ADVANCED SPINAL SOLUTIONS

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Monday, December 17, 2007

http://www.sciencedaily.com/videos/2007/1110-safer_mri_scans_for_heart_patients.htm#
http://www.sciencedaily.com/videos/health_medicine/prostate_cancer/

Detecting Prostate Cancer Earlier
Cancer Biologists Develop More Accurate Blood Test for Prostate Cancer

September 1, 2005 — A new blood test is more reliable at finding prostate cancer in its early stages by detecting a protein marker in blood plasma. Doctors say the new test, now in clinical trials, will have an accuracy of 95 percent, better than the commonly used PSA, which signals abnormal prostate conditions rather than cancer.
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BALTIMORE--Most men over age 50 are familiar with PSA testing, used to detect prostate cancer. But the test can sometimes miss cancer cases. Now a new test can find cancer earlier.

When James Foster discovered he had prostate cancer, his life barely missed a beat. Now a prostate cancer survivor, Foster says, "I don't think I was shocked. I truly was almost preparing for it." But finding out he had the disease wasn't easy or quick. Like many men his age, he experienced the problem of having elevated PSA test results that could mean any number of things.

Robert Getzenberg, a cancer biologist at Johns Hopkins School of Medicine in Baltimore, says, "A blood test of PSA is not really an accurate marker of prostate cancer, but really a marker of abnormal prostate conditions."

Cancer biologists now have a new blood test, currently in clinical trials, that's more reliable and accurate at finding the disease in its earliest stages. The new test identifies a protein marker in blood plasma, called early prostate cancer antigen -- or EPCA. When the marker appears in a blood test, it indicates a high probability of cancer, not just that something is wrong. Doctors say it's the best indicator yet of prostate cancer.

"If you have the EPCA marker in your blood, you almost certainly, higher than 95-percent chance, have prostate cancer," Getzenberg says -- promising new number that might help reduce the amount of prostate biopsies, a painful, invasive procedure to confirm cancer, and focus on men who are truly at risk.

The new blood test is currently in clinical trials, and doctors will be recruiting new patients this fall. For trial information, visit www.tesserainc.com.
show background

BACKGROUND: In the first clinical study of a new blood protein associated with prostate cancer, researchers have found that the marker EPCA, or early prostate cancer antigen, can successfully detect prostate cancer in its earliest stages. The current technique for detecting prostate cancer prostate-specific antigen (PSA) testing, can sometimes indicate cancer when none is there. Prostate cancer is the most common type affecting American men, with about 232,090 new cases diagnosed in 2005.

WHAT IS THE PROSTATE: The prostate is a walnut-sized gland, located between the bladder and the penis and in front of the rectum. Its primary function is the production of seminal fluid, the milky substance that nourishes sperm.

WHAT IS PSA TESTING: PSA testing is one step in early identification of prostate tumors, combined with digital rectal examination. But PSA testing can miss some cancers, or produce a false positive (indicate a cancer that doesn't exist). Furthermore, a prostate biopsy is a very painful and unpleasant procedure, with 12 separate tissue extractions followed by a month of pain. The biopsy usually needs to be repeated each year after the first positive PSA result, even if the initial biopsy comes out negative. Of the 1.8 million biopsies performed annually, only 15 percent come out negative. Reducing the number of biopsies requires for an accurate diagnosis would bring welcome relief to many patients.

NEW BLOOD TEST: Researchers at Johns Hopkins measured the ECPA levels in 46 patients, including those with prostate cancer, bladder, colon and kidney cancer, spinal cord injury, and noncancerous prostate inflammation, as well as 16 healthy individuals. They found that EPCA levels were high in 11 of the 12 prostate cancer patients and low in all the healthy individuals. They estimate an accurate diagnosis rate of 94 percent. When coupled with standard PSA screening, the new blood test could help reduce the number of unnecessary biopsies and undetected prostate tumors. The ECPA test very specific to prostate cancer; it doesn't indicate other types of cancer or benign prostate conditions.

WHEN AVAILABLE: Larger clinical trials will be starting soon, and it is believed that the blood test will be generally available to medical practitioners in 2006.

Note: This story and accompanying video were originally produced for the American Institute of Physics series Discoveries and Breakthroughs in Science by Ivanhoe Broadcast News and are protected by copyright law. All rights reserved.
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Thursday, December 6, 2007

Science News

Engineers Developing New Cements To Heal Spinal Fractures

ScienceDaily (Oct. 30, 2007) — New research could offer hope for victims of the most devastating spinal injuries - typically those caused in car crashes.
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Biological cements to repair 'burst fractures' of the spine are being developed and tested in a major new collaborative project between the University of Leeds and Queen's University Belfast. The team will be working to develop and examine the effects of novel cement materials for the treatment of burst fractures.

Bone cements, similar to those used in joint replacement surgery, are already being used to strengthen damaged vertebrae of patients with diseases such as osteoporosis, in a procedure known as vertebroplasty, but 'burst fractures' to the spine, injuries often sustained in major impact accidents and falls, are much more difficult to treat. They account for over 1,000 emergency NHS admissions each year and often require highly complex, invasive surgery and a long stay in hospital.

"This type of fracture causes the vertebra to burst apart and in severe cases fragments of bone can be pushed into the spinal cord," says Dr Ruth Wilcox of Leeds' Institute of Medical and Biological Engineering. "Surgeons may be able to join bone fragments together and stabilize the spine with the use of metal screws and rods, but patients with these injuries are often in a really bad way, so the less invasive the treatment, the better."

The project team at Queen's has expertise in developing and testing synthetic biomaterials for the repair of bone defects. "These materials can be delivered to the fracture site by injection and mimic the chemical composition of bone itself," says Dr Fraser Buchanan, from the University's School of Mechanical and Aerospace Engineering.

At Leeds the team has expertise in computational modelling of the spine and will be able to provide Queen's with data to assist in the development of novel biomaterials and to simulate how they will perform in patients.

Statistically, burst fractures are seen more in younger people, and not enough is currently known about the long term consequences of using existing cements for the treatment of this type of injury. There is evidence to show that some patients with osteoporosis, who tend to be older, can develop fractures in the vertebrae adjacent to those treated with vertebroplasty.

"We think this may be because current cements are stiffer than the bone itself causing an imbalance in the way the spine bears weight. This may increase loading on the neighbouring vertebrae, which can lead to further damage" says Dr Wilcox.

"Clearly we need to develop biomaterials that more closely match the properties of real bone. This project offers the perfect opportunity to use the range of complimentary skills of this grouping to predict the effects of newly developed cements and even incorporate biological agents to assist the body's own healing process," added Dr Buchanan.

To be able to use bone cements for burst fractures would be a major leap forward. It would be simpler, quicker and much less invasive for the patient, reducing both recovery times and NHS costs.

Funding is being provided by the Engineering and Physical Sciences Research Council.

Adapted from materials provided by University of Leeds.
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University of Leeds (2007, October 30). Engineers Developing New Cements To Heal Spinal Fractures. ScienceDaily. Retrieved December 6, 2007, from http://www.sciencedaily.com­ /releases/2007/10/071029081517.htm

Engineer Dr. Ruth Wilcox, University of Leeds. (Credit: Simon & Simon photography)
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