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04/17/2012 07:39 PM

What are Docs looking for on MRI & Ultrasound?

ruth8890
ruth8890  
Posts: 1181
Senior Member

Hep and GI have me scheduled for abdominal MRI and Ultrasound, alternating each every 6 months, and I'm curious - what exactly are the Docs looking for? Cancer tumor markers? liver/spleen size? ascites? What else? I thought I knew, but several posts have got me wondering "specificaly" what the Docs are looking for? Thanks, Ru

Post edited by: ruth8890, at: 04/17/2012 07:58 PM

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04/17/2012 09:06 PM
mikealpha1
mikealpha1  
Posts: 2286
Group Leader

That's for tracking the progression of cirrhosis, looking for lesions, basically anything out of the ordinary that needs to be followed up on. Following your case and your prognosis, they are being proactive to catch any changes. It's a good thing. MRI is probably the best non-invasive test.

04/18/2012 06:32 AM
ruth8890
ruth8890  
Posts: 1181
Senior Member

Mike - question: do the MRI's and U/S's PLUS the AFP lab (mine went from 2.5 in Jan to 2.0 now) = checking for liver cancer tumors? Or is the AFP the MOST specific for that and the MRI's and U/S's look for any abnormalities? Ru

NOTE: AFP = Alpha Feta Protein - Serum Tumor Marker

Post edited by: ruth8890, at: 04/18/2012 06:32 AM


04/18/2012 12:31 PM
hepatomegaly
hepatomegaly  
Posts: 562
Member

I agree with Mike b/c my hepa ordered an US right after my elevation of AFP in December.

04/18/2012 01:29 PM
mikealpha1
mikealpha1  
Posts: 2286
Group Leader

@RU, it doesn't really matter the test, since you have liver disease there is always the chance that it develop in to cancer, so the will monitor for that. They are also monitoring changes in the liver and other abdominal organs.

04/18/2012 01:51 PM
hepatomegaly
hepatomegaly  
Posts: 562
Member

Thanks, Mike. I was wondering if it could also visualize the pancreas.

04/18/2012 02:07 PM
ruth8890
ruth8890  
Posts: 1181
Senior Member

Thanks Mike! This was with AND without contrast. Not a major thing just a little more complicated than the one before. Ru

04/18/2012 08:02 PM
sammy566
sammy566  
Posts: 339
Member

Ruth,

I have had the MRI's done 6 times already.

In the MRI's they look for the cirrhotic configuration of the liver, that way they can track changes from test to test.

They also check for portasystemic varices.

They check for any lesion that may suggest cancer, as the earlier is caught the chances of treating it are better.

They check the size of your spleen, and usually compare it from test to test.

They check for distension of the gallbladder, bile duct dilatation and look at the pancreas for changes and lesions.

Finally they look at your kidneys for size ans symmetry, they check the abdominal aorta and vena cava and end by checking for ascites.

Hope this answers your question.

I bet you are sorry you asked.

Sammy.


04/18/2012 09:11 PM
ruth8890
ruth8890  
Posts: 1181
Senior Member

Perfect Sammy - thanks for lising them as you did! Ru
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