Arkansas and state head of the American Cancer Society Commission on Cancer for Arkansas, Dr. Daniela Ochoa She thinks adding the burden of a cancer diagnosis and treatment to all the other pressures in life may be taxing.
“Managing stress and emotional health is vital component of a treatment plan.”
Ochoa recommends clinically trained psychologists and social workers who have assisted people in coping with cancer to anyone receiving treatment. Learning coping techniques might also be facilitated by joining cancer support groups or cancer wellness initiatives.
Breast cancer specialists say your care team is crucial.
The American Cancer Society (ACS) defines comprehensive care as having support at every stage of the procedure from surgeons, oncologists, patient navigators, nurses, social workers, psychologists, and other specialists.
After receiving a breast cancer diagnosis, women should see a surgeon or medical oncologist to explore their options; nevertheless, treatment shouldn’t be discontinued after just one appointment or after surgery is over.
Additionally, you can ask trustworthy friends or family members to accompany you to appointments and aid you with research or notes. They could serve as a network of support for you.
Yao stated in his talk that “one of the most important things is that patients should search out a team they have confidence in, that they trust will have their back when they need it, and a team they feel they can get access to and that will help them when they are in need.”
SOURCE: MP
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