Advances and Limits to MRI for Prostate Cancer

madman

Super Moderator

In this episode of the Dr. Geo Podcast, Dr. Geo sits down with Dr. Daniel Margolis, a professor of radiology and the director of prostate MRI at Weill Cornell Medicine, to discuss the importance of MRI in prostate cancer screening. They delve into the essentials of MRI technology, the expertise required for accurate diagnosis, and the role of contrast in imaging. Dr. Margolis provides insights on how to optimize MRI exam preparations, the future role of AI in radiology, and the challenges of properly interpreting MRI results. This conversation is a must-listen for anyone interested in prostate cancer detection and treatment.




Chapters

00:00 Advances and Limits to MRI for Prostate Cancer
01:26 The Role of Radiologists in Prostate Cancer
03:06 Dr. Margolis' Journey into Radiology
06:12 Advancements in Prostate MRI Technology
07:56 Understanding MRI Equipment and Compatibility
19:30 The Importance of Contrast in MRI
30:30 Expertise in Reading Prostate MRI
25:33 Preparing for Your MRI: Diet and Procedures
44:19 Managing Claustrophobia During MRI
47:04 Holistic Approaches in Medicine
52:31 Understanding the PI-RADS Score
01:05:12 The Future of AI in Radiology
01:12:04 Getting a Second Opinion on MRI Scans
 

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TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

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Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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