Guest guest Posted December 18, 2004 Report Share Posted December 18, 2004 > > I don't want to make this sound bleak or morbid, but more > investigative/research orientated. > > There are many forum posts that, when read closely, indicate the > serious nature of this disease - but likely and hopefully for a > smaller subset of us in wheelchairs, w/neurological hard signs, > cardiac abnormalities, etc - demonstrating damage to our immune > system/brain function/cellular pathways/etc. > > There are likely some PWCs too sick to even post on this forum > > But to my point, what ever became of the effort to do PWC autopsies, > which (afaik) is sometimes used substantially to understand other > diseases? Even for such diseases as Alzheimer's, afaik - there is > still no clinical marker (altho they are apparently 'getting closer'), > and the highest resolution brain MRIs do not show the plaque tangles > (as does an autopsy) > > Lance Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2004 Report Share Posted December 18, 2004 Hello again all Cheney and perhaps others have been using the fMRI for PWCs for at least a year or two. Carol S. has posted on it (as well as a recent excellent multi-part summary from Cheney re: TH1-TH2, which I initially missed [i didn't see it on the DFW website?]). I couldn't find it (the fMRI post) searching the forum's archives. IIRC, essentially, at that point in time, only 5 or 10 PWCs had been thru the procedure (at Columbia?? [and may just be a subset]): all had marked abnormalities, including elevated lactic acid and other neuro transmitter irregularities. The procedure may be expensive (but sure beats having a spinal tap done!)? And we already have peer-reviewed published articles on abnormal brain SPECTs and MRIs (and unpublished? findings on brain PETs). Is sadly ironic they have been/are given so little credence for CFS, while there is a fervor of interest in fMRI (and SPECT/PET) for other neuro/autoimmune diseases (and I hope it helps them, and it may collaterally help us). Just seems common sense that abnormal CFS fMRIs and brain SPECTs would open some CFS disbeleving eyes/minds up...(in addition to data)!! Seems like there was a movement in the early 90s to get a PWC autopsy program going, but it faded Also, could be we have some very ill/debilitated PWCs, that don't have 'abnormal SPECTs, MRIs, RNase-L, elevated cytokines, reduced max VO2, low NK cell function, elevated myelin basic protein in CSF, etc, etc'.... and yet have marked organic abnormalities - from a test yet to be applied, or yet to be developed. Lance > > > > I don't want to make this sound bleak or morbid, but more > > investigative/research orientated. > > > > There are many forum posts that, when read closely, indicate the > > serious nature of this disease - but likely and hopefully for a > > smaller subset of us in wheelchairs, w/neurological hard signs, > > cardiac abnormalities, etc - demonstrating damage to our immune > > system/brain function/cellular pathways/etc. > > > > There are likely some PWCs too sick to even post on this forum > > > > But to my point, what ever became of the effort to do PWC autopsies, > > which (afaik) is sometimes used substantially to understand other > > diseases? Even for such diseases as Alzheimer's, afaik - there is > > still no clinical marker (altho they are apparently 'getting closer'), > > and the highest resolution brain MRIs do not show the plaque tangles > > (as does an autopsy) > > > > Lance Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2004 Report Share Posted December 18, 2004 --- In , >Yes, Cheney has used the MRS on ME/CFS patients at Columbia with Dr Shungu, but has never used the new 3D image producing fMRI/PET breakthrough scanning technique just out this year using live Alzheimers patients brains as the model to show what this new(integrative software I bet) development can show prestinely. Don't know the name of the scan as I said, but the views I saw in the preview for the tv report were pristine and not refined CG cartoons either. They were three dimentional pictures of the actual pathology as it exists in the brain. Though these understandably have different purposes, MRS, MRI, fMRI, SPECT and PET by themselves don't come close the crytal clarity this new scan provides. Get 5 to 10 long term(5+ years from onset) and housebound ME/CFS patients scanned with this new diagnostic tool and the light shed could greatly catapult research and development for this disease far ahead. the tv show 20/20 or the weeknight version of Sixty Minutes had a show on earlier this year on a new fMRI/PET breakthrough scanning technique that is diagnostic for Alzheimers. I missed the actual show so missed getting the specifics, but did see enough of a preview that said this was the first time in medical history that the specific signature and image of Alzheimer's in the brain could be viewed while patients are alive. > > > > Thus, it may in fact now be the case that brain autopsy data is completely unnescessary for definitive diagnosis in several brain affected diseases like this. Its seems to me this fMRI and PET scan combo technique for scanning is appropriate for ME/CFS patients. > > > > In light of obvious brain dysfunction occuring added to last years gene profiling studies showing metabolic abnormalities in ME/CFS patients reminiscient of the problems seen in Alzheimer's, Huntington's, etc., I can't see why it wouldn't. Maybe someone on this list knows the actual name of this specific diagnositic scan or how to find out and what hospitals/doctors are now using it? > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2004 Report Share Posted December 19, 2004 Thanks for this reminder on MRS (I'd forgotten it). Hopefully some PWCs will (may be already have??) get it done, and we'll get some info back Lance > > --- In , > > > >Yes, Cheney has used the MRS on ME/CFS patients at Columbia with Dr Shungu, but has never used the new 3D image producing fMRI/PET breakthrough scanning technique just out this year using live Alzheimers patients brains as the model to show what this new(integrative software I bet) development can show prestinely. > > > > Don't know the name of the scan as I said, but the views I saw in the preview for the tv report were pristine and not > refined CG cartoons either. They were three dimentional pictures of the actual pathology as it exists in the brain. > > > > Though these understandably have different purposes, MRS, MRI, fMRI, SPECT and PET by themselves don't come close the crytal clarity this new scan provides. Get 5 to 10 long term(5+ years from onset) and housebound ME/CFS patients scanned with this new diagnostic tool and the light shed could greatly catapult research and development for this disease far ahead. > > > > > > > > the tv show 20/20 or the weeknight version of Sixty Minutes had a show on earlier this year on a new fMRI/PET breakthrough scanning technique that is diagnostic for Alzheimers. I missed the actual show so missed getting the specifics, but did see enough of a preview that said this was the first time in medical history that the specific signature and image of Alzheimer's in the brain could be viewed while patients are alive. > > > > > > > > Thus, it may in fact now be the case that brain autopsy data is completely unnescessary for definitive diagnosis in several brain affected diseases like this. Its seems to me this fMRI and PET scan combo technique for scanning is appropriate for ME/CFS patients. > > > > > > > > In light of obvious brain dysfunction occuring added to last years gene profiling studies showing metabolic abnormalities in ME/CFS patients reminiscient of the problems seen in Alzheimer's, Huntington's, etc., I can't see why it wouldn't. Maybe someone on this list knows the actual name of this specific diagnositic scan or how to find out and what hospitals/doctors are now using it? > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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