Category Archives: Stem Cell Medical Center


Stem Cell Therapy is a Must Try Method for Permanent Relief from Pain, Says Integrated Medical Center of Corona – Press Release – Digital Journal

Corona, CA - December 19, 2019 - Chronic pain can be debilitating, and it drastically reduces the quality of life. Until recently, patients had to go through the dread of operations, surgeries, pain killers and downtime, but no longer. At the Integrated Medical Center of Corona, stem cell therapy today allows doing away with the very source of pain in an office setting, without having to go under the knife.

It could be called soup therapy for muscles, joints and tendons. The soup here comprises a powerful and healing concoction of stem cells, ozone, and plasma rich platelets, which is directly injected into the affected region. These ingredients replace the pain causing cells and naturally replace them with healthy, regenerated, identical cells.

Many of the patients at the Integrated Medical Center of Corona vouch for the efficacy and ease with which they got rid of chronic painful conditions in the neck, joints, hips or shoulders. With no risky surgery or harmful drugs involved, a non-invasive, quick procedure in an office setting is all it took to bring back the old lifestyle!

For years, patients have been forced to fly to other countries around the world to experience the healing miracle of Regenerative Medicine. Now it is available right here in your local community, with complete professionalism. We treat our patients as family. It is that simple, says Dr. Anthony Pirritano, owner of IMCC.

With regenerative therapy, chronic pain can be quickly and completely eliminated. A single visit brings about great relief. There is no downtime in bed or use of crutches or slings. Stem cell therapy allows patients to live a completely pain free life.

The Clinic is led by Dr. Anthony Pirritano, who has been practicing for over 20 years helping patients live a pain-free life with proven cellular therapies. With the most advanced techniques and high levels of service, the Clinic offers a serene and relaxing ambience to receive the most advanced pain relieving therapies.

Integrated Medical Center of Corona offers everyone a free consultation on how stem cell and regenerative therapy can help get rid of painful conditions.

About

Integrated Medical is a full-service, comprehensive wellness center dedicated to specialized, non-invasive, and rehabilitative medicine. Passionate about excellence in patient care, Integrated Medical Center provides traditional and holistic treatment for a wide variety of ailments, including most musculoskeletal injuries (whiplash, neck, low back pain, headaches, knee pain, pain/numbness in the arms or legs, etc.), weight gain, hormonal issues (low testosterone), pain management, and many other conditions.

For more information, please visit: http://www.integratedmedicalcenterofcorona.com

Media ContactCompany Name: Integrated Medical Center of CoronaContact Person: Jason Kimes, Marketing ManagerEmail: Send EmailPhone: (800) 595-2447Address:2250 S. Main Street, Suite # 203 City: CoronaState: CACountry: United StatesWebsite: https://www.integratedmedicalcenterofcorona.com/

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Stem Cell Therapy is a Must Try Method for Permanent Relief from Pain, Says Integrated Medical Center of Corona - Press Release - Digital Journal

Orthopaedic Surgeon, Dr. Jeffrey Carlson, first in Central and Eastern Virginia to implant the M6-C Artificial Cervical Disc – OrthoSpineNews

NEWPORT NEWS, Va.,Dec. 18, 2019/PRNewswire/ Orthopaedic and Spine Center announced Dr.Jeffrey Carlson, Orthopaedic Spine Surgeon, became the first surgeon in Central andEastern Virginiaarea to implant the M6-Cartificial cervical disc. The outpatient surgery was performed on a 53 year old female at Bon Secours/Mercy Health Mary Immaculate Hospital inNewport News, VirginiaonNovember 20, 2019.

The patient reported symptoms of severe neck pain which radiated to both shoulders after a motor vehicle accident. After she failed to respond to conservative treatment, an MRI was ordered revealing severe spinal stenosis and spinal cord abutment at level C3-4 caused by a herniated disc. In consultation with Dr. Carlson, the patient made the decision to have cervical disc arthroplasty, using the Orthofix M6-C artificial cervical disc.

Ive been waiting for the right patient with the appropriate diagnosis to employ the M6-C disc, said Carlson. The technology used in this procedure facilitates a speedy recovery with minimal limitations and a great outcome, so that my patient can get back to her active life. She just had her two week post-surgical follow-up appointment her recovery is going very well and she feels much relief from the severe pain she once experienced.

The M6-C disc received U.S. Food and Drug Approval in February 2019.It was designed to closely mimic the anatomic structure of a natural disc as well as provide an effective alternative to a spinal fusion. By allowing the spine to move naturally, the M6-C artificial disc potentially minimizes stress to adjacent discs and other vertebral structures.

AboutJeffrey R. Carlson, M.D.Dr.Jeffrey Carlsonhas been a part of Orthopaedic & Spine Center since 1999 and serves as the President and Managing Partner. He is a board-certified, fellowship-trained orthopaedic surgeon who focuses on the treatment of injuries and disorders of the spine.

About Orthopaedic & Spine CenterOrthopaedic & Spine Center (OSC) is staffed by outstanding medical professionals who strive to provide the very best orthopaedic and interventional pain management care available anywhere. Our Center includes a comfortable, state-of-the-art medical facility, pleasant and well-trained personnel, physicians trained in the most advanced orthopaedic treatments, interventional pain management procedures, regenerative medicine, using stem cell and platelet therapies and a dedication to old-fashioned patient care.

SOURCE Orthopaedic & Spine Center

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Orthopaedic Surgeon, Dr. Jeffrey Carlson, first in Central and Eastern Virginia to implant the M6-C Artificial Cervical Disc - OrthoSpineNews

Experts and Attitude Help Grandfather Face Primary Central Nervous System Lymphoma – Dana-Farber Cancer Institute

Steve Kelley is the quintessential glass half-full guy. Still, he realizes his reaction to learning he had an extremely rare cancer known as central nervous system (CNS) lymphoma may seem unusual.

Afew weeks after his June 2018 diagnosis, Kelley, then 64, gathered his familyand friends together. He didnt want to focus negatively on the uncertainoutcome or his upcoming treatment at Dana-Farber/Brigham and Womens CancerCenter (DF/BWCC).

Hejust wanted to celebrate the present.

Ive always seen myself as someone who deals with whatever life puts in front of me, says Kelley of the pre-treatment party he organized at a bowling alley near his home in Sharon, Mass. I wanted everybody to know I felt the same way now, even with cancer. I was celebrating the challenge ahead.

Sincethen, through intensive chemotherapy, followed by an autologous stem celltransplant in November 2018, and then several months re-strengthening hisimmune system, the father and grandfather of four has kept up this positivity.

Whileits true he lost his hair, fingernails, and dealt with other serious sideeffects during treatment, Kelley explains, things have greatly improved sincethen. Forced to go without his favorite activities of swimming and mountain bikingfor a while, he is now feeling strong enough to think about triathlons. Heseven handling snow plowing and other duties associated with the real estatemanagement and roofing businesses he founded at age 19, and still leads today withthe help of sons Phil and Dave.

Andif he must be among those living with primary CNS lymphoma, Kelley says, he couldnthave picked a better time or place.

The Central Nervous System Lymphoma Center, established at DF/BWCC in December 2017, was the first facility in the world dedicated to providing comprehensive care and research for patients with this rare cancer. The center offers advanced treatment options including surgical biopsy, chemotherapy, radiation therapy, immunotherapy, and targeted therapy, as well as placement for qualified patients on clinical trials.

Itell you, Im one lucky son of a gun, says Kelley.

Itis Kelleys upbeat attitude, he believes, that led him to initially miss the warningsigns of his CNS lymphoma. Two areas impacted by the cancer are eyesight and orientation;although he had been having trouble with both for several months, he says helearned to subconsciously compensate.

Asstrange as it sounds, I would tilt my head left or right to see, says Kelley.Things didnt get really bad until one day when I was driving six miles to myhouse on a route I had known for years. There wasnt a lot of traffic, but Ikept seeing lines across my eyes, and was so disoriented it took me three hoursto get home. When I told my wife, she insisted we go to the nearest emergencyroom.

There an MRI revealed a mass in Kelleys head, and he was immediately sent to DF/BWCC for more tests. He then had what he calls another stroke of good fortune, in the form of oncologist Lakshmi Nayak, MD, director of the Central Nervous System Lymphoma Center. Right away, Nayak and physician assistant Alexandra Torres, PA-C, put Kelley at ease with their knowledge and warmth.

Dr. Nayak analyzed my condition and synthesized a treatment plan that brought me back from the kind of a cliff that I was holding onto, Kelley says. She was terrific.

Similarly,Nayak says, Kelleys approach to that plan was helpful.

Hewas certainly a perfect candidate for undergoing an autologous transplantbecause of his age and fitness, says Nayak, but importantly, his attitudethroughout the arduous process was amazing.

Kelley, who meets regularly with Nayak and her team for checkups, has not yet had a cancer recurrence. Recently he marked a year since his stem cell transplant with another celebration Thanksgiving with his family and in March he plans to meet with a specialist at DF/BWCC to work on improving the cognitive skills impacted by his diagnosis.

Meanwhile, with the ongoing support of his incredible wife, family, and close friends, Kelley is keeping his spirits up and forging ahead. In addition to running his company, he is enjoying a 20-year secondary career as a Cambridge College professor. Among the courses he teaches are leadership, conflict management, and effective listening, all of which he says have been indispensable guideposts in his recovery.

Its funny I was already working on writing a book about how people can help themselves through tough times, and now Im reworking it to include my cancer journey, Kelley says. One of the things I like to tell people is that maturity is the ability to make the best of any situation.

I hope to be proof of that.

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Experts and Attitude Help Grandfather Face Primary Central Nervous System Lymphoma - Dana-Farber Cancer Institute

100 hospitals and health systems with great neurosurgery and spine programs | 2019 – Becker’s Hospital Review

Becker's Healthcare named the following organizations to the 2019 edition of its list "100 hospitals and health systems with great neurosurgery and spine programs."

The organizations featured on this year's list have extensive neurosurgery and spine programs, providing treatment and cutting edge research into brain and spine disorders. Many hospitals and health systems featured have earned top honors for medical excellence, outcomes and patient experience in their spine and brain surgery departments.

To develop this list, the Becker's Healthcare editorial team examined national rankings and awards for neurosurgery and spine care. The editorial team examined U.S. News & World Report national rankings for neurology and neurosurgery; CareChex national and regional rankings for neurological care and Blue Distinction Center for Spine Surgery designation to develop this list. Please contact Laura Dyrda at ldyrda@beckershealthcare.com with any questions about this list.

Note: Hospitals cannot pay for inclusion on this list. Organizations are presented in alphabetical order.

Abbott Northwestern Hospital (Minneapolis). At Abbott Northwestern Hospital's Spine Institute, physicians treat more than 4,000 patients annually. The hospital has been designated as a Blue Distinction Center for Spine Surgery by BlueCross BlueShield of Minnesota. With five area partners, Abbott Northwestern Hospital was ranked on U.S. News & World Report's list of 50 best hospitals for neurology and neurosurgery in 2019-20.

AdventHealth Orlando (Fla.). AdventHealth's Neuroscience Institute provides comprehensive care to patients with brain and spinal disorders. The health system's brain tumor team includes 12 physicians, and the spine team features 15 physicians that aim to stay at the forefront of spinal treatment. With an elite team, U.S. News & World Report ranked AdventHealth Orlando among the 50 best hospitals for neurology and neurosurgery for 2019-20.

Ascension Seton (Austin, Texas). Physicians at Ascension Seton's Brain & Spine Institute specialize in minimally invasive and complex surgery for patients suffering from problems with their brain, spine, cerebrovascular system and peripheral nerves. Spine, orthopedic and neurosurgeons at the hospital have been recognized nationally and internationally for pioneering new treatments and research. The Seton Brain & Spine Institute has five locations offering neurosurgery across Texas.

Atrium Health (Charlotte, N.C.). Atrium Health offers one of the region's largest neurosurgery specialty programs. The health system's spine institute has been recognized by Blue Cross Blue Shield as a Blue Distinction Center for its quality care and outcomes. An early adopter of minimally invasive and robotic surgery, Atrium Health's Neurosciences Institute has 20-plus years of groundbreaking investigator-initiated and industry-sponsored clinical trials.

Barnes-Jewish Hospital/Washington University School of Medicine (St. Louis). The Barnes-Jewish & Washington University Spine Center receives patient referrals from all around the world. As a result, it has grown into one of the largest clinical spine practices in the nation. U.S. News & World Report ranked Barnes-Jewish Hospital and Washington University School of Medicine among the top 50 hospitals in the nation for neurology and neurosurgery, and the top hospital in Missouri for those specialties in 2019-20.

Barrow Neurological Institute (Phoenix). Physicians at Barrow Neurological Institute oversee more than 8,000 admissions and perform more than 5,000 neurosurgeries annually more than anywhere else in the U.S. There are 26 neurosurgeons, nine neurosurgery fellows and 28 neurosurgery residents on staff at the hospital. As one of the leading spine organizations in the world, U.S. News & World Report named Barrow Neurological Institute among the top 50 hospitals in the nation for neurology and neurosurgery in 2019-20.

Baptist Medical Center Jacksonville (Fla.). Surgeons at Baptist Medical Center have teamed up with Baptist MD Anderson Cancer Center in Jacksonville to conduct clinical trials related to brain and spine tumors. Along with its extensive brain and spine tumors division, Baptist Medical Center Jacksonville has a robust stroke and cerebrovascular care team and four neurologic oncologists. Neurosurgeons at the hospital's Stroke & Cerebrovascular Center are participating in more than 20 ongoing clinical trials.

Baylor St. Luke's Medical Center (Houston). Baylor St. Luke's Medical Center created its Neurosciences Institute in 2013, and it has since has been accredited by DNV GL Healthcare as a certified comprehensive stroke center. Baylor St. Luke's Medical Center neurosurgeons have also helped the hospital receive the Gold Plus Quality Achievement Award from the American Stroke Association. Baylor St. Luke's Medical Center was recognized in 2019-20 by U.S. News & World Report as one of the best hospitals in the nation for neurology and neurosurgery.

Beaumont Health (Southfield, Mich.). Beaumont Health was the first hospital in Michigan to create a pediatric stereo-EEG epilepsy surgery program to pinpoint seizures and cure drug-resistant epilepsy. The hospital's neurosurgery team is researching stem cell regeneration and spine reconstruction. Additionally, as a leading hospital for orthopedic surgery, neurosurgery and neurology, Beaumont Health has a leading spine team with on-call surgeons who can be at the hospital in 15 minutes no matter the time of day.

Beth Israel Deaconess Medical Center (Boston). All physicians at Beth Israel's Spine Center are board-certified and faculty of Boston-based Harvard Medical School. In total, there are four neurosurgeons and three orthopedic spine surgeons. To make care more accessible, Beth Israel Deaconess Medical Center has opened six spine centers throughout Massachusetts that provide comprehensive care patients in Boston and the surrounding area.

Boston Children's Hospital. The spine division of Boston Children's Hospital collaborates with the hospital's department of neurosurgery to treat complex spine conditions. Boston Children's Hospital has a complex cervical spine program as well as a spine and sports program. As a leading hospital for orthopedics and spine in the U.S., Boston Children's has various study groups, including a spinal deformity group whose Scoliosis Outcomes Database is cited in more than 45 abstracts and 15 peer-reviewed publications annually. In 2019-20, U.S. News & World Report ranked Boston Children's No. 1 in the nation for pediatric neurology and neurosurgery.

Brigham and Women's Hospital (Boston). The Comprehensive Spine Center at Brigham and Women's Faulkner Hospital brings together neurosurgeons, orthopedic surgeons, and specialists in pain management, physical medicine and rehabilitation. Brigham and Women's Hospital has five other spine centers throughout Massachusetts. U.S. News & World Report ranked the hospital among the top 20 in the nation for neurology and neurosurgery in 2019-20.

Carilion Clinic (Roanoke, Va.). The 1,026-bed Carilion Clinic hospital system provided care to nearly 1 million residents of Virginia and West Virginia in 2018. Touting around 13,320 employees and nine hospitals, the health system has 732 physicians across 77 specialties. Surgeons at Carilion's Institute for Orthopaedics and Neurosciences perform approximately 300 minimally invasive spine procedures annually, and it has the region's only deformity correction program for both adult and pediatric patients.

Cedars-Sinai Medical Center (Los Angeles). Serving more than 1 million patients annually at more than 40 locations, Cedars-Sinai Medical Center has more than 4,500 physicians on staff. The Cedars-Sinai spine team has 26 spine surgeons, assisted by eight advanced care providers. The health system is active in research efforts, hosting an array of clinical trials. Cedars-Sinai splits its spine care between four locations, including the Cedars-Sinai Spine Center and the Cedars-Sinai Kerlan-Jobe Institute. U.S. News & World Report ranked Cedars-Sinai as the No. 12 hospital for neurology and neurosurgery for 2019-20.

Cincinnati Children's Hospital Medical Center. Established in 1883, Cincinnati Children's Hospital Medical Center has more than 600 beds and around 1.3 million patient encounters in fiscal year 2017. The hospital's Crawford Spine Center was recognized by U.S. News & World Report as among the best hospitals for pediatric neurology and neurosurgery for 2019-20. The hospital is also involved in spine research, focusing on endoscopic technology, scoliosis correction and guided spine growth.

Cleveland Clinic. Featuring both a robust clinical program and a comprehensive spine research lab, Cleveland Clinic's Center for Spine Health sees thousands of patients annually. The Center for Spine Health has three specialty departments to address lower back pain, spinal deformity and spine tumors. Cleveland Clinic has 14 spine surgeons on staff, 14 medical/interventional staff members and 13 advanced care providers in its Center for Spine Health. The center is also testing robotics and is in the midst of a cervical spondylotic myelopathy surgical trial. U.S. News & World Report ranked Cleveland Clinic No. 10 in the nation for neurology and neurosurgery in 2019-20.

Dartmouth-Hitchcock Medical Center (Lebanon, N.H.). Dartmouth-Hitchcock developed its Center for Pain and Spine to meet the needs of its patient population, which comprises about 1.9 million people across northern New England. Anthem BlueCross BlueShield named the center a Blue Distinction Center for Spine Surgery for its commitment to good patient outcomes. U.S. News & World Report recognized the hospital as the highest performing neurosurgery institute in New Hampshire in 2019-20.

Duke University Hospital (Durham, N.C.). Duke University Hospital's comprehensive spine institute has 106 physicians on hand to provide an array of spine-related treatments. The spine team at Duke performs more than 1,200 spine surgeries annually. The hospital equipped all its surgery centers with intraoperative imaging equipment to ensure all procedures and physicians have access to real-time imaging information. U.S. News & World Report named Duke its No. 1 hospital in North Carolina and among the top 25 hospitals in the nation for neurology and neurosurgery in 2019-20.

Emory University Hospital (Atlanta). With its six locations throughout Atlanta, Emory University Orthopaedics & Spine Hospital offers patients comprehensive treatment options. Emory's neuroscience program will soon be headlined by the Emory Musculoskeletal Institute in Brookhaven, Ga. The institute broke ground in October 2019 and will be a 180,000-square-foot center dedicated to spine care. Emory University Hospital planners incorporated several environmentally conscious features into the institute. U.S. News & World Report ranked Emory among the top 50 hospitals in the nation for neurology and neurosurgery in 2019-20.

Froedtert & the Medical College of Wisconsin (Milwaukee). Froedtert & the Medical College of Wisconsin is the region's only academic regional medical center. Froedtert physicians see patients across the greater Milwaukee suburbs. Froedtert has four locations that specialize in spine care, including the outpatient clinic SpineCare. In 2017, Froedtert physicians treated 8,606 patients through its neurosurgery program.

Geisinger (Danville, Pa.). Founded more than a century ago, Geisinger has provided care to central Pennsylvania residents for generations. At the forefront of its neuroscience program is the Geisinger Neuroscience Institute. Employing a combination of treatment methods including microsurgery, minimally invasive surgery, robotic surgery and image-guided surgery, Geisinger has 24 providers on its neurosurgery staff. The health system is also on the forefront of innovation in healthcare delivery, with its ProvenCare program offering refunds to spine patients dissatisfied with their care. Geisinger is also a Walmart spine center of excellence, meaning the retail giant sends patients from across the country to undergo spinal evaluation and surgery at the health system.

Hackensack (N.J.) University Medical Center. Hackensack University Medical Center offers a robust program for neurosurgery care, including the Orthopedic Institute, which has more than 50 physicians on staff. Healthgrades has recognized Hackensack University Medical Center with its Cranial Neurosurgery Excellence Award for the last four years, and U.S. News & World Report ranked Hackensack as high performing for neurology and neurosurgery in 2019-20.

Henry Ford Hospital (Detroit). With more than 35 physicians specializing in spine and related specialties on staff, Henry Ford draws patients in Detroit and its greater suburban locations to its Henry Ford Spine Centers. In 2017 alone, Henry Ford surgeons performed some 75,000 surgeries across its 200 care sites. U.S. News & World Report ranked Henry Ford among the top 50 hospitals in the nation for neurology and neurosurgery in 2019-20.

Hoag Health Network (Newport Beach, Calif.). Hoag Health Network offers numerous spine programs, including care at Hoag Orthopedic Institute. In 2018, the institute reported 3,246 hospital spine procedures, as well as 180 ambulatory procedures. Hoag has two acute care hospitals, 11 urgent care centers and eight health centers it staffs with a team of more than 1,700 physicians and 6,000 employees. U.S. News & World Report ranked Hoag Hospital among the top 50 hospitals in the nation for neurology and neurosurgery in 2019-20.

Hospital for Special Surgery (New York City). Holding the No. 1 U.S. News & World Report ranking in orthopedics for 10 consecutive years, HSS surgeons perform more than 32,000 procedures annually. In 2016, the hospital reported 469 non-cervical spine fusion cases, which was well above the 48-procedure average for New York state. The hospital also focuses on research, with a 300-plus member research department that has a $45 million grant portfolio and $25 million in industry funding. Current spine-focused projects include studying spine instability, developmental deformity and tissue degeneration.

Houston Methodist Hospital. For nearly 30 years, Houston Methodist Hospital has been on the forefront of spine and neurosurgical care. The hospital is home to the center for neurodegeneration, which is comprised of 11 labs staffed with researchers working on therapies for chronic paralysis and neurologic loss. The hospital has 14 neurosurgeons on staff and was among the top 50 hospitals in the nation for neurology and neurosurgery by U.S. News & World Report for 2019-20.

Huntington Hospital (Pasadena, Calif.). Spine surgeons at Huntington Hospital specialize in treating spinal degenerative diseases such as deformities, lumbar stenosis and traumatic disorders. The hospital is home to a 32-bed orthopedic and neurological nursing unit, a 24-bed rehabilitation unit, an outpatient neurophysiology lab as well as angiography suites. In 2019-20, U.S. News & World Report ranked Huntington Hospital among the top 50 hospitals in the nation for neurology and neurosurgery.

Inova Fairfax Hospital (Falls Church, Va.). Inova Fairfax hospital is home to the largest neurological practice in the Washington, D.C., area. Nine Inova neurosurgeons perform more than 3,000 cases a year. The Inova team was the first in Northern Virginia to conduct MRI-guided surgeries to treat Parkinson's disease and a brain tumor. The Inova Neuroscience and Spine Institute has 12 specialized treatment programs and was awarded The Joint Commission's Gold Seal of Approval for its cervical and lumbar spine surgery program.

IU Health (Indianapolis). IU Health's Neuroscience Center offers patients treatment across a variety of neurological specialties, including oncology, spine surgery, stereotactic and functional neurosurgery, trauma treatment and pediatric neurosurgery. IU Health's team of neurosurgeons are at the forefront of using new technology for improving outcomes. Researchers at IU Health are currently pioneering four clinical trials on epilepsy and hematoma evacuation.

Jefferson Health (Philadelphia). Jefferson Hospital for Neuroscience is the only hospital in the Philadelphia region dedicated to neuroscience, and is one of the busiest academic neurosurgical programs in the U.S. The neuroscience program has five surgeons on staff, and in 2015, was the first in the region to offer deep brain stimulation. In 2019-20, U.S. News & World Report ranked Jefferson Health-Thomas Jefferson University Hospital among the top 50 hospitals in the nation for neurology and neurosurgery. The health system also has a robust spine program, with its spine surgeons completing around 7,000 procedures each year at inpatient and ambulatory locations. It was also the first in the country to enroll a patient in the INSPIRE 2.0 clinical trial examining treatment for spinal cord injury.

Johns Hopkins Medicine (Baltimore). Physicians in the department of neurology and neurosurgery at Johns Hopkins Medicine have been treating patients since 1889, and now perform more than 4,000 operations and 30,000 outpatient consultations each year. The Johns Hopkins Carnegie Center for Surgical Innovation, a collaboration between the departments of neurosurgery and biomedical engineering, is working on new technology to make spine surgery safer through image-guided interventions. Johns Hopkins neurosurgeons are actively researching and conducting clinical trials on Parkinson's disease, dementia and brain cancer. The Johns Hopkins Hospital was ranked No. 1 in the in the nation for neurology and neurosurgery in 2019-20 by U.S. News & World Report.

Kaiser Permanente Los Angeles Medical Center. Kaiser Permanente's neurologists and neurosurgeons perform hundreds of complex procedures each year in one of the nation's busiest neurosurgical centers. The health system's 70-year history gives it a leg up in educating the next generation of specialists through neurology and neurosurgery residency programs, as well as a neuroanesthesia fellowship program. Kaiser's Los Angeles Medical Center houses the health system's comprehensive spine surgery department as well as a radiosurgery program dating back to 1989.

Keck Medicine of USC (Los Angeles). The USC Spine Center aims to deliver a coordinated, conservative approach to spine care at four locations in the greater Los Angeles area. Specialists at USC Spine Center are all fellowship-trained faculty members at the Keck School of Medicine of USC and have collectively gained an overall patient satisfaction rating of over 4.5 out of 5 stars. USC Spine Center, which is part of USC Orthopaedic Surgery and USC Neurological Surgery, is recognized as a Blue Distinction Center for spine surgery by Blue Shield of California. Additionally, Keck Medicine of USC was ranked No. 16 in the nation for neurology and neurosurgery by U.S. News & World Report.

Lehigh Valley Health Network (Allentown, Pa.). Lehigh Valley Health Network's spine and neurology services are provided through its Institute for Surgical Excellence, where surgeons perform over 35,000 surgeries annually 70 percent more than other centers in the area. The system boasts the region's only spine neuronavigation system, as well as a 14-bed neuroscience intensive care unit. With surgeons currently involved in at least five clinical trials focused on neurology, Lehigh Valley Health Network offers patients unique opportunities to undergo new treatments in addition to surgery.

Lifespan (Providence, R.I.). With six experts on its surgical team, Lifespan's Comprehensive Spine Center is affiliated with the Providence-based Warren Alpert Medical School of Brown University, giving patients access to advanced technology and treatments. Operating at both Rhode Island Hospital in Providence and the newly opened Newport (R.I.) Hospital, the Comprehensive Spine Center is housed within the Norman Prince Neurosciences Institute. Lifespan's 13 neurosurgeons perform about 2,000 procedures annually, and they're researching the use of microelectrode arrays in epilepsy, light treatments for neurological disease, and deep brain stimulation for Alzheimer's patients.

Loyola University Medical Center (Maywood, Ill.). As an academic medical center with researchers involved in nearly 200 clinical trials, Loyola University Medical Center leverages unique neurosurgical techniques such as deep brain stimulation and stereotactic radiotherapy. Each year, Loyola's highly experienced surgeons perform over 1,000 cranial surgeries and collaborate on about 150 cranial-base operations at the Center for Cranial Base Surgery, which features a fully equipped speech and swallowing laboratory. With a 13-bed neuro intensive care unit, Loyola was ranked No. 28 in the nation for neurology and neurosurgery by U.S. News & World Report for 2019-20.

Massachusetts General Hospital (Boston). Massachusetts General Hospital's neurosurgery department performs more than 4,000 procedures every year and was the first to use deep brain stimulation to reduce epileptic seizures. MGH's team of 20 faculty neurosurgeons and 20 residents in training oversees 86 dedicated beds and a 22-bed ICU. Home to the nation's largest hospital-based neuroscience research program, MGH is committed to studying rare disorders of the nervous system, neurodegenerative disorders and effective ALS therapies. U.S. News & World Report ranked Mass General among the top 20 hospitals in the nation for neurology and neurosurgery in 2019-20.

Mayo Clinic (Rochester, Minn.). Mayo Clinic is one of the premier institutions for neurosurgery in the nation, with its Rochester location ranked No. 2 for neurology and neurosurgery by U.S. News & World Report in 2019-20. Neurosurgeons annually perform 7,000 procedures at its three campuses in Arizona, Florida and Minnesota. The health system is also on the forefront of neurosurgical research and currently has 31 clinical trials open for participation as well as a registry for primary spinal tumor research.

Medical University of South Carolina (Charleston). The Medical University of South Carolina's spine center team is a designated Blue Distinction Center for spine surgery, a mark of demonstrated quality outcomes. The hospital has $9 million in technology development funding through an in-house innovation program called Zucker Institute for Applied Neurosciences, a technology accelerator embedded within the health system to move new neuroscience innovations into the clinical settings quickly. The Medical University of South Carolina's spine program was one of the first in the state to offer patients endoscopic spine surgery, and it plans to expand its endoscopic and minimally invasive spine outpatient offerings.

MedStar Georgetown University Hospital (Washington, D.C.). The 609-bed MedStar Georgetown University Hospital has a multidisciplinary spine center and offers comprehensive neurosurgery services, including a pediatric neurosurgery program. It includes 12 neurosurgeons and spine specialists, of which five are trained in minimally invasive spine care. Its minimally invasive spine specialists have performed thousands of procedures, from discectomies to decompressions. In 2019-20, U.S. News & World Report named MedStar Georgetown University Hospital high performing in neurology and neurosurgery, as well as one of the best regional hospitals in the nation.

Memorial Hermann-Texas Medical Center (Houston). Memorial Hermann-Texas Medical Center includes the Memorial Hermann Orthopedic & Spine Hospital to offer patients the latest in spine care. The Memorial Hermann Orthopedic & Spine Hospital features 64 private patient rooms, eight two-room suites and 10 surgical suites. Patients coming to the medical center can also receive care at the Mischer Spine Center, where neurosurgeons perform more than 3,000 spine surgeries annually. The Mischer Spine Center is affiliated with Memorial Hermann Mischer Neuroscience Institute at the Texas Medical Center, which offers opportunities for patients to receive the benefits of cutting-edge research. There are 25 spine and nerve research clinical trials in progress or recently completed at the Mischer Neuroscience Institute.

MemorialCare (Fountain Valley, Calif.). Spine care at MemorialCare is offered by a multidisciplinary team of neurosurgeons, orthopedic surgeons and nonoperative specialists. Patients seeking care have the option of going to one of three California-based locations, in Long Beach, Laguna Hills or Fountain Valley. Two MemorialCare hospitals are ranked high performing in adult neurology and neurosurgery by U.S. News & World Report. The Spine Center at MemorialCare Long Beach Medical Center recently acquired robotic navigation technology to enhance precision in spine surgery.

Michigan Medicine (Ann Arbor). Michigan Medicine's neurosurgery department celebrated 100 years of offering adult and pediatric neurosurgical care last year. It includes 24 clinical faculty and eight research faculty members. Michigan Medicine's neurosurgery department also has a mission to educate and train the next generation of neurosurgical and spine care specialists via its residencies and fellowships. Its neurosurgeons are involved in an outreach program, Project Shunt, that offers neurosurgical care to children in Guatemala. U.S. News & World Report ranked Michigan Medicine No. 19 on its list of the 50 best hospitals for adult neurology and neurosurgery in 2019-20.

Milton S. Hershey Medical Center (Hershey, Pa.). Milton S. Hershey Medical Center offers spine and neurosurgery services via its spine center, which includes a 25-person care team. The spine center has developed a "back coach" program, which offers information and resources to those suffering from chronic back and neck pain. The hospital also has a robust neurosurgery research faculty that includes 17 members focusing on several key research areas, including using 3D models to understand tumor growth.

Montefiore Health System (New York City). Montefiore Health System aims to be at the forefront of neurosurgical research and care with eight comprehensive care centers and 12 neurosurgeons on staff. Earlier this year, Montefiore held its first pediatric neurointerventional symposium, which included experts from the U.S. and Canada. Montefiore Medical Center, the health system's flagship, was ranked among the top 50 hospitals in the nation for adult neurology and neurosurgery by U.S. News & World Report for 2019-20.

Moses H. Cone Memorial Hospital (Greensboro, N.C.). The 517-bed Moses H. Cone Memorial Hospital has received several recognitions for its spine care services, including being ranked No. 1 in the state for medical excellence in spinal surgery and spinal fusion by CareChex in 2018. Blue Cross and Blue Shield of North Carolina also designated the facility a Blue Distinction Center + for spine surgery last year. The hospital offers major interventional neuroradiology and neurosurgery treatments with a multidisciplinary team of neurologists, neuroradiologists other nonoperative specialists to ensure comprehensive care. Cone Health includes 19 orthopedic spine surgeons and neurosurgeons.

Mount Sinai Hospital (New York City). The Spine Hospital at Mount Sinai offers the full spectrum of cervical, thoracic and lumbar spine care. It includes 16 orthopedic and neurospine surgeons who provide care along with a team of nonoperative spine specialists. The hospital is also a preferred spine care site for retired NFL players. The health system has a strong foundation in research through various programs, including the Friedman Brain Institute, an interdisciplinary clinical and research hub focused on brain and spinal cord disorders. U.S. News & World Report ranked Mount Sinai Hospital among the top 20 hospitals in the nation for neurology and neurosurgery in 2019-20.

NewYork-Presbyterian/Weill Cornell Medical Center (New York City). NewYork-Presbyterian/Weill Cornell Medical Center's Weill Cornell Brain and Spine Center includes 24 neurosurgeons, neuroradiologists, neuropsychologists and neuroendocrinologists, who offer clinical services, conduct research and train students, residents and fellows. Patients receiving care at the center have access to the latest research-based medicine, including access to 16 neurosurgery-focused clinical trials. NewYork-Presbyterian was ranked No. 4 on U.S. News & World Report's 2019-20 list of the 50 best hospitals for neurology and neurosurgery.

Northwell Health (New Hyde Park, N.Y.). Northwell Health's Institute for Neurology and Neurosurgery includes a multidisciplinary team that offers a wide array of clinical services, and in collaboration with the Feinstein Institutes for Medical Research, the physicians and scientists conduct research and clinical trials that advance the field. U.S. News & World Report ranked Northwell's North Shore University Hospital among the top 50 hospitals in the nation for neurology and neurosurgery, while also distinguishing Lenox Hill Hospital in New York City as high performing in the specialty for 2019-20.

Northwestern Memorial Hospital (Chicago). Northwestern Memorial Hospital includes 38 neurological surgery and spine surgery specialists. It also offers a combined orthopedic spine and neurosurgical spine fellowship to train the next generation of spine and neurosurgeons. Earlier this year, the hospital launched the Northwestern Medicine Hispanic Brain and Spine Tumor Program in Chicago, which aims to reduce barriers to specialized care for the Hispanic and Latino population. U.S. News & World Report ranked Northwestern Memorial Hospital No. 5 on its list of the 50 best hospitals for neurology and neurosurgery in 2019-20.

Norton Healthcare (Louisville, Ky.). Norton Healthcare is home to the Norton Leatherman Spine Center, serving patients in Louisville and southern Indiana. Specialists at Norton Leatherman Spine perform more than 4,000 surgeries annually, and patients see its providers there more than 30,000 times a year. The fellowship-trained specialists at Norton Leatherman Spine have an average of 20 years of experience and focus on research as well as training the next generation of spine surgeons. The hospital has trained more than 100 spine surgeons who are practicing across the country.

NYU Langone Health (New York City). NYU Langone Health's neurosurgery department consists of more than 20 full-time clinical and research faculty members who take on other physicians' most complex surgical cases. Combined with the system's orthopedic spine surgeons, NYU Langone supports about 2,700 spine procedures per year. Its spine center is equipped with robotic technology and a 3D platform for planning and performing surgeries and provides operative and nonoperative treatment for about 18,000 adults and children annually. NYU Langone Hospitals is ranked No. 9 among U.S. News & World Report's top 50 hospitals for neurology and neurosurgery.

Ochsner Medical Center (New Orleans). Ochsner Health System's neurosurgery program stands out for various reasons, including being the only such program in Louisiana and one of only five U.S. centers to offer in-utero surgery to repair spinal bifida in babies during pregnancy. Each year, neurosurgeons across Ochsner Health System perform more than 1,500 adult and pediatric surgeries. The health system's spine and back care program is also highly rated, earning five stars from Healthgrades. Ochsner Medical Center, part of Ochsner Health System, is among the nation's top 50 hospitals for neurology and neurosurgery, according to U.S. News & World Report's 2019-20 rankings.

Ohio State University Wexner Medical Center (Columbus). Ohio State University is the home of an 87-bed, 60,000-square-foot brain and spine hospital that includes specialized units for stroke care, neurotrauma and traumatic brain injuries and spinal cord injury. The university also houses one of the nation's only centers that pursue innovative projects and research through the Traumatic Brain Injury Model Systems program, which is sponsored by the National Institute on Disability and Rehabilitation Research. Additionally, the university has the only rehabilitation program in central Ohio certified to handle traumatic brain injury. In 2019-20, U.S. News & World Report recognized Wexner Medical Center as high performing in adult neurology and neurosurgery.

Oregon Health & Science University Hospital (Portland). Oregon Health & Science University Hospital has pioneered innovation in neurological surgery, including North America's first deep brain stimulation surgery, the world's first neuronal stem cell transplants and an intraoperative MRI facility. It also has a leading neurosurgery training program and advanced fellowships in skull base and vascular, functional and pediatric neurosurgery. The hospital is ranked No. 44 among U.S. News & World Report's top 50 hospitals for neurology and neurosurgery in 2019-20.

Penn Medicine (Philadelphia). Penn Medicine neurosurgeons perform more than 5,000 operations annually at the Hospital of the University of Pennsylvania, Pennsylvania Hospital, Penn Presbyterian Medical Center, Penn Medicine Virtua Neurosciences and the Children's Hospital of Philadelphia. Penn Medicine's neurosurgery department also includes a research program led by basic scientists in brain, spine and nervous system diseases and disorders. Penn Medicine researchers are working on a prognostic blood test that would detect and measure neuronal proteins in the cerebrospinal fluid. In 2019-20, U.S. News & World Report ranked the health system's Pennsylvania Hospital No. 31 in the nation for neurology and neurosurgery.

ProMedica (Toledo, Ohio). ProMedica is a health system with more than 794 hospital beds serving 27 counties in Ohio and southeast Michigan. The system includes the ProMedica Wildwood Orthopaedic and Spine Hospital, which is designated a Blue Distinction Center for spine care by the Blue Cross Blue Shield Association and earned the 2018 Press Ganey Guardian of Excellence Award for physician engagement. The system's ProMedica Toledo Hospital also offers advanced navigation and robotics for complex brain and spine surgeries; it became the first in Ohio to offer the 3D mapping technology in 2017.

Rush University Medical Center (Chicago). Rush University Medical Center is one of the top 10 hospitals in the nation for neurology and neurosurgery, according to U.S. News & World Report. Its neurosurgery program consistently reports the most neurosurgical discharges in the Chicago area. In 2018, the health system reported 4,334 neurological surgery outpatient visits focused on the brain and 6,498 outpatient neurological visits focused on the spine. The health system also has a robust spine and back care program, with 12 physicians and surgeons increasingly moving toward minimally invasive and outpatient procedures. The health systems surgeons aim to stay at the forefront of patient treatment and participate in clinical trials investigating degenerative disc disease treatment, registry data for metastatic spine tumors and spinal stenosis treatment with new technology.

Saint Barnabas Medical Center (Livingston, N.J.). Saint Barnabas Medical Center houses the 22-physician neurological team of RWJBarnabas Health, the largest healthcare system in New Jersey. The Saint Barnabas Institute of Neurology & Neurosurgery is a level 4 epilepsy center with nine physicians focused on excellence in clinical care as well as clinical research. The hospital also has an innovative spine surgery department that has used a microdiscectomy technique developed by a member of its team to treat more than 500 patients. Saint Barnabas is recognized as high performing in neurology and neurosurgery by U.S. News & World Report.

Saint Luke's Hospital of Kansas City (Mo.). Saint Luke's Marion Bloch Neuroscience Institute has an advanced comprehensive stroke center accredited by the Joint Commission that leads the region in endovascular interventions and outcomes. It provides advanced stroke care to more than 2,000 patients annually, and the integrated spine program earned designation as a Blue Distinction Center+ for Spine Surgery by Blue Cross Blue Shield Association. Saint Luke's Spine Surgery Program has earned the Joint Commission's Gold Seal of Approval of Spine Surgery Certification. The system also has a level 4 comprehensive epilepsy center and a seven-member neurosurgeon team. For 2019-20, Saint Luke's Hospital of Kansas City was named among U.S. News & World Report's top 50 hospitals for neurology and neurosurgery.

Scripps Health (San Diego). Scripps Health offers neurosurgery and follow-up care at five San Diego County locations. At Scripps Health locations, physicians offer advanced techniques and technology, including minimally invasive brain surgery treatments and a robotics platform. Programs of Scripps Green Hospital and Scripps Memorial Hospital La Jolla ranked among U.S. News & World Report's top 50 hospitals for neurology and neurosurgery in 2019-20.

Spectrum Health (Grand Rapids, Mich.). Spectrum Health's neurosurgery department specializes in disorders affecting the central nervous system and offers services at five centers across Michigan, including a level 4 epilepsy center. Spectrum Health is also home to Helen DeVos Children's Hospital, which has the only pediatric neurosurgery program in the region. As the largest hospital group in West Michigan, Spectrum Health has been ranked among America's 50 best hospitals by Healthgrades for four consecutive years and has 1,600 physicians focused on more than 110 specialties.

St. Luke's Boise (Idaho) Medical Center. St. Luke's Boise Medical Center is part of the nonprofit St. Luke's Health System, Idaho's largest, comprising 14 hospitals. St. Luke's Boise, which includes four neurosurgery centers and three spine clinics in Idaho, has been ranked as a top 100 hospital by IBM Watson Health. After doubling the number of referrals to its spine care clinic in 2018, the hospital plans to open another location in 2020.

Stanford (Calif.) Health Care. The Stanford department of neurosurgery is composed of 61 neurosurgeons who perform 4,000 neurosurgical operations annually. It was named the No. 9 hospital in the nation for neurology and neurosurgery by U.S. News & World Report in 2019-20 and its stroke center was the first in the nation to be certified as a comprehensive stroke center by the Joint Commission. The department has 30 active labs researching topics including brain injury, deep brain stimulation, brain tumors and epilepsy.

Stony Brook (N.Y.) University Hospital. Stony Brook University Hospital's Neurosurgery Spine Center is a tertiary care academic medical center that has been named one of America's 100 Best Hospitals for stroke care by Healthgrades for five consecutive years. Stony Brook has more than 70 labs researching topics including spine and brain trauma, stroke and multiple sclerosis. The Neurosurgery Spine Center is the only practice in Suffolk County with two full-time pediatric neurosurgeons, and the adult neurology center sees more than 18,000 patients per year.

Sutter Health (Sacramento, Calif.). Eleven hospitals within the Sutter Health network a 24-hospital, nonprofit health system with more than 12,000 physicians received recognition from the American Stroke Association for providing a high level of stroke care in 2019. Eden Medical Center in Castro Valley, Calif., was named one of America's 100 Best Hospitals for stroke care by Heathgrades in 2019. Sutter Medical Center in Sacramento, Calif., also earned recognition as high-performing in neurosurgery by U.S. News & World Report in 2019.

Swedish Medical Center (Englewood, Colo.). Swedish Medical Center serves as the Rocky Mountain region's neurotrauma provider and has spine experts who perform an average of 90 spine surgeries per month. Part of HCA's HealthONE, Blue Cross Blue Shield Association designated it a Blue Distinction Center for spine surgery, and UnitedHealth Group designated it a Center of Excellence for spine surgery. It serves as the region's referral center for the most advanced stroke treatment and was the state's first Joint Commission-certified comprehensive stroke center.

Texas Children's Hospital (Houston). Texas Children's Hospital was the first hospital in the world to use real-time MRI-guided thermal imaging and laser technology to treat epilepsy. Named the No. 3 best neurosurgery center on U.S. News & World Report's 2019-20 list, the hospital performs more than 950 neurosurgical operations every year. It was also the first hospital to use a device similar to a pacemaker in the brain, which recognizes oncoming seizures and prevents them.

The Christ Hospital (Cincinnati). The Christ Hospital Joint & Spine Center is a seven-story facility with 14 operating rooms, four of which are dedicated solely to spine surgery. The Joint & Spine Center also offers physical, occupational and speech therapy services and physicians dedicated solely to joint, spine and brain care. Founded more than 125 years ago, The Christ Hospital has performed more spine procedures than any other hospital in the Cincinnati area.

Tulsa (Okla.) Spine & Specialty Hospital. Founded in 2002, Tulsa Spine & Specialty Hospital has a national reputation top-level patient care. It was named one of America's 100 best hospitals for spine surgery by Healthgrades. The physician-owned hospital was also honored with the Cigna Center of Excellence designation in 2018 for orthopedic back surgery and earned five stars from Healthgrades for spinal fusion in 2018. The hospital has 13 dedicated spine surgeons who perform minimally invasive procedures.

University of California San Diego Health. UC San Diego's neurosurgery division was founded in 1971 and features four intraoperative MRI and CT suites, destination skull base tumor programs and neurocritical care units. The division collaborates regularly with the UC San Diego School of Medicine, San Diego-based Scripps Research Institute and the Salk Institute for Biological Studies in La Jolla, Calif., and received $30 million in funding from the National Institutes of Health in 2018. It was ranked among the top 50 hospitals in the nation for neurology and neurosurgery in 2019-20 according to U.S. News & World Report.

UCI Health (Irvine, Calif.). UCI Health is the only academic health system in Orange County, Calif., and UCI Medical Center's neurosurgery department was recognized as high performing by U.S. News & World Report in 2019-20. The department of neurological surgery includes Orange County's first comprehensive stroke center, granted certification by The Joint Commission, as well as active research in neuro-oncology and spinal cord injury. The department frequently collaborates with other research organizations, such as UC Irvine's Reeve-Irvine Research Center, which is working to find new treatments for spinal cord injury.

UCLA Medical Center (Los Angeles). As UCLA Health's flagship hospital, UCLA Medical Center's neurosurgery department has ranked as one of the top neurosurgery programs in the nation for over 20 consecutive years by U.S. News & World Report. The department has its own neurosurgery app designed for patients with information about their physicians, procedures and hospital amenities. UCLA's Spine Center is also designated a Blue Distinction Center for Spine Surgery by Blue Shield of California.

UCSF Medical Center (San Francisco). The department of neurological surgery at UCSF Medical Center has 14 specialties, including pediatric neurosurgery. In 2011, the department developed the Quality Improvement and Patient Safety initiative with the goal of becoming a national leader in neurological surgery quality. The hospital is piloting an enhanced recovery after surgery pathway for cranial surgery as well as an opioid stewardship program. UCSF's Spine Center is also one of the largest spine centers in the country and sees over 10,000 patients a year. The department of neurological surgery at UCSF was recognized in 2019-20 as one of the top three neurosurgery programs in the country by U.S. News & World Report, which also ranks the UCSF Benioff Children's Hospitals among the top hospitals for pediatric neurosurgery in the nation.

UF Health (Gainesville, Fla.). The UF Health Spine Program provides comprehensive outpatient and inpatient treatment options at one location that features 17 neurosurgeons, three neurosurgery ORs, two neurosurgery hybrid interventional ORs and 48 private ICU patient rooms. The hospital provides complete spine services including the treatment of degenerative spinal diseases, spinal tumors as well as craniocervical junction anomalies and performs more than 1,000 procedures annually. For its 2019-20 rankings, U.S. News & World Report named UF Health Shands Hospital in Gainesville the No. 2 hospital in Florida, and it was ranked among the top in the nation for neurology and neurosurgery.

UK HealthCare Albert B. Chandler Hospital (Lexington, Ky.). UK Neurosurgery features nine neurosurgeons providing care for complex conditions including spinal tumors and deformities, stroke, ALS, and epilepsy. UK HealthCare Albert B. Chandler Hospital was ranked the No. 1 hospital in the state for neurology and neurosurgery by U.S. News & World Report's best hospitals survey for 2019-20. UK Neurosurgery collaborates with the UK Kentucky Neuroscience Institute on several research initiatives and is currently enrolling participants in ALS and epilepsy clinical trials.

UNC REX Hospital (Raleigh, N.C.). REX Neurosurgery & Spine Specialists features a team of 12 orthopedic spine and neurosurgeons providing comprehensive neurosurgical care including spinal fusion, minimally invasive spine surgery and reconstructive spine surgery. The department performs thousands of procedures each year and has been certified as a comprehensive stroke care center by The Joint Commission since 2011. UNC REX bolstered the department in the past year with the addition of an on-site spine physical therapist and a spine navigator to determine whether patients need imaging, surgery or physical therapy.

University Hospitals (Cleveland). The staff University Hospitals includes 11 orthopedic spine and neurosurgeons focused on providing exceptional patient care. The University Hospitals Spine Institute collaborates with the UH Neurological Institute, which features 13 centers of excellence and provides innovative neurosurgical therapies including CyberKnife, Gamma Knife and the NeuroBlate System. University Hospitals Cleveland Medical Center was ranked among the best hospitals for neurology and neurosurgery in the nation by U.S. News & World Report in 2019-20.

University of Alabama Hospital at Birmingham. UAB Hospital at Birmingham is widely recognized for its spine care and brain cancer research, and its specialists treat more than 4,000 patients annually. UAB Neurology and Neurosurgery has eight comprehensive divisions and seven centers that care for 26,000 patients per year. The neurosurgery department is also responsible for around 5,000 procedures annually for both pediatric and adult patients. It features research faculty and physician scientists who collaborate to advance research in conditions such as Parkinson's disease, spinal cord injury and neurovascular disorders.

University of California Davis Medical Center (Sacramento). Spine and neurosurgeons at UC Davis Medical Center actively participate in research and clinical trials spanning a range of areas including lumbar fusion, traumatic brain injury and thoracic spinal cord injury. UC Davis Health's neurosurgery department features 13 physicians on its clinical faculty and its brain tumor program incorporates 19 physicians from several subspecialties to provide optimum care for adult and pediatric patients with tumors of the nervous system. The UC Davis Medical Center ranked among the best hospitals for neurology and neurosurgery in U.S. News & World Report's 2019-20 list.

University of Colorado Hospital (Aurora). UCHealth Spine Center at the Anschutz Medical Campus is staffed by renowned spine and neurosurgeons who have built a comprehensive and award-winning program. The hospital is certified by The Joint Commission as a comprehensive stroke center and its epilepsy program is rated as a Level 4 center by the National Association of Epilepsy Centers and earned the 2019 Get With the Guidelines Stroke Gold Plus Elite Plus award from the American Heart Association and American Stroke Association for outstanding care. The department of neurosurgery features 23 physicians and U.S. News & World Report ranked UCHealth University of Colorado Hospital among the best in the nation for neurology and neurosurgery for 2019-20.

University of Iowa Hospitals and Clinics (Iowa City). The UI Spine Center has a robust program with 10 orthopedic spine and neurosurgeons who participate in next-generation surgical technology investigations to stay on the forefront of spine care. The hospital has earned the Blue Cross Blue Distinction Center+ designation for spine surgery and the University of Iowa Carver College of Medicine is often ranked in the top 10 in National Institutes of Health funding for faculty members, including neurosurgery. The neurosurgery department specializes in the surgical treatment of degenerative spine pathology, epilepsy, brain and spinal cord tumors and was designated a center of excellence by the Parkinson's Foundation in 2018.

University of Kansas Hospital (Kansas City). The department of neurosurgery at the University of Kansas Medical Center is equipped with virtual reality systems and a 3D printer to assist neurosurgeons in planning procedures and training physicians in the latest technology. The hospital includes 11 neurosurgeons and a 14-physician neurosurgery residency program. It also has a robust spine center, the Marc A. Asher, MD, Comprehensive Spine Center, which opened in 2008 and includes 27 exam rooms, four diagnostic rooms and a 4,000-square-foot outpatient rehabilitation gym.

University of Miami (Fla.) Hospital and Clinics. Neurosurgeons at University of Miami Hospital and Clinics see more than 14,000 patients and perform over 4,000 procedures annually. The hospital was named among the best hospitals in Florida by U.S. News & World Report in 2019-20 and scored as a high-performing facility in the departments of neurology and neurosurgery. The hospital integrates the latest innovations into its neurosurgical research programs including robotics, 3D interoperative imaging and deep brain stimulation.

UW Health (Madison, Wis.). The neurosurgery residency program was founded at the University of Wisconsin's department of surgery in 1942 and has been in operation ever since. UW Health features 14 neurosurgeons, 12 research faculty and two fellows. Neurosurgeons in the department see more than 1,200 brain tumor patients per year in collaboration with the UW Carbone Cancer Center. The department focuses on both clinical and investigative aspects of care for neurological diseases and is currently participating in a range of clinical trials involving brain tumors, stroke, spinal cord injury and cervical spondylotic myelopathy.

University of Utah Hospitals and Clinics (Salt Lake City). University of Utah Hospitals and Clinics provides the full spectrum of neurosurgical care to patients with cranial and spinal diseases and disorders. The faculty includes 25 physicians who provide a range of services including cerebrovascular, spinal, functional, traumatic, tumor, and pediatric neurosurgery. Physicians at the hospital are actively involved in clinical trials with current projects including pediatric neurosurgery and venous thromboembolism.

University of Virginia Medical Center (Charlottesville). Spine specialists at the University of Virginia Medical Center, in partnership with colleagues from the neurosurgery department, perform more than 1,500 spine procedures each year. The medical center's neurosurgery department is led by Jeffrey Elias, MD, who was honored as the 2018 Edlich-Henderson Innovator of the Year by the UVA Licensing & Ventures Group. At the university, Dr. Elias pioneered the use of focused ultrasound to treat essential tremor and led a clinical trial that resulted in FDA approval of the treatment.

UW Medicine (Seattle). The department of neurological surgery at UW Medicine is the primary referral center for patients in Washington, Wyoming, Alaska, Montana and Idaho who have complex neurological conditions. Twenty neurosurgeons, 15 neuroscientists and 79 adjunct clinical research faculty staff the department, and an additional 20 physicians are in its neurological surgery residency program. The neurological surgery department's outreach initiatives include National Institutes of Health-sponsored brain injury research in five Latin American countries.

UW Health (Madison, Wis.). In 1993, spine specialists at UW Health developed a minimally invasive treatment for spinal fusion surgery, becoming one of the first institutions to perform the procedure in the world and solidifying the health system as a leader in minimally invasive spine surgery. In addition to spine, providers at UW Health care for more than 1,200 brain tumor patients each year, working with the UW Carbone Cancer Center when additional treatment is needed. For 2019-20, U.S. News & World Report listed UW Health among the top 50 hospitals in the nation for neurology and neurosurgery.

UPMC (Pittsburgh). Part of the UPMC Neurological Institute, the UPMC department of neurosurgery is one of the largest academic neurosurgical providers in the nation, with more than 11,000 procedures performed annually. Among its accolades, the department ranks as one of the highest in the country in National Institutes of Health funding, and the department's chair, Robert Friedlander, MD, was elected to the National Academy of Medicine in 2018. U.S. News & World Report ranked UPMC's Presbyterian Shadyside hospital in Pittsburgh among the nation's top 50 hospitals for neurology and neurosurgery for 2019-20.

UR Medicine (Rochester, N.Y.). Patients across New York's Finger Lakes, Southern Tier and Western New York regions are served by UR Medicine Neurosurgery. At UR Medicine's Spine Center, physicians see more than 19,000 patients annually. In 2019, researchers led by the director of the hospital's department of neurosurgery's Translation Pair Research Program were selected to help the National Institutes of Health create a nonaddictive treatment for pain through clinical trials.

UT Southwestern Medical Center (Dallas). The Peter O'Donnell Jr. Brain Institute, part of the department of neurological surgery at UT Southwestern Medical Center, ranks No. 15 in the nation for neurology and neurosurgery, according to U.S. News & World Report's 2019-20 list. The department's neuro-oncology program is supported by the Annette G. Strauss Center for Neuro-Oncology and collaborates with the Harold C. Simmons Comprehensive Cancer Center. In 2018, the Decherd Foundation awarded the hospital an endowment to create an annual award to recognize exceptional care for neurotrauma patients at UT Southwestern's teaching hospital, Dallas-based Parkland Memorial Hospital.

Vanderbilt University Medical Center (Nashville, Tenn.). In addition to 21 residents, the neurological surgery department at Vanderbilt University Medical Center has 16 physician faculty members who are part of its 32-member advance practice and research team. The department sees more than 5,000 surgeries and procedures each year. In 2019, neurological surgery researchers at Vanderbilt, supported by the National Institutes of Health, for the first time found improvements in brain networks after surgery in 15 people with temporal lobe epilepsy.

VCU Medical Center (Richmond, Va.). With a 13-physician faculty, the Virginia Commonwealth University department of neurosurgery at VCU Medical Center is home to a new concept of outpatient medicine for orthopedic and neurological conditions. The VCU Health Neuroscience, Orthopaedic and Wellness Center, dubbed the "N.O.W. Center," aims to offer patient-centered care, using new software to help providers manage patients' progress during visits. The neurosurgery department at VCU Medical Center has been recognized by U.S. News & World Report, which named the hospital among the top 50 in the country for neurology and neurosurgery for 2018-19.

Vidant Medical Center (Greenville, N.C.). Vidant Medical Center is home to the only neuroscience intensive care unit in eastern North Carolina, as well as a specialized neuroscience rehabilitation unit. The hospital's neurosurgery department has 19 physicians and healthcare professionals. In April 2019, one of Vidant's neurosurgery department members co-authored a 12-month study of the use of a new neuro-spinal scaffold to treat acute thoracic complete spinal cord injury.

Wake Forest Baptist Health (Winston-Salem, N.C.). Every year, physicians at Wake Forest Baptist Health's spine center perform more than 1,000 surgeries on patients in need of treatment for back and neck disorders. Wake Forest Baptist Health is home to one of the nation's leading Gamma Knife Centers and is one of the few centers in the country to use deep brain stimulation to treat movement disorders, brain tumors, depression and Tourette syndrome. Additionally, the hospital's neurosurgery department has two neurosurgeons who specialize in pediatric care.

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100 hospitals and health systems with great neurosurgery and spine programs | 2019 - Becker's Hospital Review

Therapeutic Exosomes Go From Vein to Brain – Technology Networks

A team of researchers from the University of Georgia's Regenerative Bioscience Center has found that neural exosomes--"cargo" molecules within the nervous system that carry messages to the brain--can minimize or even avert progression of traumatic brain injury when used as part of a new cell-to-cell messaging technology.

The finding could result in the first delivery platform and regenerative treatment for TBI.

The research was reported on Nov. 27 in the Journal of Neurotrauma and outlines significant steps in providing data for industry development and commercial manufacturing of a regenerative TBI-IV therapy.

The new restorative technology contains bio-manufactured exosomes that can be stored on the shelf and given as an injection into a vein. Once injected, the exosomes become message mediators to reset, regenerate and coordinate communication with both neighboring and distant cells. As a result, this novel treatment showed improved functional recovery in rats after TBI.

"The technology takes full benefit of the desirable properties of a neural stem cell therapy without introducing cells into patients," said Steven Stice, Georgia Research Alliance Eminent Scholar and D.W. Brooks Distinguished Professor in the College of Agricultural and Environmental Sciences. "We are working toward a therapeutic that has a multifunctional promise to repair brain injury and be producible in a cost-effective, off-the-shelf drug format."

Traumatic brain injuries can be difficult to detect because each TBI patient presents a unique set of circumstances determined by injury timeline and severity, as well as individual characteristics such as age, gender and occupation. With this potential new technique, RBC researchers hope to boost the brain's natural ability to recover and provide physicians with a treatment that can be administered immediately in cases of severe TBI.

"Mechanistically, TBI is a physician's nightmare," said Lohitash Karumbaiah, associate professor of regenerative medicine in UGA's College of Agricultural and Environmental Sciences and one of the publication's lead authors. "Because there are so many things going on in the brain, you can't really exactly pinpoint what is going wrong, and without therapies to immediately improve recovery, the situation becomes extremely complex."

For those affected by TBI, treatment could be administered at the time of injury with IV fluids. Using multiple low-dose, intravenous injections, the novel treatment is designed to speed up regeneration of neurons and supporting cells following injury.

"Administrating exosomes into a patient's IV drip would always be preferable to invasive brain surgery," Karumbaiah said. "What we can do is give physicians a fighting chance to regulate the inflammatory response of TBI, rather than trying to treat it after it occurs."

Another application the team has considered is the use of exosome technology as a preventive management program for all levels of TBI, including mild and moderate concussions that could minimize or prevent future damage.

Licensed to and under development by Aruna Bio, one of UGA's first Innovation Gateway startups, the exosome technology has already captured the interest and financial support of the Georgia Research Alliance's Venture Fund, one of the largest venture capital funds in the state. The GRA Venture Fund, along with other investors, contributed to the $13 million in common stock financing recently announced by Aruna Bio.

"Drug development for acute TBI has suffered so many clinical failures and will need to take an imminent paradigm shift toward a more targeted and personalized treatment," said Stice. "We still have a lot to learn, but our success could create the tipping point."

Reference: Sun, M. K., Passaro, A. P., Latchoumane, C.-F., Spellicy, S. E., Bowler, M., Goeden, M., Karumbaiah, L. (2019). Extracellular vesicles mediate neuroprotection and functional recovery after traumatic brain injury. Journal of Neurotrauma. https://doi.org/10.1089/neu.2019.6443

This article has been republished from the following materials. Note: material may have been edited for length and content. For further information, please contact the cited source.

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Therapeutic Exosomes Go From Vein to Brain - Technology Networks

Blinatumomab May Become New Standard of Care for Post-Reinduction Therapy in Young Patients With B-ALL – Cancer Therapy Advisor

According to an analysis of interim results from a randomized study of young patients with high- or intermediate risk B-cell precursor acute lymphoblastic leukemia (B-ALL) at first relapse, the overall efficacy and safety of post-reinduction therapy with the bispecific T-cell engager (BiTE) blinatumomab outperformed conventional chemotherapy. The findings from this study were presented at the 61st American Society of Hematology (ASH) Annual Meeting and Exposition held in Orlando, Florida.

Disease relapse, particularly early relapse, following initialtreatment of children, adolescents, and young adults with B-ALL is a marker ofpoor prognosis. While allogeneic hematopoietic stem cell transplantation (HSCT) is typicallyconsidered the treatment of choice for these patients, barriers to itsimplementation can include concerns related to adverse events associated withreinduction and subsequent consolidation chemotherapy, and the presence ofminimal residual disease (MRD) following administration of second-remission reinductiontherapy. Those patients who experienceearly bone marrow relapse, and those with MRD greater than 0.1% in the settingof a prolonged CR, at the end of reinduction therapy are considered to have high-riskand intermediate-risk disease, respectively.

Blinatumomab is an artificial, bispecific monoclonal antibody-basedconstruct created from the fusion of single-chain variable fragments from 2different antibodies. In the case of blinatumomab, targets include the CD3receptor on T cells and CD19 on B cells, resulting in the formation of a link betweenthese 2 cell types.

Currently, blinatumomab is approved by the US Food and DrugAdministration (FDA) for the treatment of adult and pediatric patients with B-ALL in first or second CR,with minimal residual disease (MRD) greater than or equal to 0.1%, as well asfor patients with relapsed/refractory B-ALL.2

In this phase 3 Childrens Oncology Group study (AALL1331; ClinicalTrials.gov Identifier: NCT02101853), patients with B-ALL in first relapse between the ages of 1 and 30 years with bone marrow blasts less than 25% and/or failure to clear extramedullary disease following reinduction chemotherapy (UKALLR3 regimen3) were randomly assigned in a 1:1 ratio following risk assessment to receive either 2 blocks of intensive consolidation chemotherapy according to the UKALLR3 regimen3 or two 4-week cycles of otumumab separated by a 1-week break. Allogeneic HSCT was scheduled following these treatments.

The primary end point of the trial was intent-to-treat disease-freesurvival (DFS), with secondary study end points including MRDresponse, overall survival (OS), and ability to proceed to HSCT.

A planned interimanalysis of 208 patients, performed followingthe occurrence of approximately 60% of expected events,included only those with high- (67%) or intermediate-risk (33%) disease. Patientages ranged from 1 to 27 years, with a median age of 9 years.

At a medianfollow-up of 1.4 years, some of the key efficacy findings from this analysis includedrates of 2-year DFS in the intention-to-treat (ITT) population of 41.0% forpatients receiving chemotherapy and 59.3% for those treated with blinatumomab (P =.050). Rates of 2-year OS forpatients in these 2 study arms were 79.4% (blinatumomab) and 59.2% (chemotherapy),(P =.005).

The percentages ofthose achieving undetectable MRD after reinduction chemotherapy were only 22%and 18% in the chemotherapy and blinatumomab arms, respectively. Followingblock 2 of chemotherapy (ie, first cycle of consolidation chemotherapy) orcycle 1 of blinatumomab, rates of undetectable MRD increased to 29% in thechemotherapy arm and 76% in the blinatumomab arm (P <.0001).

Regarding resultsrelated to MRD response, all of the benefit of blinatumomab with respect to MRDclearance appeared to occur in the first cycle, commented PatrickA. Brown of the Sidney Kimmel ComprehensiveCancer Center, Johns Hopkins University, Baltimore, Maryland, who was thepresenting study author.

Furthermore, 45%of patients in the chemotherapy arm compared with 73% of those in the blinatumomabarm were able to proceed to HSCT (P<.0001).

Regarding patientsafety, 4 and 0 patients receiving blinatumomab or chemotherapy, respectively,experienced a postinduction, induction-related toxic death.

In addition, thefrequencies of specific adverse events were considerably higher in thechemotherapy vs the blinatumomab arm. For example, rates of grade 3 or higher febrileneutropenia were 44% and 46% for patients receiving the 2nd and 3rd blocks ofthe UKALLR3 regimen, respectively, but only 4% and 0% of patients receivingcycle 1 and cycle 2 of blinatumomab, respectively (P <.001). Similar differences between the 2 study arms wereobserved with respect to the rates of infections and sepsis.

For patientsreceiving blinatumomab, low-grade cytokine release syndrome (CRS), occurring in22% of patients, was generally limited to the to the first cycle. Seizuresoccurred in 4% and 0% of patients during cycles 1 and 2, respectively, and the incidenceof mostly low-grade encephalopathy was 14% in cycle 1 and 11% in cycle 2.

Accordingto the results of this scheduled interim analysis, the prespecified monitoring thresholdto the primary end point of DFS was not crossed. However, based on the overallresults of the study, the data monitoring committee recommended permanentclosure of study randomization for patients with high- or intermediate-riskdisease, with those in these risk groups immediately crossed over to theblinatumomab arm.

We believe that blinatumomab constitutes anew standard of care in this setting, concluded Dr Brown.

Disclosure:Some of the authors disclosed financial relationships with the pharmaceuticalindustry. For a full list of disclosures, please refer to the originalabstract.

Read more of Cancer Therapy Advisors coverage of ASHs annual meeting by visiting the conference page.

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Blinatumomab May Become New Standard of Care for Post-Reinduction Therapy in Young Patients With B-ALL - Cancer Therapy Advisor

Deacon Butch King learns to accept the ‘gift’ of cancer – Arkansas Catholic

By Aprille HansonAssociate Editor

Aprille Hanson

Deacon Butch King and his wife Debbie (left) stand with their daughter Paula Draeger (center) in front of the Seed of Hope garden at UAMS Winthrop P. Rockefeller Cancer Institute in Little Rock Dec. 4. Last month, King was able to place a seed of hope token into the garden, signifying he is cancer-free, thanks to a stem cell donation from his daughter.

Aprille Hanson

Deacon Butch King and his wife Debbie (left) stand with their daughter Paula Draeger (center) in front of the Seed of Hope garden at UAMS Winthrop P. Rockefeller Cancer Institute in Little Rock Dec. 4. Last month, King was able to place a seed of hope token into the garden, signifying he is cancer-free, thanks to a stem cell donation from his daughter.

Deacon Butch King was given a gift in 2017. He was diagnosed with a rare disease MDS/MPN, myelodysplastic/myeloproliferative neoplasm-unclassifiable to be exact.

The hybrid disease results when bone marrow overproduces unhealthy blood cells, according to University of Arkansas for Medical Sciences in Little Rock.

The diagnosis sent the family on a harrowing journey for the next two and a half years: four changes of insurance coverage and medical facilities, 19 rounds of chemotherapy, 430 lab results, 14 bone marrow biopsies, 11.25 gallons of donated blood and the disease progressing to Acute Myeloid Leukemia.

Looking at a deadly disease as a gift takes a radical faith in God, one that King and his wife Debbie have carried with grace to his cancer-free diagnosis Nov. 4.

It was given to us as a gift. And how do we manage gifts? We care for them, we nurture them, we polish them, show them off with pride and we give thanks to God. Those are his words, our words together. We had a gift and we had to manage it, we didnt get a choice, his wife said.

King was ordained a deacon in 2012, serving at Immaculate Conception Church in North Little Rock. The couple has four children, 12 grandchildren and six great-grandchildren, with another on the way in March. After 23 years of serving in the U.S. Air Force working in secure communications, he spent 22 years with the U.S. Postal Service.

In October 2016, he had a metal stent placed in his heart and could not have any surgeries for the following six months. In November of that year, he twisted his knee at work. When he was finally ready to have knee surgery in May, his lab work was irregular. In June they learned he had developed a rare blood disorder, MDS, which later in the year progressed to MPN. It required a stem cell transplant, with only a 30 percent chance of surviving a transplant.

I was kind of stunned at first, King said. As a deacon, he had been used to visiting the sick in nursing homes and hospitals.

This is one of the stories you can say, I know how you feel because Ive been there or were praying for you and really mean it, he said.

With every roadblock of insurance not covering the procedure or a hospital turning the transplant down because he was high risk, faith prevailed.

In December 2017, their youngest daughter Paula Draeger, 38, was a perfect match for a stem cell transplant, an extremely rare result.

OK, we can do this; were going to heal him. Weve got the perfect match. If this doesnt work, nothing will. So that was just kind of the reaction, lets do it, the married mother of two said.

Debbie King said, Shes a Spina bifida baby. We were told that she would be a vegetable when she had her spinal surgery. So shes a miracle to be here; long before this ever came God had a plan.

Once Medicare kicked in, insurance would cover a transplant if a clinical trial was available. It led the family to 13 visits to University of Oklahoma Stephenson Cancer Center in Oklahoma City, though they refused the transplant.

Debbie King said they specifically chose Oklahoma City because the family had been, and still are, praying daily for Blessed Stanley Rothers intercession.

The martyr, who grew up on a farm in Okarche, Okla., was declared blessed on Sept. 23, 2017, in Oklahoma City. He was killed in 1981 while serving his people in Guatemala.

He needed a miracle. And we said God provides miracles, Debbie King said.

Before we started any treatment we would place the entire illness and what would be happening at Blessed Stanley Rothers gravesite in Oklahoma City, visiting 11 times, she said.

Whats the miracle? The miracle is the faith. And thats what Butch has said, she said.

On March 13, the Kings were told they wouldnt be continuing the trial in Oklahoma.

We were ready to just be on maintenance and enjoy the days we had, she said. On March 14, our 44th wedding anniversary we were celebrating what we thought could be our last one.

But Dr. Appalanaidu Sasapu, hematologist oncologist with the UAMS Stem Cell Transplantation and Cellular Therapy Program, never gave up on them. Because Kings disease had progressed to leukemia in April, the stem cell procedure could now be done at UAMS and covered by insurance.

Draeger said the stem cell donations, done over a weekend via a port, were simple, with no side effects aside from building her energy up in the following week.

For what youre able to give somebody, what you have to endure pales in comparison to what hes been through and what you can give him, she said.

King no longer has the blood disease and is cancer free, though he will continue at least a years worth of chemotherapy treatments.

Since his diagnosis, they attend the smaller St. Patrick Church in North Little Rock for Mass, but he cannot yet return to ministry.

We do our prayer time in the mornings and evenings, we count our blessings every night before we go to bed and we just know, what was our blessing today? Did we see somebody that we havent seen before that God put in our path? Is it a new doctor who is going to take this on? King said.

But through this whole process weve been truly blessed, had no regrets. If I had to do it over, if thats the path of my life that God wants me to take, then Ill do it.

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How cancer cells grow and spread in colon tissue? – Tech Explorist

Scientists from the Duke University Medical Center have observed how stem cell mutations quietly emerge and spread all through a broadening field of the colon until they eventually prevail and become a malignancy.

Scientists tried an innovative modeling system called molecular dyeing technique on mice to visually tag colon cancer mutations by causing stem cells to glow. Mutations found in colon cancer were then envisioned in the animals, enlightening a kind of tournment-to-the-death underway in the intestine in which some mutation beat the others to turn into the main impetus of a malignancy.

Joshua Snyder, Ph.D., assistant professor in the departments of Surgery and Cell Biology at Duke and corresponding and co-senior author of a study, said, This study provides new insight into the previously invisible process in which mutant precancerous stem cells spread throughout the colon and seed cancer. Our technique sets a firm foundation for testing new therapies that interrupt this new, pre-malignant process. We hope to one day target and eliminate these stealth precancerous cells to prevent cancer.

The technique that was applied uniquely tagged several common colon cancer mutations in the stem cells of a single tumor to create a fluorescent barcode. When transferred to a mouse, the rainbow of fluorescent stem cells could be visually tracked, revealing the cellular and molecular dynamics of pre-cancerous events.

In this way, the researchers found key differences in how the intestinal habitats typical to babies and adults grow pre-cancerous fields of mutant cells. At a critical period, newborns are sensitive to the effects of mutations within intestinal stem cells.

This insidiously seeds large fields of premalignant mutated cells throughout the intestine a process called field cancerization that dramatically increases cancer risk. These fields of mutated cells can grow and spread for years without being detected by current screening technologies; often, they remain harmless, but under proper conditions, they can rapidly become cancerous later in adults.

Scientists also found that some mutations can cause a striking increase in the fertility of the environment surrounding precancerous fields. At last, this prompts the rapid spread of areas throughout the intestine, with lethal outcomes.

Specific common mutations that arise from external sources, such as an injury or an environmental exposure, could also disrupt the environment surrounding the stem cell and lead to the rapid growth and spread of precancerous fields. These occurrences can be especially lethal in adults and occur much more rapidly than previously expected as if dropping a match on a drought-stricken forest.

Synder said, Field cancerization has been suggested to be the defining event that initiates the process of cancer growth, including cancers of the breast, skin, and lung. Our technique allows us to model how premalignant cells compete and expand within a field by simple fluorescent imaging, potentially leading to earlier diagnosis and treatment.

Additional studies are underway using the fluorescent barcoding to view the cancer fields in breast cancer, aiming to learn more about when malignant vs. benign mutations drive a pre-cancerous condition known as ductal carcinoma in situ.

The study is published online in the journal Nature Communications.

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How cancer cells grow and spread in colon tissue? - Tech Explorist

Hidden Dangers Of Dating Apps: Sex Offenders, Including Rapists, Are Using Them. Why Do Companies Allow It? – Kaiser Health News

A lack of a uniform policy allows convicted and accused perpetrators to access some dating apps and leaves users vulnerable to sexual assaults, according to an investigation. Public health news is on stem cell heart therapy, flu season, Parkinson's disease, poetry therapy, problems with blood-sugar monitors, warnings about ski helmets, a grateful transplant patient, children prone to violent outbursts, and more.

ProPublica:Tinder Lets Known Sex Offenders Use The App. Its Not The Only One.Susan Deveau saw Mark Papamechails online dating profile on PlentyofFish in late 2016. Scrolling through his pictures, she saw a 54-year-old man, balding and broad, dressed in a T-shirt. Papamechail lived near her home in a suburb of Boston and, like Deveau, was divorced. His dating app profile said he wanted to find someone to marry. Deveau had used dating websites for years, but she told her adult daughter the men she met were dorky. (Flynn, Cousins and Picciani, 12/2)

The Washington Post:Benefits Of Stem Cell Heart Therapy May Have Nothing To Do With Stem Cells, A Study On Mice SuggestsFor 15 years, scientists have put various stem cells into seriously ill patients hearts in hopes of regenerating injured muscle and boosting heart function. A new mouse study may finally debunk the idea behind the controversial procedure, showing the beneficial effects of two types of cell therapy are caused not by the rejuvenating properties of stem cells, but by the bodys wound-healing response which can also be triggered by injecting dead cells or a chemical into the heart. (Johnson, 11/27)

The Associated Press:Flu Season Takes Off Quickly In Deep South StatesThe flu season is off and running in the Deep South. The most recent weekly flu report from the Centers for Disease Control and Prevention finds high levels of flu-like illness in Alabama, Arkansas, Georgia, Nevada, South Carolina and Texas. The highest level in that report for the week ended Nov. 16 was in Mississippi. Doctors in the Magnolia State say theyre already seeing lots of patients. (11/29)

The New York Times:Swimmers Beware Of Deep Brain StimulationA lifelong swimmer leapt into deep water near his lakeside home, and was horrified to find himself completely unable to swim. Had his wife not rescued him, he might have drowned. He had recently received an electronic brain implant to control tremors and other symptoms of Parkinsons disease, and somehow the signals from the device had knocked out his ability to coordinate his arms and legs for swimming. (Grady, 11/27)

The Wall Street Journal:A Prescription Of Poetry To Help Patients Speak Their MindsDr. Joshua Hauser approached the bedside of his patient, treatment in hand. But it wasnt medicine he carried. It was a copy of a 19th-century poem titled Invictus. It isnt often that doctors do rounds with poetry. But Dr. Hauser, section chief of palliative care at the Jesse Brown VA Medical Center, and colleagues are testing it as part of a pilot study. He entered Mr. Askews room. The patient had asked for Invictus, a dark poem by William Ernest Henley that he remembered from his past. (Reddy, 12/1)

The Wall Street Journal:Diabetes Patients Blood-Sugar Data Arent Being SharedParents of young diabetes patients say they havent been getting crucial readings from blood-sugar monitors worn by their children since early Saturday. The technological breakdown, the origin of which isnt certain, threatens the proper care of the young diabetes patients. (Loftus, 12/1)

The New York Times:Study Warns Helmets Dont Offer Full Protection On SlopesCONCORD, N.H. For several years now, it has been almost de rigueur for skiers and snowboarders to strap on a helmet amid rising concerns about safety on the slopes. But a new study caution that helmets cannot protect skiers from all head injuries. (11/28)

Kaiser Health News:For Artist Inspired By Illness, Gratitude Outweighs PainPeople often ask Dylan Mortimer how it feels to breathe through transplanted lungs. He gets that a lot because while most people go through life with one pair of lungs, Mortimer is on his third. The 40-year-old artist has endured two double lung transplants in the past two years. He often shares his journey onstage as a speaker. But when the curtain closes, he leaves the rest of the storytelling to art. Im alive because of what someone else did, Mortimer said. That is humbling in all the best ways. (Anthony, 12/2)

NPR:Teens Who Threaten And Hit Their Parents: That's Domestic Violence TooNothing Jenn and Jason learned in parenting class prepared them for the challenges they've faced raising a child prone to violent outbursts. The couple are parents to two siblings whom they first fostered as toddlers and later adopted. In some ways, the family today seems like many others. Jenn and Jason's 12-year-old daughter is into pop star Taylor Swift and loves playing outside with her older brother. (Herman, 11/29)

NPR:Give Thanks For Adult Siblings And The Ties That BindWe didn't expect to need the card table for spillover seating at this year's Thanksgiving dinner. We would be fewer than usual, just nine altogether, and the littlest one's high chair needs no place setting. As we got things ready, I felt deep gratitude for the family members who would be here my husband, our two daughters, their husbands, my sister-in-law's 90-year-old mother and our two delightful granddaughters. But I also knew I would deeply miss the ones who couldn't make it. (Henig, 11/28)

The Washington Post:Doctors In China Found Tapeworms In Brain Of Man Who Ate Undercooked Meat In Hot PotA Chinese man sought medical attention for seizures and a headache that lasted nearly a month. Doctors found that tapeworms from undercooked meat were causing his pain. Researchers at the First Affiliated Hospital of Zhejiang University published a paper last week that details the plight of 46-year-old construction worker Zhu (an alias for the patient) in the eastern Zhejiang province of China who bought pork and mutton about a month ago for a spicy hot pot broth. (Beachum, 11/27)

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Hidden Dangers Of Dating Apps: Sex Offenders, Including Rapists, Are Using Them. Why Do Companies Allow It? - Kaiser Health News

Cellex Opens New Plant to Manufacture Innovative Cell Therapy Products for Cancer – PRNewswire

COLOGNE, Germany, Dec. 5, 2019 /PRNewswire/ -- Cellex has opened a new Cell Manufacturing Plant in Cologne, Germany that will be the focal point for the production of innovative cell therapy products (e.g. CAR-T cells) as targeted treatments for different types of cancers and other diseases. The new facility has doubled the company's manufacturing capacity. Reasons for the expansion include the rising global demand and worldwide bottlenecks in production, as well as a considerable amount of promising research on new treatment approaches for various types of cancer. With this expansion, Cellex has laid the groundwork to provide comprehensive support to patients all over the world who are dependent on new therapies for the treatment of serious diseases. The facility offers more than 800 square meters of floor space and contains a clean room laboratory and other rooms for manufacturing and quality control.

At the new Cell Manufacturing Plant, advanced therapy medicinal products (ATMPs) such as CAR-T cells are produced using state-of-the-art methods including magnetic selection, cell purification, cryopreservation and cell-based efficacy tests. Other services include long-term cryo-storage for ATMPs. Through international partnerships, Cellex is already operating at a global level and is expecting to see growth in worldwide demand for its products. In addition to specialized expertise in manufacturing cell therapy products, the company also operates collection centers for stem cell and bone marrow donations as well as a CellCommunity for the donation of cells to science and research all over the world.

The Cellex Group was founded in 2001 with a primary focus on the collection of stem cells and bone marrow. Today, the Cellex Collection Center is the world's largest and most experienced collection center for allogeneic blood stem cell and bone marrow donations. Furthermore, Cellex has grown into an important full service provider for other companies in the production of innovative cellular therapy products (e.g. CAR-T cells). Since 2014, the company has been working on the development of its own innovative CAR-T cells and bispecific antibodies for the treatment of cancer in collaboration with its Dresden-based affiliate, GEMoaB.

During the opening ceremonies, Prof. Dr. Gerhard Ehninger, founder and owner of Cellex, pointed to the encouraging possibilities offered by CAR-T cell therapies being developed by Cellex. "Battling cancer with CAR-T cells specifically targeted against tumor cells is one of the most promising treatment approaches today. However, CAR-T cells developed so far harbor various risks, such as excessive cytokine release or the development of resistances. Therefore, we are now collaborating with our affiliate, GEMoaB, to develop new platforms that are easier to control such as bispecific antibodies or UniCAR cells, which are currently undergoing initial testing."

About Cellex

Cellex wants to help people suffering from serious diseases through stem cell donations, but also through innovative treatment options. Cellex develops, tests and establishes new therapy approaches for people with cancer. These new cutting-edge medicines are manufactured by Cellex at the company's Cell Manufacturing Plant.

The Cellex Collection Center is the largest and most experienced collection center for allogeneic blood stem cells and bone marrow in the world. More than 55 percent of all stem cell donations in Germany are collected by Cellex. In addition to the manufacturing of cell therapy products, Cellex is involved in research for new cell products and collaborates with a large number of other companies.

Media Contact

Julia Bose, Head of Marketing & CommunicationsTelephone: +49-221-4545-916E-mail: j.bose@cellex.me

SOURCE Cellex GmbH

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Cellex Opens New Plant to Manufacture Innovative Cell Therapy Products for Cancer - PRNewswire