pattyz

Al, the one thing that IS accepted is the superiority of MRi w/contrast for brain mets. Prior to rad tx, atleast for focalized rads in my experience, a higher definition MRi with triple contrast is done. It often shows even more mets than previous 'standard' MRi.

Also, only in my experience, different oncs/ centers/ hospitals are consulted and view the films.

The question does remain whether or not the films show mets/ or mets from bc primary or ?? If there are accompaning symptoms, that can help with dx. Those questions can be addressed in different ways, for sure. Eventually, going with the best opinion in your own mind/gut.

It has also recently been discussed about just how critical it is to treat what is seen on films. Observation alone? Maybe that is the way to go initially if there are no symptoms and lesions appear small.

There is another MRi, MRS? Specto something that can show active as opposed to dead or inactive tumor.

There are small studies going on with different rad sensitizers, chemo with or without rads, chemo combinations with Temodar, a few other different delivery systems. It's just that the progress is so damned slow... and approval is even slower.......

Hope you guys never find the need for this headache (pun intended) information!
hugs,
patty

1. what is the margin of error in an MRI?,
2. are patients getting a second scan, and / or opinion?

The reason I ask this is because with brain mets; we are considering nuclear treatment and many of us have gotten second opinions for much less. I am by no means trying to mitigate the seriousness of CNS or brain mets....I just want these answers in case it ever happens to Linda