James P. Eisenberg

At Mercy Hospital of Defiance and Defiance Clinic, a spokesman said a large majority of radiological studies are read by staff radiologist James Eisenberg, MD, and consultant in radiology, John Mitchell, MD. Night Vision, a teleradiology service, is utilized from 12-7 a.m.
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Eisenberg said the use of teleradiology services has become the industry standard in the United States because of diagnostic radiology's increasingly important role and the critical need for radiologists to provide quality, real-time interpretation 24 hours a day.

The clinic's primary teleradiologist formerly practiced at a hospital in the Cleveland area and has the same training and credentials as staff radiologists.

"Using this service allows us to provide quality around-the-clock service," Eisenberg said."Our system also has a built-in procedure for quality assurance.The teleradiologist provides a preliminary reading.When the local radiologist goes back on duty, he looks at the same study and issues the final report," he added.

Dr. James P. EisenbergPET produces a visual image of the rate at which cells are using blood sugar (glucose).Cancer cells metabolize blood glucose at a higher rate than normal cells.Cancerous activity shows up as hot spots on the PET images, explained James P. Eisenberg, M.D., radiologist at the Clinic.

Common forms of cancer that can be staged with PET include those of the lung, breast and colon as well as lymphoma and some others.

"In cancer patients, changes in cell metabolism sometimes occur before a tumor mass is large enough to be found on physical examination or by CT or MRI (magnetic resonance imaging) used alone.PET can often identify where cancer is spreading or metastasizing earlier," Dr. Eisenberg said.

"The PET scan gives us an image of the body's physiology, of how the cells are functioning at the molecular level.The CT scan gives us an image of the anatomy, the physical structures of the body.By superimposing the PET image over the CT image, we get a detailed view of what is happening and where it is happening," he explained.

"We are able to give the patient's oncologist the full story-not just that cancer is present, but where it is and how aggressive it is.That information helps in choosing the most appropriate treatment," he said.

Once a patient has been accurately staged and treatment has begun, the combined scan can be used for some types of cancers to monitor the effectiveness of the therapy.

"Repeat scans give the patient's oncologist valuable feedback.If a treatment is not having the desired result, PET/CT fusion will quickly let the oncologist know so appropriate adjustments can be made," Dr. Eisenberg said.

James P. Eisenberg, M.D., Ph.D.

Edmundo A. Somoza, M.D., has joined James P. Eisenberg, M.D., and John A.
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Eisenberg and Mitchell.I have been warmly received by the