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  • Tracking Prostate Cancer in High Definition with PSMA Imaging
Article Category: Highlights

Tracking Prostate Cancer in High Definition with PSMA Imaging

Published on December 23, 2021

Last updated 12:44 PM September 01, 2023

Patient receiving PET scan

Wellstar patients were among the first in Georgia to benefit from an FDA-approved imaging technology that detects the extent of prostate cancer earlier and with greater accuracy than current imaging methods.

A diagnostic agent is given to patients as an injection. Once it is in the body, it binds to PSMA, or Prostate Specific Membrane Antigens. Prostate cancer cells usually have a higher level of PSMA. 

When used with PET scans, this innovative technology gives physicians a clearer image of prostate cancer lesions and enables providers to determine the best course of treatment. It is the most sensitive scan available for prostate cancer.

Wellstar is among the first in Georgia to routinely offer PSMA PET scans.

While standard scans have limited sensitivity for prostate cancer, this advanced imaging is much more capable of identifying prostate cancer, which allows Wellstar doctors to determine if the cancer is limited to the prostate or if it has spread to other parts of the body.

“It allows us to make sure we’re not missing any sites of cancer that aren’t picked up with old-school imaging,” Wellstar Urologist Dr. Justin Watson said. “If there is an area of cancer outside what we’d typically treat, and we pick it up with this imaging, we can make sure we address that area, too.”

Providers can then tailor treatment to each patient’s individual needs, collaborating with the patient to find the best course of action and improve outcomes.

“This imaging helps us ensure that patients are receiving the right treatment, which improves their outcomes,” Dr. Watson said.

The new imaging technology improves upon scans that were used in the past.

“This is several leaps forward in our ability to see prostate cancer on a scan in high resolution,” Dr. Watson said. “In the older scans, things are difficult to see and sometimes not even perceptible, and with the new scans, they light right up and we know much better what we’re dealing with.”

This PSMA imaging is currently available at Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center, with plans to expand to other locations.

Wellstar urologists, oncologists, radiation oncologists, pathologists and radiologists work collaboratively to provide prostate cancer patients a full range of treatments to consider including active surveillance, CyberKnife/radiation therapy, surgery, hormone therapy and chemotherapy.

To learn more about prostate cancer treatment at Wellstar, visit wellstar.org/prostatecancer or call 1 (877) 366-6032.

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Justin Michael Watson Kennestone Regional Medical Center Cobb Medical Center
Cancer Care
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Make Colon Health Your Habit

For many people, talking about colon health can be a little uncomfortable. However, medical issues don’t just go away if you ignore them.

Being proactive about your well-being with preventative care can help catch colorectal cancer or another serious condition early, often before it becomes a bigger problem.

Wellstar is committed to keeping your colon healthy with preventative screenings and expert care, so you can continue to live well.

Catch colon cancer early

Early detection is the best prevention, especially when it comes to colon cancer. If caught early, colorectal cancer has a survival rate of 91%.

“Colon cancer is the second most common cause of cancer death in the United States, so it’s very important that everyone gets screened,” said Wellstar Gastroenterologist Dr. Cameron Body. “For an average risk person, screenings should begin at age 45.”

Those with a higher risk or a family history of colorectal cancer may need to start screening sooner. Partner with your provider to create a personalized screening plan—and stick with it to stay ahead of the disease.

“Recently, colon cancer has been a major trending topic in public discourse, and it has been impacting younger individuals each year. It is important to start colon cancer screening at the age of 45 or sooner if you have a family history of colon cancer,” said Wellstar Gastroenterologist Dr. Shani Clay. “This is a preventable disease, so please speak with your primary care clinician or gastroenterologist to help get you screened. Colonoscopies can help prevent colon cancer, diagnose and help direct early treatment if you are diagnosed.”

The death rate for colon cancer in older adults has been decreasing for the past several decades due to screenings, according to the American Cancer Society. Screenings can identify polyps before they become cancerous and can catch cancer earlier when it is more easily treatable. However, in people under 55, death rates from colon cancer have been increasing by about 1% per year since the mid-2000s.

Why colonoscopies work

During a colonoscopy, a Wellstar gastroenterologist will view the inside of your colon and look for polyps or any other abnormal tissue that could be cancerous. This preventative testing is key to catching colorectal issues at the start.

“A colonoscopy is the gold standard when screening for colon cancer. The procedure itself is not painful, and we make sure you’re comfortable throughout the process,” Dr. Body said. “The goal is to do a high-quality exam with a good prep to find polyps when they’re small and get them removed to minimize the risk of them subsequently developing into cancer.”

Polyps take about five to 15 years to evolve into an invasive cancer, according to Dr. Carmen Klass, oncologist and hematologist with Northwest Georgia Oncology Centers, a care partner of Wellstar.

“If you have a colonoscopy every five to 10 years, they can remove the polyp and it will never be declared an invasive cancer,” Dr. Klass said. “In fact, if all Americans did their screening colonoscopies every five to 10 years, the death rate for colorectal cancer would drop by 50%.”

See how colorectal cancer screening saves lives.

Signs of colorectal cancer

  • Colon cancer is typically discovered when a patient has a colonoscopy, but it’s important to watch for these warning signs:
  • A change in your bowel habits, such as persistent diarrhea or constipation
  • Bloody stools or rectal bleeding
  • Abdominal discomfort, such as cramps, gas and pain
  • Feeling like you are unable to empty your bowels completely
  • Weakness or fatigue
  • Unexplained weight loss

If you experience any of these symptoms, contact your care team right away.

Colorectal cancer care at Wellstar

If you have been diagnosed with colorectal cancer, count on Wellstar for comprehensive, personalized care. Our specialists will work together with you to form a tailored treatment plan and offer support every step of the way.

“When a patient is diagnosed with cancer, we walk with them and guide them on this difficult journey,” Dr. Klass said, sharing how Wellstar provides compassionate care.

Wellstar offers medical expertise close to home, clinical trials and state-of-the-art surgical procedures to treat colorectal cancer. We also have a multidisciplinary gastrointestinal (GI) tumor board that diagnoses and creates treatment plans collaboratively.

Along with cancer surgeons, medical oncologists and other experts, our care team also includes nurse navigators, dietitians, social workers, psychologists, psychiatrists and counselors to provide complete care and support.

Learn how Wellstar cares for colorectal cancer.

Get answers with genetic testing

Whether you have been diagnosed with colorectal cancer or are concerned about the chance of developing it, genetic testing can help you understand your risk of getting the disease.

If your parent, sibling or child has had colorectal cancer, you are two to three times more likely to develop the condition compared with someone with no family history. Our genetic counselors can help determine how genetic testing could benefit you and your family.

“Wellstar offers support from genetic counselors to help keep other family members safe in the future,” Dr. Klass said.

Find out if genetic testing is right for you.

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Thanks to a team of heart failure doctors and the Optimizer Heart Mini, Pat's back to dancing the Carolina shag again.

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Pat Gelisse has been dancing for 30 years. She even taught the Carolina shag for a while. It’s a partner dance, sometimes compared to Swing dancing to beach music.

But severe heart failure downgraded Pat’s dancing queen status for close to 10 years.

“I went from feeling happy to feeling like a nothing,” she remembered of that time in her life.

With a team of Wellstar heart specialists working together for her, Pat found hope and new life on the dance floor.

Heart failure masquerades as acid reflux

It started more than a decade ago when Pat lived in central Georgia. She scheduled a doctor’s appointment for what she thought was acid reflux. She popped in on a quick break from her marketing job, assuming it wouldn’t take long.

Blood work and an EKG got Pat a ticket straight to the hospital and a quadruple bypass. 

“My heart got worse; it wasn’t pumping blood,” Pat said.

She was in acute heart failure, a life-threatening condition where the heart doesn’t pump well enough to deliver the necessary amount of oxygen to her body. Pat’s ejection fraction (EF)—the percentage measurement of the blood that leaves the heart each time it pumps—was only 10%. The normal range is 50 to 70%.

It was a scary time, and with a family history of heart problems, Pat was worried. She’d lost both parents to heart failure, as well as other family members.

“I just knew for sure I was going to be next,” said Pat.

Doctors from various academic institutions discussed serious treatments ranging from LVAD to transplant, but because the pumping performance of her heart improved, she was no longer a candidate for those procedures. Instead, Pat spent close to nine years managing her heart failure with a pacemaker and various medications—treatments that failed to get her back on the dance floor.

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Doing good CPR is critical to save someone from cardiac arrest.

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There aren’t many people out there who can say they survived cardiac arrest at 30. Kevin Miskewicz can.

According to the American Heart Association, more than 90% of people who experience an out-of-hospital cardiac arrest die. Those who survive often have permanent neurological disabilities. But Kevin’s story has an incredibly fortunate ending, thanks to the highly coordinated work of his medical experts at Wellstar.

Recovering from cardiac arrest is something Kevin will never forget. It lives forever as a piece of his health history—one that includes a dedicated healthcare team—and his wife, who was the first to save his life.

There aren’t many people out there who can say they survived cardiac arrest at 30. Kevin can.

CPR to the rescue

Kevin woke up on Labor Day 2017 at 5:30 AM to take the dog out. Pausing to adjust the thermostat as he came in, he fell, knocking over a lamp.

He was in cardiac arrest.

With no symptoms and no known pre-existing condition, this was unexpected, but that didn’t stop his wife, Andrea, from jumping into action.

“If it weren’t for me knocking over a lamp when I passed out,” said Kevin, “she would have never woken up and saved my life.”

In addition to calling 911 and unlocking the door for the paramedics, Andrea performed CPR for 10 minutes.

“Kevin’s wife doing good CPR was critical,” said Dr. Arthur Reitman, the interventional cardiologist who was a vital part of Kevin’s treatment team at Wellstar Kennestone Regional Medical Center. “More than five minutes of poor blood flow to the brain can result in permanent irreparable injury from which a patient is unable to recover.”

Coordinating multidisciplinary care to save a life

When paramedics arrived at Kevin’s home, he had no pulse and was not breathing. As the paramedics performed their lifesaving work, he technically died two times.

The ambulance took him to Wellstar North Fulton Medical Center, where he was initially assessed and treated by Dr. David Jacoboff. The interventional cardiologist implanted an intra-aortic balloon pump to stabilize him. Then, he transferred Kevin to Wellstar Kennestone for highly specialized heart care.

When Kevin arrived at Wellstar Kennestone by helicopter, his heart function wasn’t strong enough to support his body. Dr. Reitman and a team of doctors including a cardiologist, a pulmonologist and critical care doctors worked in tandem to put Kevin on an advanced life support system called veno-arterial extracorporeal membrane oxygenation. Better known as VA-ECMO, it took the heart “offline” so it could heal. The technology removed unoxygenated blood from his body, oxygenated it and pumped it back in for the next three days.

“Very few places in the state—only four or five hospitals—have the technology and specialized training to put a patient on ECMO,” Dr. Reitman explained.

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