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Old 02-25-2008, 03:13 PM   #1
Alice
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Question Brain MRI ?

Hi,

I don't post often but I read a lot. Any information anyone can give me will be greatly apreciated.
I just returned from my bi-yearly regular apt with my onc. I told her that most things were going along well. I mentioned to her that I had a dizzy spell last week and another today. The one today was not as severe as the one last week. She immediately said that she wanted me to have a brain MRI. I have also had frequent headaches. Not constant and not severe. I guess it suprised me a bit since she is one that would rather not do scans and she wants this one done by the end of the week. Now that I am home and have had a chance to think about it, it scares me a LOT.
Can anyone tell me what to expect durring the scan? Is it similar to other scans? With other scans does the contrast go into the brain?
Thank's in advance.
Alice
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Old 02-25-2008, 06:07 PM   #2
Sheila
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Alice
I fake the headaches so I get an MRI done once a year, for my own peace of mind...my insurance won't OK them otherwise...it should be standard of care for us Her2 people, but not yet. My MRI is done without and then with contrast that they inject via IV line. If you have a tendency to get claustrophobic, ask the Dr for Ativan ahead of time, and get someone to take you. They do put your head in a loose brace, The whole thing takes about an hour, lots of noise, banging in that cylinder...they give you earplugs, but its still loud. I use visualization and put myself somewhere else, like a warm beach with palm trees, hot sand and a gentle breeze.... if I can do it, anyone can....I don't like them, but I always ask for one....the peace of mind is so worth it. Hoping you get great results!
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Sheila
Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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Old 02-25-2008, 06:26 PM   #3
Joan M
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Alice,

Try not to worry about the scan. Perhaps you're feeling light-headed for other reasons.

Your oncologist just wants to rule out any problems, and it's good that she's responding to your symptoms. Although many oncologist are reluctant to give follow-up tests, you'd be surprised how they can spring into action when a patient is having symptoms.

I had a brain MRI in an open MRI. I had a brace over my face, but it wasn't tight, meaning that if I wanted to slip out of it, I could.

Find out if the radiology facility has an open MRI. If not and you think it would be more comfortable to be in an open machine, check around in your area for a facility that has one, or ask your oncologist.

Joan
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Diagnosed stage 2b in July 2003 (2.3 cm, HER2+, ER-/PR-, 7+ nodes). Treated with mastectomy (with immediate DIEP flap reconstruction), AC + T/Herceptin (off label). Cancer advanced to lung in Jan. 2007 (1 cm nodule). Started Herceptin every 3 weeks. Lung wedge resection April 2007. Cancer recurred in lung April 2008. RFA of lung in August 2008. 2nd annual brain MRI in Oct. 2008 discovered 2.6 cm cystic tumor in left frontal lobe. Craniotomy Oct. 2008 (ER-/PR-/HER2-) followed by targeted radiation (IMRT). Coughing up blood Feb. 2009. Thoractomy July 2009 to cut out fungal ball of common soil fungus (aspergillus) that grew in the RFA cavity (most likely inhaled while gardening). No cancer, only fungus. Removal of tiny melanoma from upper left arm, plus sentinel lymph node biopsy in Feb. 2016. Guardant Health liquid biopsy in Feb. 2016 showed mutations in 4 subtypes of TP53. Repeat of Guardant Health biopsy in Jana. 2021 showed 3 TP53 mutations, BRCA1 mutation and CHEK2 mutation. Invitae genetic testing showed negative for all of these. Living with MBC since 2007. Stopped Herceptin Hylecta (injection) treatment in March 2020. Recent 2021 annual CT of chest, abdomen and pelvis and annual brain MRI showed NED. Praying for NED forever!!
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Old 02-25-2008, 07:02 PM   #4
kcherub
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Hi! My husband does MRIs, so I have had a few! I have not had contrast, so I am unable to give you any info on that...I will ask him and post again.

If you are worried about becoming anxious (clausterphobic--maybe NOT spelled correctly), ask them the put a dry washcloth over your eyes BEFORE they put you in the machine. I do have anxiety/panic attacks, but I usually don't have any problems with clausterphobia in the machine. My husband has always done the washcloth thing for me, and I think it helped to combat it!

More later,
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Diagnosed 3/29/2007 @ age 34
Stage 1, Node Neg. (SNB), Grade 2, 1.4 cm. IDC
ER/PR 90%+ HER2 +
6 TCH started 5/25/2007, ended after #5 due to steroid "reactions" and neuropathy in feet and hands
BUT--#6 CH w/o Taxotere
Begin Herceptin alone 9/28/2007
30 rads completed 12/19/2007
Finish Herceptin 5/9/2008
Stopped Tamoxifen early--HATED it.
Married 17 years
13-year old son
3 embies on ice (from 1999)
GA, USA

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Old 02-25-2008, 07:02 PM   #5
kcherub
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Hi! My husband does MRIs, so I have had a few! I have not had contrast, so I am unable to give you any info on that...I will ask him and post again.

If you are worried about becoming anxious (clausterphobic--maybe NOT spelled correctly), ask them the put a dry washcloth over your eyes BEFORE they put you in the machine. I do have anxiety/panic attacks, but I usually don't have any problems with clausterphobia in the machine. My husband has always done the washcloth thing for me, and I think it helped to combat it!

More later,
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Krista
Diagnosed 3/29/2007 @ age 34
Stage 1, Node Neg. (SNB), Grade 2, 1.4 cm. IDC
ER/PR 90%+ HER2 +
6 TCH started 5/25/2007, ended after #5 due to steroid "reactions" and neuropathy in feet and hands
BUT--#6 CH w/o Taxotere
Begin Herceptin alone 9/28/2007
30 rads completed 12/19/2007
Finish Herceptin 5/9/2008
Stopped Tamoxifen early--HATED it.
Married 17 years
13-year old son
3 embies on ice (from 1999)
GA, USA

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Old 02-25-2008, 09:24 PM   #6
Bill
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Wink

Alice, these amazing women have given you great advice. (Sheila, you are so clever) I will be praying for positive results for you and a sense of calm to surround you during the test. I had an MRI done once, and there was a lot of beeping, pinging, and a whole bunch of science fiction-type space noises, and I thought to myself, "what in the heck are all those goofy noises? They don't need to make all those noises for this test." Actually, they became soothing and at some point I fell asleep, and the next thing I knew, the test was over. Often, the fear of the unknown is the worst part. I know you'll do fine. We will all be with you in spirit and prayer. Let us know how it goes. Love, Bill
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Old 02-25-2008, 11:46 PM   #7
hutchibk
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You can also choose an open-sided MRI machine if you are claustrophobic. I don't find the normal machine very confining or that much different from a CT machine, personally. I have always felt that the bone scan machine is more freaky and claustrophobic...

I agree with your Onc. It is always best to rule things out, and err on the side of caution. Her2 has a way of showing up in the brain.
I always fall asleep in the MRI machine. I like the sounds and vibrations... I get a brain MRI every 3 months these days, and I can promise you that it is not as scary as it might seem.

Let us know what you find out!
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Brenda

NOV 2012 - 9 yr anniversary
JULY 2012 - 7 yr anniversary stage IV (of 50...)

Nov'03~ dX stage 2B
Dec'03~
Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive
Jan'04~
Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.
Sept'05~
micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only
Aug'06~
micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin
Feb'07~ Genetic testing, BRCA 1&2 neg

Apr'07~
MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin
May'07~
Started Tykerb/Xeloda, no WBR for now
June'07~
MRI - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!
Aug'07~
MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2
Oct'07~
PET/CT & MRI show NED
Apr'08~
scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone)
Sept'08~
MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers
Oct'08~
dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion
Dec'08~
Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable
June'09~
new 3-4mm left cerrebellar spot zapped with IMRT targeted rads
Sept'09~
new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors.
Oct'09~
25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen.
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen.
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen.
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice.
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots.
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011.
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah.

"I would rather be anecdotally alive than statistically dead."
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Old 02-26-2008, 04:52 AM   #8
Mary Anne in TX
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Hey! I found the brain MRI noisy but simple. I just closed my eyes before they started and talked to myself about where I was (make believe) during the adventure. Turned out that my headaches etc were all from high blood pressure! I hope your symptoms turn out to be something simple to deal with. You can do this. It will tell you what is happening and relieve those anxious thoughts. Can you even believe how many things we have to try to stay sane and healthy!!! I'll be thinking really good thoughts for you! ma
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Grateful for each and every day....

Diag. 12/05 at age 60
Stage II, Grade 3, 4.5 cm primary tumor
ER/PR- Her2 +3 strongly positive
Her2 by FISH 7.7 amplified
vascular invasion
Ki67 20% borderline
Jan - March '06 Taxotere/Adriamycin X 3 to try to shrink tumor - it grew
April '06 Rt Modified Radical Mas, 7 of 9 nodes positive
April - Aug. '06 Herceptin/Taxol/Carboplatin X 8 (dose dense)
Sept - Dec. '06 Navelbine/Herceptin x 8 (dose dense)
Radiation & Herceptin Jan. 22 - March 1, 2007
Finished Herceptin Dec. 10 '08! One extra year.
Port removed August, 2012.
8 1/2 years since diagnosis! 5 1/2 Years NED!
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Old 02-26-2008, 07:20 AM   #9
LAURIE
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what are your dizzy spells like. I have been having them for about 2 months. They only seem to happen when I am at work. Especially when I am walking the mall (I work in a mall). It always seems that once I get down to one part of the mall my dizziness starts. I also have been having eye twitching for about 3 months. I see my Onc in 2 weeks. I too am worried but am curious to hear what he thinks I need a brain mri. I have tried to get one from the onset in 2006, but he did not think I needed it. In the meantime I stopped my water pill.
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Laurie
Diagonsed 8/10/06 (found own lump)at 35
Her 2 +++, er-/pr-
4 A/C 8-29-06 to 11-06
Lumpectomy, node dissection- 11/30/06
Pathology report stage IIIC
1 tumor 3 cm
10 of 15 nodes +
12 Taxol 12/18/06-03/06/07
Herceptin 12/18/06- 12/11/2007 done!!! yeah!!!
33 rads started 3/22/07, done!! yeah!! 5/07/07
Lymphedema diagonsed 2/1/07
BRCA1/BRCA2 negative
port out 1/10/08
pregnant after 6 yeas of trying- due mid feb.
Ryder David Kessel Hunter born feb.6th 2009

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Old 02-26-2008, 01:30 PM   #10
Alice
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First I want to thank everyone for their replies. It means a lot just to know you are there for me. I am much less anxious today after having a day to think about it. In answer to Laurie's question, my dizzy spells were as if the floor was moving underneath me. Not exactly like the room spinning, it is a little hard to explain. Anyway I had to lean against the wall or sit down as I felt as though I was about to fall down. If you have stopped taking your water pills have you had your blood pressure checked. I am hoping that my spells are just from low blood pressure. The last few times I have had it taken it was on the low side of normal. Now all I have to do is get past the paperwork from insurance for aproval of the MRI( Oh joy!).
Alice
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Old 02-26-2008, 01:45 PM   #11
Colleen007
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Like Sheila, I get what my oncologist refers to as my "January Headache". If she has to say I have a headache to get insurance to cover it, then I'm happy to play along! It is similar to other scans...you just lie there in a noisy tube. I have also fallen asleep in the tube...the banging sounds like a beating drum. The scan itself will be a breeze...it is the anxiety of waiting for the results that will be hardest to take.
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Diagnosed 10-03-2005 (34 wks pregnant, 38 yrs old)
Lumpectomy Nov-2005. 10/18 Lymph Nodes impacted
Mets to liver, spine & femurs (thus being stage IV right from the get-go)
ER-, PR-, HER2+
Taxol/Herceptin/Zometa started Dec-2005. 11 cycles of Taxol.
Sept-2006: PET/CT scan of mets to liver, spine and femurs - Stable. Activity in R breast & mediastinum (not seen in prior scans).
Navelbine (3 wks on/1 wk off) as of Oct--2006 & continued Herceptin (every 3 wks) & Zometa (every 6 wks)
Jan-2007: PET/CT Scan - Stable. Continued Nav. through March-2007, then Herc./Zom. only after that.
June-2007: PET/CT Scan - activity in mediastinum. Back on Navelbine as of July-2007.
Scanned Quarterly since Oct-2007 - a few small scares, but otherwise stable due to continuing weekly Navelbine, Herceptin and Quarterly Zometa.
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