Patient With Risk of Breast Cancer Questions Safety of Yearly MRI

DEAR DR. ROACH: Due to a slight genetic risk of breast cancer (my Tyrer-Cuzick Model score was 20.6%), my doctor wants me to get breast MRIs with contrast annually. I am concerned about long-term exposure to the gadolinium-based contrast dye. I’ve learned that this heavy metal is considered safe, but traces of it can be stored in the brain and other body tissues.

I am 49 and in very good health. I also get mammograms annually. I consulted my doctor about spacing out my MRIs every two to three years, but he said I should have an MRI every year. So I could be getting these MRIs for the next 35 or so years. Do the benefits of contrast dye outweigh the harm in a person with my health profile? -- S.A.

ANSWER: I’m afraid I don’t have a good answer for you. It is true that most authorities recommend an intensive breast cancer surveillance program for women at a high risk of breast cancer, in the range of a 20% to 25% lifetime risk. (The average risk for developing breast cancer for a woman born today is estimated to be about 13%.)

The Tyrer-Cuzick model of estimating breast cancer risk tends to give higher estimates than the other commonly used models, such as the BRCAPRO. Other models may not put you over the threshold for intensive screening with MRIs, which is usually combined with mammograms. The question about gadolinium (the chemical element used in the contrast dye for MRIs) is important because some people do store gadolinium in various tissues, including the brain, but the clinical significance of this is unknown. (People with kidney disease can develop a skin disease due to gadolinium, so they aren’t recommended to have MRIs with gadolinium.)

Although gadolinium can stay in the body for months or years, there has been no evidence of harm from gadolinium in brain tissue, despite these agents having been used for many years. Some agents have less retention than others. The U.S. FDA has mandated patient guides for these contrast agents, which relay the information above.

Given that there is a probable benefit to intensive screening for breast cancer in your case due to your high genetic risk, and no more than a theoretical risk from gadolinium, I believe that the benefits outweigh the risks, but I can’t say that with complete certainty.

***

Dr. Roach regrets that he is unable to answer individual questions, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu.

© 2023 North America Synd., Inc. All Rights Reserved

Common Triggers For Headaches

Allergies: The American Academy of Allergy, Asthma & Immunology notes that there are occasions when allergies can contribute to headaches.For example,individuals with rhinitis, often referred to as “hay fever,” can experience headaches that may result from sinus disease in and around the nasal passages. Individuals who feel their headaches could be a byproduct of allergies can consult with an allergist for tips on how to treat their allergies and potentially reduce the frequency of their headaches.

Eckankar

The Path of Spiritual Freedom

Great Weekend Getaway Ideas

Make it a water-based weekend. No matter where you live, a body of water is no doubt nearby. Though the National Oceanic and Atmospheric Administration indicates that roughly 40 percent of the United States population lives in a coastal region, oceans aren’t the only places to find some sand and enjoy a warm summer breeze. Lakes and rivers are great places to relax, and getaway seekers can utilize sites like Airbnb and Vrbo to find short-term waterfront rentals.

Eckankar Center of Rochester

312 W. Commercial Street • East Rochester, NY

Phone: 585-288-4721 • email: eckankarrochesterny@gmail.com

Public events on Sundays at 11am: www.eckankar-ny.org/public

Learn about ECKANKAR at www.eckankar.org

Fair Housing Statement

All real estate advertised in the Genesee Valley Penny Saver is subject to the Federal Fair Housing Act, which makes it illegal to advertise any preference, limitation, or discrimination based on race, color, religion, sex, age, marital status, handicap, familial status, or national origin, or intention to make any such preference, limitation or discrimination. We will not knowingly accept any advertising for real estate which is in violation of the law. All persons are hereby informed that all dwellings advertised are available on an equal opportunity basis.

$4,000 The cost of the most expensive ballet slippers.

In 1982 the Dance Committee of ITI founded International Dance Day to be celebrated every year on the 29th April, the birthday of Jean-Georges Noverre (1727-1810), creator of modern ballet.

The earliest signs of dance are found painted on Egyptian tombs and Indian rock walls.

must be considered before buying a new car. Kids grow up and get bigger, and parents who want to have more children down the road should consider just how big they want their family to be before buying a new car. Look for a car that not only suits your family now, but one that will cater to your family’s needs down the road as well. Overlooking this important factor now may force you to replace the car you ultimately buy sooner than you had hoped.

Mis ts & Sinners Church God invites you.

Do you feel at times “My whole life sucks!”

Most of us feel like that at times! Maybe you have thought “Hey, does God even care?” In my 25 years of being a simple Christian and simple Pastor, the answer is “YES, God cares!”

So you may think “I want to know a bit about Jesus,” but maybe you are like the college woman I met who said to me “Churches hate me because of my tattoos and face piercings and I don’t have any money to give them.”

Look: it is sad but maybe you have had problems with some Churches that seemed to hate you or the way you look or how your current life isbut God loves you no matter what.

If you are hurting, lonely, confused, or sad about your life and this messed up world, God wanted me to invite you and to tell you that He loves you so much, that He gave up His only Son to die for you. at’s the absolute highest love there is. God is crazy about you!

- ere is nothing religious here, I promise. All people, all religions, all denominations, are all invited. No restrictions. Come as messed up as you are. Sit in a chair, lay down on the oor, put your feet up on the chairs, honestly: I JUST DON’T CARE!

Bring no money. A smoking area and alcohol bar is near the room at the restaurant. You have the choice to do as you want, even get up a er a few minutes and leave, no explanations. If nobody cares for you or is nice to you - I will give you the best seat in the room and the best food, and a free meal, and if you need, I will give you a ride or money. All with a free Bible, all secretly. It’s all God’s anyways.

- ere is no sign-up sheet. ere are no name tags. Come and leave anytime without explanation.

My purpose for doing this is not to start a Church or a following. God has put into my heart a desire simply to let you know that Jesus loves you and He can help you with ANY problem, and then for me to get out of the way. So, if you’re reading this and you are a rejected, hated, hopeless, poor, unwanted person, just freely come. No pressure.

- Look for the goofy fat pastor guy wearing a Hawaiian shirt and carrying a falling apart electric/duct taped old torn up Bible.

Professional

Spring

Includes

McPhail UPRIGHT PIANO. Needs TLC: janie.hickok@gmail.com

POOL in Victor - 18”x32” above ground pool with newish liner, filter, hoses, skimmer & more. Dismantle and remove: 585-943-3182

Two TVs: Sharp 32” screen HDTV and Magnavox 27” HDTV. Both work. In Scottsville. schatziny@gmail.com

CANNING JARS - lots of pints and half pints, some quarts. Mostly regular mouth. Some rings, no lids. Fairport: jvc45@aol.com

Large CAMP CHAIR, with storage sleeve. Good condition. Color - camouflage: Jmdunne141@aol.com

ANTIQUE CHERRY DROP LEAF TABLE. Needs refinishing and small repair. 585-739-7881 (lv msg)

LYON & HEALY BABY GRAND PIANO. You move. 585-323-1762 (lv msg)

SONY PROJECTION TV. Screen size 34” W x 25” H. Pick up, Honeoye: 585-229-2327

VHS TAPES - (movies from the 70s and on, musicals, special events, and more). Fairport: 585-388-0318

Nutrition Action MAGAZINES and folder of RECIPES. Fairport: 585-388-0318

FLEXSTEEL LOVESEAT, brown, good condition. About 8 years old. Remove from garage. Fairport. rmadier1@rochester.rr.com

SINGLE BED FRAME WITH MATTRESS. Frame is metal. The mattress is like new. Can send pictures. Text: 585-260-0437

GUITAR WITH A CASE. Almost new. For a learner. BARITONE UKULELE: jvc45@aol.com

HOUSE PLANTS. Four Large Clivias. Glorious orange blossoms in summer: studio@jurs.net

ANTIQUE PINE CABINET approx.62” H x54” Wx14” D. Several drawers and shelves. Photos available. Pick up in Naples. jcs1961@frontiernet.net

PRINTER: Cannon imageCLASS. 4 functions but doesn’t print. Probably user error. Pick up in W. Henrietta 585-334-0077

FOAM MATTRESS TOPPER - Queen size. Condition excellent. Dog decorated edges. Pick up W. Henrietta: 585-334-0077

PATIO UMBRELLA - tan color. Heavy. Old but still works okay. Includes base. Pick up W. Henrietta: 585-334-0077

LAWNMOWERS - Bolens, never used, 40 years old; Rally push mower, 40 years old. Hasn’t been used in years: 585-671-2598

AARON SNOWBLOWER. 45 years old. Not used in a long time: 585-671-2598

Hobby Lock model HL603A used serger/overlock SEWING MACHINE with foot control:585-584-3015

Viking Husqvarna Husky Lock 910 used SERGER/OVERLOCK SEWING MACHINE with foot control: 585-584-3015

WATER WEED MAT for lake weeds. 20’ L x 7’6” W. Text only 585-880-8944

A collection of POP TABS for crafts, colored or silver of any type, shape, or size: junkbox232@gmail.com

Medium to large DOG CRATE for 50# dog: 585-226-8887

Old SIDEWALK SLATE for garden path in Canandaigua. Will happily pick up! Please leave a text message: (585) 315-9160

HAT BOXES, all sizes: 585-441-5619

RIDING LAWN MOWER in good condition and a pair of WOMEN’S WHITE SHOES, preferably size 9-1/2 to 10W: 585-346-9777

COMIC BOOKS, SPORTS CARDS (love hockey cards), COLLECTIBLE CARDS. Any condition. Will pick up. Avid collector. Text: 585-260-0437

A TRAILER to haul my mower on. Can pick up. Thanks & God Bless! 585-260-0437

PORTABLE SEWING MACHINE. Plain sewing for quilts. Older is fine. WORKS! christinaplaton20@gmail.com

VINTAGE ELECTRONICS - Tubes, tube testers, vintage stereo equipment, radios, microphones, Test equipment, speakers, meters, turntables, Ham Radio, Advertising, TVs: greg3151@ymail.com

Large BIRD CAGE: 585-485-9663

VINTAGE MOOG ANALOG SYNTHESIZERS & ACCESSORIES. Parts or whole. Working or not. Mini, Sonic, Taurus, & Poly: 585-599-3142

All DC and MARVEL COMIC BOOKS; any year, any issue, any condition: timpani_m@yahoo.com

DOUBLE STROLLER in good condition for twins. Thank you: 585-261-7321

High School Student looking for RIDING LAWN MOWERS, running or not: 585-991-8421

Disabled Vet looking for a GAS GOLF CART in good working condition: 585-993-1917

Large amount of BUBBLE WRAP. Do you work in a receiving department? Let us keep it out of the landfill. Thanks! denisecomfort19@gmail.com

SHEETS or PIECES OF STAINED GLASS for my new hobby: christiebsco@hotmail.com

Small quantity of CUPRINOL #10 WOOD PRESERVATIVE: gnbboudway@msn.com

HP 60 & 61 PRINTER CARTRIDGES, expired in unopened box is okay. Thank you: 585-519-3325

FORWARD/REAR FACING CAR SEAT in good condition: 585-288-2661

REEL-TO-REEL audio TAPE player 607-936-3137

INSTANT POT, 8-10qts or bigger. Thank you! lijbelokur@gmail.com

Unwanted/unneeded CACTUS or JADE PLANTS in the Canandaigua area. Will pick up: williamschuler@zohomail.com

RECLINER CHAIR: merdeloc94@yahoo.com

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