|Vibrant Life Home Web
All VL Products
Family Of Three Chelation Formulas
Oral Chelation Ingredient Comparisons
The Wednesday Letter
Karl Loren Viewpoints
Frequently Asked Questions
Central Page For 18 Web Sites
|Vibrant Life Home Page||
Separate Search Page
|Navigation Help||Ingredients Technical||Write To Karl Loren||Table Of Contents|
Warning: Your MRI May Be Out of Focus
Physical therapist Diann Inch knew she had injured her hip climbing a ladder, but an MRI scan didn't find anything wrong.
As it turns out, it was the scan that was wrong.
After suffering pain and disability for 14 months, Ms. Inch, 47 years old, of Grosse Pointe Farms, Mich., finally made her way to the Hospital for Special Surgery in New York. There, orthopedic radiologist Hollis Potter performed another magnetic-resonance-imaging scan using special coils and pulse sequences. This time, the scan clearly showed a cartilage tear that other scans had missed.
The MRI scan is one of the most-widely used medical tests in the world, but doctors and researchers say not all MRI's are created equal. Some scans and techniques produce such low-quality images that the results are meaningless. Some problems simply can't be detected with traditional scanning methods.
"There are a whole host of patients walking around in pain for years who have had several MRIs who were told their hips were normal," says Dr. Potter, chief of magnetic-resonance imaging at HSS. He adds that some patients were actually referred to psychiatrists because doctors told them, "'You have a normal MRI ... so the pain must be in your head.'"
There are some newer approaches, such as the techniques Dr. Potter uses or a "standing MRI," which attempt to address MRI's shortcomings. But they have their own drawbacks. Patients should educate themselves about the type of scan they're getting and the qualifications of the person performing it before agreeing to a procedure.
MRI scans use magnets to create images of the soft tissue inside the body -- such as cartilage, organs and tumors. The traditional scanning machine looks like a long tube. It often produces a high-quality image, but many patients who don't normally have claustrophobia panic inside the scanner. With nearly two-thirds of the population now overweight, increasingly, patients don't fit into the tubes.
"Open" scans are heavily marketed by scanning centers as a way to solve those problems, but the open scans typically have far less strength and produce lower-quality images. Although the images may be good enough to find many problems, some patients may need a repeat scan. The patient usually must pay at least part of that cost, which can run $1,500 or more.
When Anju Bagaria of South Brunswick, N.J., sought a second opinion for her foot surgery, the surgeon asked for a new scan performed by an orthopedic-radiology specialist, because the first one wasn't clear. She had to fork over another $350 to cover 20% of the cost.
Some problems simply don't show up on traditional scans. Pittsburgh physician Keerthy Sunder, 39, injured his neck playing squash about 18 months ago. Three MRI scans failed to detect any abnormality, and his doctors told him they couldn't correct a problem they couldn't find. The problem was, he felt fine while laying down for the scan -- it was only when he stood up that he felt the pain. He became increasingly disabled and could stand for only minutes at a time.
By chance, he stumbled across information about a new "standing" MRI from Fonar of Melville, N.Y. Dr. Sunder found a Maryland clinic that used the device, which allowed him to stand in the position where he felt the most pain. The radiologist was then able to capture an image of a ruptured disk in his neck and shoulder area. Surgery has since corrected the problem.
Proponents say such "positional" imaging is needed because many patients suffer pain only in certain positions. "There's nothing on any medical image that says pain," says neuro-radiologist J. Randy Jinkins, who has a research grant from Fonar. "This is the way of getting close to that."
The downside is that the standing MRI has less than half the strength of current state-of-the-art scanners. And there isn't enough research to show whether the machine really can consistently detect problems that standard MRI scans miss.
Radiologists say the best solution is for patients to ask questions before getting a scan. Peter L. Choyke, chief of MRI in the National Institutes of Health Clinical Center, says patients should ask about the age of the scanner and how recently the software was upgraded. The best centers will have machines and software no more than a few years old.
Patients should also ask about the strength of the machine, which is measured in a unit called a "Tesla." The best machines are one to 1.5 Tesla. Some manufacturers are introducing three-Tesla machines, but those haven't been widely studied. "Open" machines, including standing MRIs, are typically just 0.5 or 0.6 Tesla.
Ask your doctor why he or she is referring you to the scanning center, and whether he or she has a financial interest in it. "You want them to be as independent as possible," Dr. Choyke says.
Finally, check out your radiologist just as you would any other doctor. The best bet is to find one who specializes in whatever field your problem falls into, such as orthopedics, pediatrics or neuroradiology.
Updated February 18, 2003
2003 Dow Jones & Company, Inc. All Rights Reserved
Printing, distribution, and use of this material is governed by your Subscription agreement and Copyright laws.
For information about subscribing go to http://www.wsj.com
|Special Pages On The Various of Web Sites Authored by Karl Loren|
|OC History||Oral Chelation||Testimonials|
|Family Of Three Oral Chelation Formulas||Life Glow Basic||Life Glow Basic Ingredient List|
|Life Glow Plus||Life Glow Plus
|American Heart Association -- Lies|
|Super Life Glow||Super Life Glow
|All Products||Shopping Cart Order Section||Research|
|Taheebo Life Tea||Witch Doctors Versus Harvard||MSM Sulfur|
|Calcium||How Bones Grow||Colloidal Minerals|
|Jean Ross||Philosophy||The Wednesday Letter|
|Arthritis & James Coburn's Use Of MSM||Karl Loren Viewpoints||News And Announcements|
|Dr. Flanagan's Microhydrin||500 Page Book On Heart Disease||Colostrum & Transfer Factor|
|Germanium||Ultrasound Technology||Bulk MSM|
|Cancer & Biopsy||Diabetes||Heart Disease & Bypass Surgery|
|Karl Loren's Diet||Guarantee||Navigation Help Page|
|The Links Below Jump To Pages On Whatever Web You Are In|
|Table Of Contents||Search This Web||Navigation Help Page|
|Write To Karl Loren -- He Pledges To Answer EVERY Personal Message, Personally. Click here or on his name in the box below.|
|The Links Below Are To Various Web Sites Published By Karl Loren|
|Karl Loren Web||Vibrant Life Web||Karl Loren's Book|
|Super Colostrum||Bulk MSM||Heart Disease|
|Instead Of||Chelation Therapy||Super Colostrum (2)|
|Immune Egg||Central Page For All Web Sites!|
SUBSCRIBE: The Vibrant Life Magazine is a free electronic weekly newsletter written and published by Vibrant life. You can view more than 50 back issues of this publication by clicking here. The newsletter subscription list is maintained on a secure server, no name is ever given or sold to anyone, and it is never used except for this Newsletter. The letter has been changed to product and information news which is sent out regularly each week.
REMOVAL: You can remove yourself from the subscription list in several different ways. Click here to read about this entire newsletter system. Every edition of Product and Information Letter is delivered to your address with YOUR name and address in view on the letter, with a link that allows you to remove THAT name from the subscription list. If you try to send this removal message from an address different from the one you used to send in your original confirmation, then you will get a warning notice first, sent to the subscription address, asking you to confirm that you want to be removed from the list -- by replying to THAT request for confirmation, you will then be automatically removed. Thus, no one else can unsubscribe you, from some other computer, without your knowledge. But, if you send in the unsubscribe notice from the same machine used to receive the Letter, then the removal from the subscription list is automatic.
Personal Message: When you send a personal message to Karl Loren, you will receive a personal reply as per his instructions. Karl pledges that every personal message will get a personal answer. When you provide your mail address, we will send you free information including our free catalog and a cassette tape lecture by Karl Loren about heart disease, no charge, by mail, even if outside the US. You can select particular information you would like to receive, along with the free cassette tape and catalog.
You can reach Vibrant Life in many ways, including by mail to Vibrant Life, PO Box 10666, Burbank, CA 91510-0666. Within the US and Canada, use the toll free number: (800) 523-4521, the local number: (818) 558-7099, eMail to email@example.com or any one of the hundreds of message forms throughout the 60 web sites. Vibrant Life normally ships the same day we get an order. There are message forms on each of the 100,000+ pages on this and other sites where you can communicate with Vibrant Life. Check out our companion site, at: http://www.oralchelation.net where Karl's 2000 page book is published. Karl Loren is the author and webmaster for this BOOK, as well as for another web site about ORAL CHELATION. His personal philosophical articles are at PHILOSOPHY.
Copyright © May 23, 2012 4:52 PM by Karl Loren on behalf of Vibrant Life, ALL RIGHTS RESERVED. Permission is granted for non-commercial downloading, copying, distribution or redistribution on two conditions: One, that some form of copyright notice is included in every copy distributed or copied, showing the copyright belonging to Vibrant Life, Burbank, CA, at www.oralchelation.com . The second condition is that the material is not to be used for any purpose contrary to the purposes and objectives of this site. This permission does not extend to materials on this site which are copyrighted by others.