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LDNers MRIs and Reports - Can we post both

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Once again, bravo Aegis!

I have only had one MRI to date which was used to dx MS in Feb this

year.

Wanting a second (and 3rd) Neuro opinion, it occured to me that if

each Neuro only read the report, which I suspected might be the

case, they would probably come to the same conclusion given the

report from the Radiologist was worded pretty specifically with

respect to the likelihood of MS. Therefore, I sent a copy of the MRI

to another Radiologist who reviewed it, and had a VERY DIFFERENT

perspective on what that MRI had to say.

The first sighted 10 lesions, the second felt ony 1 was clearly an

issue with 2 others suspect (all 10 spots possibly " normal " for a 49

year old guy). The first report indicated MS was quite likely, the

second indicated MS was only likely if other definitive symptoms

were present, and other possible causes ruled out. Given a severe

case of Optical Neuritis in my left eye and a 5 year old numb side

(suggested to be an " MS Hug " by several good folks here), MS does

seem likely. The issue for posting to the LDN site is deciding what

constitutes reliable and accepteable " evidence " to those we want

reviewing it.

If possible, I believe posting both the report and the pictures may

be the best solution, as eliminating as many questions

or " objections " as possible is the best way to present these kinds

of " clinical " results. Even if Doctors reading posted reports don't

look at the pictures, just having them there gives the reports more

credibility (providing the source data). I was able to get a copy of

my MRI on CD and would assume that most of the more recent MRIs

might be available in file format.

Before getting a second opinion on the reading of my MRI, I would

have ssumed the reports would be sufficient for posting. Apparently

reading MRIs is more " art " than science, and most certainly subject

to a readers bias, and even the equipment used when reading it.

Hope this is helpful,

Best, Alan

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On Mon, 07 Jun 2004 03:41:48 -0000, you wrote:

>

>I guess, if there is someone with two MRI's (before and after), that

>could be worth posting.

>

Not really. A few hundred before and afters may show something. The

trouble with MRI's is the positioning of the slices. MS lesions are

usually very small so if a " after " slice is positioned just a tiny

little bit differently to the equivalent " before " slice the lesion

will look different and may be missing altogether.

Steve

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