Wednesday, February 4, 2015

Cryoablation: The Alternative to Surgery for Fibroadenomas

It can all come down to a moment in the shower -- you’re washing up and then, all of a sudden, you feel a lump. Yes, for some, the most regular action on the most average of days has been exactly the moment that sends hearts falling from the normal course of everyday life into an “Oh my, now what will I do?” realization. So it can be with fibroadenomas, the solid, noncancerous breast tumors that occur most often in adolescent girls and women, ages 12 to 35.
Usually painless, fibroadenomas can vary in size and might feel like a marble in your breast, moving under the skin when touched. Among the most common breast lumps in young women, fibroadenomas are a bit of a puzzle in that they can get bigger or even shrink on their own (due to hormonal changes). The first step is discovery, which can take place during a woman’s normal showering routine or through a brief self-examination. A more proactive, clinical way of diagnosing a fibroadenoma is via an imaging test like a mammogram, ultrasound, or MRI. Your doctor will, most likely, recommend one of these imaging tests to confirm that the lump is, indeed, a fibroadenoma.
So how do you deal with a fibroadenoma once discovered? If the fibroadenoma is small and painless, and remains the same size, you would not need any treatment. Often, fibroadenomas can be left alone and no treatment is necessary.  They are, usually, just monitored with follow-up ultrasounds. If however, the fibroadenoma is large, painful, or growing, and your doctor advises treatment, options can include monitoring to detect changes in their size or feel, a biopsy, surgical removal, or cryoablation, an FDA-approved treatment as an alternative to surgery. Cryoablation is a long-established, effective procedure for destroying these types of breast tumors that usually takes between 5 and 15 minutes. After a local anesthetic is applied, a thin hollow needle (called a “cryoprobe”) is used to circulate cooled, thermally conductive fluids which destroy the offensive surrounding tissue (the frozen tissue is absorbed within months). Since no tissue is removed, the shape of your breast will not be affected.

Zwanger-Pesiri Radiology is the only outpatient facility on Long Island performing cryoablation, leading the way in breast imaging. For more information, click Cryoablation or call (631)225-7200 ext. 4642 to speak to our radiologist, Dr. Guy Bassis. For a ZPR office nearest you, click locations & directions.

Monday, January 5, 2015

Hospital-Owned Physician Groups Have 20% Higher Medical Costs

As hospital systems nationwide acquire more physician practices, everybody may be getting hurt.  A new study published in The Journal of the American Medical Association shows that hospital ownership of physician groups in California led to up to 20% overall higher costs for patient care. Employers and workers have to pay for these increased costs in the form of higher premiums, and consumers face higher prices with insurance deductibles rising.

For the study, data from 2009 to 2012 was analyzed, including nearly 160 medical groups and 4.5 million patients in California. Categories included groups owned by physicians, those owned by large hospital systems across several of the state’s geographic markets, and those owned by local hospitals or hospital systems.

According to the study, total spending was 10.3% higher per patient for hospital-owned physician offices compared with doctor-owned organizations.  When large health systems running multiple hospitals owned medical groups, costs were even higher. Compared with independent physician groups, per patient spending was 19.8% higher.

These physician groups are also under pressure to refer patients to more expensive imaging and other outpatient treatments that can be cheaper at free-standing clinics. It all brings into focus that the consolidation of physicians and hospitals into large mega-systems will not reduce costs, and will increase the cost of healthcare.


Zwanger-Pesiri Radiology (ZPR) is a privately owned radiology practice dedicated to providing state-of-the-art radiological services to our patients with a level of care unmatched in the industry. We offer 17 offices throughout Nassau and Suffolk counties. Click here to see all the services ZPR offers.

Wednesday, December 10, 2014

Zwanger-Pesiri hosts official grand opening at Lynbrook location


As seen in LI Herald:

"Town and local officials, as well as staff and other well-wishers, were on hand last Saturday as Zwanger-Pesiri Radiology officially opened its newest location at 443 Sunrise Highway. It is the Long Island-based radiology center's seventeeth location. Zwanger-Pesiri specializes in radiological procedures such as MRI/PET, breast MRI, cardiac and vascular CTA, 3D mamography, PET/CT, digital X-ray, nuclear medicine and ultrasound. The new facility in Lynbrook is housed in a large, multi-floor glass building, surrounded by landscaping. It will feature some of most advanced radiological equipment and procedures available."


Tuesday, December 2, 2014

The First & Only Private Radiology Facility in the Nation to Offer MRI/PET


On November 11, 2014, at its newest facility in Lynbrook, NY, Zwanger-Pesiri Radiology has once again led the way in medical imaging by being the first private radiology facility in the United States to acquire an MRI/PET (Magnetic Resonance Imaging/Positron Emission Tomography) scanner. The Biograph mMR, by Siemens, is the only FDA-approved device that has the ability to acquire both an MRI and a PET scan simultaneously -- leading to better detection, characterization and treatment of oncologic, neurologic and cardiac diseases.

For many years before the Biograph mMR was available, the modality of choice had been PET/CT, a hybrid modality that performs both a PET (Positron Emission Tomography) and a CT (Computed Tomography) scan. However, because of the dangers of radiation exposure with CT and its low soft tissue resolution, radiologists have chosen to use software techniques that combine a patient’s MRI scan with the patient’s PET scan -- creating fused MRI/PET studies. But due to motion and alignment issues with fusing two exams from two different scanners, diagnosing certain diseases was problematic -- but not anymore.

The simultaneous imaging of MRI and PET with the Biograph mMR scanner will:

- Eliminate CT radiation exposure that is received from PET/CT scans, which is equivalent to approximately 100 chest X-rays.
Provide superior soft tissue information than PET/CT, thus increasing the sensitivity and specificity of the exam.
- Increase diagnostic confidence by eliminating motion from two separate scans.
- Reduce the number of office visits and acquisition time by combining two important imaging techniques in one system.


“These points are of the utmost importance to us here at Zwanger-Pesiri,” says Chief Executive Officer, Steven L. Mendelsohn, MD. “Not only are we committed to giving our patients access to the most advanced imaging techniques on the market, but we are dedicated to reducing radiation exposure whenever possible. The fact that MRI/PET delivers better diagnostic information than PET/CT and reduces radiation exposure equivalent to 100 chest X-rays, is what makes this modality an integral part of who we are and what we stand for.”

“We know that by having an MRI/PET unit at Zwanger-Pesiri, patients and physicians around the country, and even the world, will now have access to this valuable imaging modality in a more private, comfortable and family-like environment. And being that Lynbrook is only 15 minutes away from John F. Kennedy International Airport, this office will be accessible to many,” says Robert Day, Chief Operating Officer of Zwanger-Pesiri Radiology.

Tuesday, September 30, 2014

Lynbrook Office is Open!


Zwanger-Pesiri Radiology is proud to announce the opening of our new Lynbrook office. With the opening of this office, patients now have 17 locations to choose from across Nassau and Suffolk counties. The new office is located at 443 Sunrise Highway and, like our other locations, offers the most advanced radiologic technology on Long Island in a welcoming environment that focuses on patient comfort and care. Among the many services offered are: 3T wide-bore MRI, MRI/PET, PET/CT, low dose CT, 3D mammography, ultrasound, digital X-ray, nuclear medicine, DEXA bone density, and fluoroscopy.

Not only is Lynbrook home to the most advanced imaging modalities such as 3T MRI, 3D mammography, etc., but it is also the first and only private radiology facility in the United States to have a Siemens Biograph MRI/PET scanner—the only modality on the market that acquires both a PET scan and MRI scan at the same time. This combined technique will lead to a significant reduction in radiation exposure compared to a PET/CT, and lead to better detection, characterization and treatment of oncologic, neurologic and cardiac diseases.

We look forward to providing you with exceptional care and serving you at our new location.

Monday, September 15, 2014

Zwanger-Pesiri Radiology ALS Ice Bucket Challenge 2014

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Thursday, September 4, 2014

National Brain Tumor Society Walk- September 20th

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Nearly 700,000 Americans are living with a brain tumor today, and many more will be diagnosed each year. Zwanger-Pesiri Radiology is honored to be the flagship sponsor of this year’s Long Island Brain Tumor Walk, hosted by the National Brain Tumor Society.

This event is held to raise awareness and resources to fund programs for those affected by brain tumors. Join the fight! Sign up for the walk or donate today.

EVENT DETAILS
Date: Saturday, September 20, 2014
Location: Jones Beach State Park at Field 5 – Wantagh, NY
Registration: 8:00am – 9:00am
Program & Activities: 8:00am – 12:00pm
Length of Event: 5K (approximately 3.1 miles)


Interested in volunteering for this event? Learn more about volunteer opportunities