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Old 11-09-2008, 02:31 PM #1
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Default How often should one have an MRI?

I wondered as it has been two years now since my last MRI. I seem to only get one new lesion each year.

My last one showed another new enhanced lesion on the pons. I only have 6 lesions and all white matter so none in the grey part.

I have a couple of new symptoms that are driving me even more nuts! My fingertips buzz and painless but annoying muscle spasms in my right leg. Wierd huh.

Guess I will call the Neuro tomorrow. I am not on any meds. I am still CIS but last time he said most likely a very slow PPMS.

Yep; I am a bit slow alright....
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Old 11-09-2008, 03:16 PM #2
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Jim hardly ever gets them anymore. When he was RRMS they took one at least every year. Now that he's SSMS they rarely do them unless there is a suspicious symptom like when he had the hug.
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Old 11-09-2008, 03:58 PM #3
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Unless you haven't been DX or you are in a trial that requires them, or suspect a tumor, I say never. The MRI is a good dx tool and an iffy progression tool. It doesn't always coincide with your symptoms though, so why bother?

They are expensive and very uncomfortable to most people. I've had 2 in the last 15 yrs....1 in 1993 for re-dx and 1 in 1998, because the Neuro said I hadn't had one in awhile.......no changes. The Doc nor I have seen the need for any more.

If you are a worrier, like me, and you would feel better, having an MRI, then you should, just to make sure.

I hope your new symptoms are just temporary, Janie, and you feel better very soon.

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Originally Posted by AZjanie View Post
I wondered as it has been two years now since my last MRI. I seem to only get one new lesion each year.

My last one showed another new enhanced lesion on the pons. I only have 6 lesions and all white matter so none in the grey part.

I have a couple of new symptoms that are driving me even more nuts! My fingertips buzz and painless but annoying muscle spasms in my right leg. Wierd huh.

Guess I will call the Neuro tomorrow. I am not on any meds. I am still CIS but last time he said most likely a very slow PPMS.

Yep; I am a bit slow alright....
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Old 11-09-2008, 04:05 PM #4
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i'd been having one annually but i've been very stable so that may stop.
i'm on meds and have also been clinically stable.

if you're having new sx's i'd at least call your dr and let him know.

i also have a protruding disc in my neck so they'd check for that too.

hope you get answers from your doc.
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Old 11-09-2008, 04:36 PM #5
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I guess it depends on the situation and your neuro. Definitely agree with giving his office a call.

Because I had back to back flares during the DX process, am "newly" DX'd, and on a DMD - my current schedule is every 6 months. New symptoms equals a trip to the machine too.

I'm hoping that if I remain stable, they'll switch it to an annual test.

Hope you feel better soon.
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Old 11-09-2008, 04:40 PM #6
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I've had one in 18 yrs. Like Sally said, if they suspected it wasn't MS causing any new problems, that is when I would have another. Other than that, what's the point?

I think they are getting closer to defining the "risk for future disability" through evaluation of our gray matter damage, but that is a new concept and not currently a "marker" for efficacy of our meds. "Witnessing" transient enhancing lesions, apparently doesn't matter to long-term (10+ yrs) progression anyway.

If we are not succeeding with our med of choice, that should be most obviously evident by our disability progression.

Cherie
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Old 11-09-2008, 05:13 PM #7
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I am also getting one every 6 months per the recommendation of the MS center at Barnes Hospital. My neuro agreed with this since I am not on any treatement plan.
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Old 11-09-2008, 05:19 PM #8
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Thanks all!

I have had nine MRI's in the last six years so it's a wonder I don't glow in the dark.

Add to that 7 lumbar punctures and all the rest of the nuclear med stuff.

Would you believe I had to pee in a bucket for a week to check for heavy metals?? That was really freaky!

I am donating my body to science when I die and what do you bet cause of death (if I am not run over by a garbage truck) will be all that dye!!

Coroner reports:
Death caused by contrast Dye. All body parts sparkle and just so pretty! Cremains look like pixie dust....

Sorry rambling thoughts will get me in trouble again!




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Old 11-12-2008, 12:38 PM #9
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Thats a great question...I was married to the Olhipie in 2001 and I think his first MRI was at least four years later and I have no idea how long befor that was his last one...
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Old 11-12-2008, 01:14 PM #10
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Update:

Neuro said no more MRI's unless I want one. He said it is not medically necessary which I am sure Medicare and Aetna would agree.

He said the best he can do at this time is offer meds for symptoms (not just yet thanks) and he is sending me information on PPMS.

Guess that is a diagnosis?
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