Word: mri
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...find any symptoms after examination can no longer tell the patient, “I don’t find anything serious but you should come back in a few months if you’re still having problems,” Ropper says. Instead, for legal reasons, MRI images are taken to ensure that there really is nothing wrong and then every detail of the encounter must be logged electronically...
When Evans went to the trainer to find out the results of her MRI, however, it was harder to keep back the tears...
...Because MRI is particularly good at diagnosing small tumors - and picking up abnormalities that mammograms may miss in young women with dense breast tissue - which may cause undue anxiety. Evidence suggests that women who opt for MRIs tend to react to seeing their lesions, whether they are cancerous or not, by having their entire breast removed rather than just a portion of the tissue. "I just saw two patients who both had MRIs done at an outside institution, and both came in wanting mastectomies based on the MRI findings," says Dr. Anthony Lucci, a surgical oncologist at M.D. Anderson Cancer...
...women continue to insist on having an MRI? Part of it has to do with the culture of technology: we believe that newer and more is better. Part of it also can be traced to a me-too spillover from the diagnostic arena. As a diagnostic tool, MRIs can be useful in picking up what mammograms may not find - which is why the American Cancer Society, for example, recommends both screens for otherwise healthy women with a strong family history of the disease and younger women with dense breast tissue...
...breast to the other, but even here, he says, the data are still preliminary; MRIs may pick up about 3% to 5% of tumors that mammograms miss, but there is little evidence suggesting whether those additional tumors are malignant or benign. To find out the true benefit of MRI, he says, more research needs to be conducted. "Without randomized trials, we really don't know everything," says Norton...