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Dr. Fergus V. Coakley

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    www.dimag.com/showNews.jhtml?articleID=207603348 - [Cached Version]
    Published on: 5/14/2008    Last Visited: 5/14/2008  

    MRI could do a much better job in this setting, according to coauthor Dr. Fergus V. Coakley, a professor of radiology and urology at the University of California, San Francisco.

    "This is the first study to show that MRI detection and measurement of the spread of prostate cancer outside the capsule of the prostate is an important factor in determining outcome for men scheduled to undergo radiation therapy," Coakley said.

    Coakley and colleagues retrospectively analyzed images from 80 men with prostate cancer who had an MR scan before undergoing external-beam radiation therapy.
    ...
    According to Coakley, an important question raised by the study is whether every patient planning to undergo external-beam radiation therapy for prostate cancer should have endorectal MRI.There is a good argument that the information provided by MRI is prognostically useful and may influence therapy.

    The reality, however, is that the technology and interpretive expertise required are still not widely available and that reimbursement policies by third-party payers vary.Larger and more systematic prospective multicenter trials may help elucidate the true role and utility of endorectal MRI in this setting, he said.

    "The decision to use such advanced imaging should be discussed with the patient by his treating physicians, with acknowledgment of local practice and insurance coverage issues," Coakley said.

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    www.ucsfhealth.org/adult/special/r/40553.html - [Cached Version]
    Last Visited: 5/24/2009  

    Hear Dr. Fergus Coakley, a radiologist, discuss this new procedure.

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    www.ucsfchildrenshospital.org/childrens/medical_service - [Cached Version]
    Published on: 11/14/2007    Last Visited: 11/14/2007  

    Dr. Fergus V. Coakley, radiologist

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    www.worldclasscme.com/conferences.php?id=46&view=facult - [Cached Version]
    Published on: 11/4/2008    Last Visited: 11/4/2008  

    Fergus V. Coakley, MD University of California San Francisco

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    urologyatlanta.urologydomain.com/?event=newsfeed,newsar - [Cached Version]
    Published on: 3/25/2008    Last Visited: 2/21/2009  

    "This the first study to show that MRI detection and measurement of the spread of prostate cancer outside the capsule of the prostate is an important factor in determining outcome for men scheduled to undergo radiation therapy," study co-author Fergus V. Coakley, professor of radiology and urology, and vice chair for clinical services and section chief of abdominal imaging in the department of radiology, said in a prepared statement.

    "Patients with substantial extracapsular spread of prostate cancer may wish to discuss options for more aggressive therapy with their treating physicians," Coakley said.

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    www.ResearchToPractice.com/browse-tumor-types/colorecta - [Cached Version]
    Published on: 1/1/2009    Last Visited: 6/23/2009  

    FACULTY - Drs Alberts and Coakley had no real or apparent conflicts of interest to disclose.
    ...
    Fergus V Coakley, MD Professor of Radiology and Urology Department of Radiology University of California, San Francisco
    ...
    FACULTY - Drs Alberts and Coakley had no real or apparent conflicts of interest to disclose.

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    allmednews.org/endorectal-mri-forecasts-prostate-cancer - [Cached Version]
    Last Visited: 6/26/2008  

    The amplitude to which extracapsular diameter was seen potential attainable MRI was the solitary illogical soothsayer of next flux, reported Fergus V. Coakley, M.D., of the University of California San Francisco, with colleagues, up-to-date the April interrogation of Radiology.

    In that MRI outperformed "accomplish the alternative morals findings that would live not in use to the clinician," Dr. Coakley articulated, "I estimate that indicates MRI de facto should subsist additional widely tatty, doubtless up-to-date the mankind who appropriate rays control."
    ...
    Of the five patients with the addition of locally fresh tumors owing to indicated by virtue of supplementary contrasti than 5 mm extracapsular margin feasible MRI formerly rays treatment, three ahead metastases within 63 months end treatment, "which is perfectly inconvenient from the end of management," Dr. Coakley spoken.
    ...
    Dr. Coakley reported clumsy conflicts of affliction.

  • View Online Source
    allmednews.org/2008/04/page/4/ - [Cached Version]
    Last Visited: 6/26/2008  

    The amplitude to which extracapsular diameter was seen potential attainable MRI was the solitary illogical soothsayer of next flux, reported Fergus V. Coakley, M.D., of the University of California San Francisco, with colleagues, up-to-date the April interrogation of Radiology.

    In that MRI outperformed "accomplish the alternative morals findings that would live not in use to the clinician," Dr. Coakley articulated, "I estimate that indicates MRI de facto should subsist additional widely tatty, doubtless up-to-date the mankind who appropriate rays control."

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    Current News - [Cached Version]
    Published on: 1/21/2000    Last Visited: 1/8/2002  

    "Ultrasound is a wonderful tool, but it is sometimes limited in what it reveals," said Fergus Coakley, MBBCh, associate clinical professor of radiology at the University of California, San Francisco, and lead author of a study using MRI to assess potential fetal abnormalities."If a radiologist says to an expectant couple, ‘I don't like the way your fetus's brain is forming,' then they're terrified.MRI gives them a very powerful tool to provide more information.When the possibility is that the fetus ranges from near normal to being in devastatingly poor health, it means a lot."

    ...
    Information from MRI changed management of the pregnancy in 6 cases, said Dr. Coakley."MRI can play an invaluable role when couples are faced with an ultrasound diagnosis of a possibly life-threatening birth defect," said Dr. Coakley."That is especially true when surgery may be an option, either in-utero or immediately after birth.The extra clarification available with an MRI can help parents and their doctors decide on a plan of action."

    Central Nervous System And Genitourinary Problems Seen on MRI

    In the Harvard Medical School study, 35 pregnant women were referred for MRI, and 13 of those were included in the study of fetal MRI.
    ...
    Co-authors of a paper on the topic being presented by Dr. Coakley include: Hedvig Hricak, MD, PhD; Roy A. Filly, MD; Anthony J. Barkovich, MD; and Michael R. Harrison, MD.

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    Diagnostic Imaging - [Cached Version]
    Published on: 11/29/2001    Last Visited: 7/2/2003  

    Corroborating the effect of using MRS along with MR, researchers led by Dr. Fergus Coakley of the University of California, San Francisco performed endorectal MR imaging and 3D-MRSI in 37 patients prior to radical prostatectomy.

    The mean volume of 51 peripheral zone tumor nodules was 0.79 cm3.Readers detected 20 and 23 of the 31 peripheral zone tumor nodules greater than 0.5 cm3.Tumor volume measurements of these nodules by MR imaging, 3D-MRSI, and combined MR imaging and 3D-MRSI were all positively correlated with histopathologic volume.But the only measurements to reach statistical significance were done by 3D-MRSI or combined MR imaging and 3D-MRSI.

    All three methods of tumor volume estimation were more accurate at higher tumor volumes, according to Coakley.Adding 3D-MRSI to MRI increases the overall accuracy of prostate cancer tumor volume measurement, but measurement variability still limits tumor volume estimation, particularly for small tumors, he said.

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