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Old 01-01-2009, 06:46 PM #1
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Default 3T MRI Machine!! YAY!

I'm very excited. Got my MRI of my brain and c-spine done on a 3T magnet MRI w & w/o contrast. I quipped to the MRI tech that I was hoping that it would make a difference--that no radiologist had ever seen anything on my brain MRI but neurologists had.

So I get the results. I'm abnormal! YAY!! This is my first MRI with abnormal results by a radiologist. WooHoo!!! (Um.... is that sick to be so happy about that??)

So here is what it said:

Findings: There are subtle foci of flair hyperintensity in the anterior body/genu of corpus callosum, mid callosal-septal interface, right posterior periventricular white matter, and left frontal subcortical white matter without enhancement, edema, or mass effect.

Impression: Foci of abnormal signal intensity in the corpus callosum and the gray-white matter could represent early imaging manifestations of demyelinating disease such as MS. Differential dx include Lyme's and neurosarcoidosis.

So my doc, not the neuro, got the results and wants to do another Lyme test. nope. Just been there done that at the Rheumatologist--I'm negative. I'm also negative for sarcoidosis. It's my understanding from what I've read that you generally don't develop neurosarcoidosis unless you have sarcoidosis first.

I have to fax this off to my neuro. But I"m kind of excited that this is abnormal. I realize that "subtle foci" isn't huge, but I don't care. Subtle is better than "normal brain."

Most of you think I'm abnormal anyway..... Now I have medical documentation that I am.
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Old 01-01-2009, 07:33 PM #2
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Periventricular... it's like the MS garden of the brain!

Not that I know the difference between our redneck MRI machine and a 3T MRI machine, but 3T sounds pretty 'advanced' in technology!

3 cheers for abnormal MRI results!
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Old 01-01-2009, 10:16 PM #3
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Quote:
Originally Posted by Gazelle View Post
...without enhancement, edema, or mass effect.
Quote:
Originally Posted by dmplaura View Post
Periventricular... it's like the MS garden of the brain!
Feels like a Zen garden! Very spare.

Quote:
Originally Posted by dmplaura View Post
3T sounds pretty 'advanced' in technology!
I think most are 1.5, so 3T is great. There are higher strength, but there's debate from my understanding of whether the higher than 3T give superior pics.

What's da matter wid redneck?
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Old 01-01-2009, 11:04 PM #4
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Default 20%

If you are early in the MS disease process and you have a few small lesions, it is possible the standard 1.5 Tesla MRI cannot detect about 20% of the lesion generally and if they are few in number and all are small then a 0% detection is possible.

jackD
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Quote:
1: Invest Radiol. 2003 Jul;38(7):423-7.

Comparison of multiple sclerosis lesions at 1.5 and 3.0 Tesla.

Sicotte NL, Voskuhl RR, Bouvier S, Klutch R, Cohen MS, Mazziotta JC.

Department of Neurology, Division of Brain Mapping, University of California Los
Angeles, Los Angeles, CA, USA.

OBJECTIVE: To evaluate the relative sensitivity of MR scanning for multiple
sclerosis (MS) at 1.5 Tesla (T) and 3.0 T using identical acquisition
conditions, as is typical of multicenter clinical trials. METHODS: Twenty-five
subjects with MS were scanned at 1.5 T and 3.0 T using fast spin echo, and
T(1)-weighted SPGR with and without gadolinium contrast injections. Image data,
blinded to field strength, were analyzed using automated segmentation and lesion
counting.

RESULTS: Relative to scanning at 1.5 T, the 3.0 T scans showed a 21%
increase in the number of detected contrast enhancing lesions, a 30% increase in
enhancing lesion volume and a 10% increase in total lesion volume.

DISCUSSION:
The improved detection ability using high-field MR imaging is prominent even
when sequence parameters are optimized around the midfield units. Multicenter
trials using both 1.5 T and 3.0 T instruments may be affected by these
sensitivity differences.

PMID: 12821856 [PubMed - indexed for MEDLINE]
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Old 01-02-2009, 01:41 AM #5
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Eek, and if you light up like a bug zapper on the 1.5, what's the 3T gonna look like?
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Old 01-02-2009, 01:43 AM #6
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Ummm, congrats, I think. lol
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Old 01-02-2009, 08:33 AM #7
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Hugsssss and I know how you feel about having abnormal results finally on some test...as You have been feeling the abnormal stuff but no sign on tests..I know..hugssssssss,sarah
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Old 01-02-2009, 05:23 PM #8
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We all knew you were abnormal. It's about time we had scientific PROOF.



Guinness all around!
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Old 01-02-2009, 05:34 PM #9
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hehehee arent we all just a bit abnormal!! Just some of us dont have that scientific proof like others hehehe

I love ya all, hugss,sarah
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Old 01-02-2009, 05:58 PM #10
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Quote:
Originally Posted by braingonebad View Post
We all knew you were abnormal. It's about time we had scientific PROOF.



Guinness all around!
I'll drink to that!
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