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+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 17 16 FEATURE JD LIPANI RADIOSURGERY INSTITUTE TREATS METASTATIC BRAIN AND SPINE TUMORS BEFORE DISABILITY RESULTS 6 With the goal of protecting the central nervous system from the effects of metastatic disease, JD Lipani Radiosurgery Institute offers focused, high-dose radiation as an alternative to traditional radiation therapy. SPECIAL CLINICAL SECTION: MEN'S HEALTH FUEL FOR DEBATE: STUDY RAISES NEW QUESTIONS ABOUT PSA SCREENING RECOMMENDATION 14 Recent findings that survival rates for men with metastatic prostate cancer have not improved are again putting a spotlight on the U.S. Preventive Services Task Force's recommendation discouraging prostate-specific antigen screening. THE FUTURE OF IN VITRO FERTILIZATION — IN REAL TIME 16 A newly developed technique that creates 3-D images of sperm movement and motility over time may aid identification of viable sperm for in vitro fertilization. LESS PAINFUL MALE INFERTILITY TESTING? 17 Physicians soon may be able to diagnose male infertility without testicular biopsy. Contents | JUNE 2014 | 6 PAGE ON THE COVER JD LIPANI RADIOSURGERY INSTITUTE Treats Metastatic Brain and Spine Tumors before Disability Results DEPARTMENTS PEOPLE IN THE NEWS 5 PRACTICE MANAGEMENT 12 BUSINESS OF MEDICINE 19 CME CREDITS 20 LOCAL NEWS 22

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