Publications by authors named "Alistair D R Grey"

Article Synopsis
  • - The study aimed to test the feasibility of a randomized controlled trial (RCT) examining the effects of aspirin and vitamin D3 in patients with low-risk prostate cancer who are undergoing active surveillance and have undergone Prolaris® testing.
  • - Out of 130 eligible patients, 104 (80%) participated, with 94 completing treatment; Prolaris® testing succeeded in 81% of diagnostic biopsies.
  • - The findings revealed a 12-month disease progression rate of 43.3% among participants, with high treatment adherence (91%) in non-progressing patients, though there were two serious adverse events linked to aspirin.
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Article Synopsis
  • The study investigates the effectiveness of multiparametric ultrasound compared to multiparametric MRI in diagnosing clinically significant prostate cancer among at-risk patients.
  • Conducted in seven UK hospitals, the research involved patients undergoing both imaging techniques, followed by targeted biopsies regardless of test results.
  • The goal was to assess the agreement in identifying suspicious lesions between the two methods, specifically looking at their capability to detect significant cancer indicated by higher Gleason scores.
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Article Synopsis
  • The text discusses the evolving role of transrectal ultrasound (TRUS) in diagnosing prostate cancer, particularly in pre-biopsy localization and targeting compared to multiparametric MRI (mpMRI).
  • It differentiates between the use of TRUS for basic zonal biopsies and its advanced role in identifying and targeting abnormal lesions.
  • The text also covers the use of AI in lesion detection, comparing the cost, availability, contraindications, and diagnostic accuracy of TRUS versus mpMRI.
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Article Synopsis
  • The study aimed to assess how effective multiparametric magnetic resonance imaging (mpMRI) is in identifying significant prostate cancer compared to transperineal sector biopsy (TPSB) as a reference standard.
  • Researchers analyzed data from 201 patients who underwent TPSB after receiving mpMRI scans, where a uro-radiologist assigned scores indicating the likelihood of significant cancer based on the prostate imaging reporting and data system (PI-RADS).
  • Results showed that mpMRI, particularly with low PI-RADS scores (1 or 2), had a high sensitivity (97%) for detecting significant cancer, which suggests it could be an important tool in clinical decision-making regarding prostate cancer biopsies.
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Article Synopsis
  • Tamsulosin is primarily used for treating urinary issues related to benign prostatic hyperplasia but is also effective for various genitourinary conditions in both genders.
  • The review examined the use of tamsulosin through research published between 1975 and 2007, focusing on its therapeutic applications linked to alpha(1) receptors.
  • Tamsulosin is recognized as a powerful third-generation selective alpha(1A) adrenoceptor-blocker, which has become a preferred alternative to more invasive treatments like surgical procedures for managing benign prostatic hyperplasia.
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