Author Topic: 1 1/2 yr mri - 1MM regrowth?  (Read 3888 times)

Rob85616

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1 1/2 yr mri - 1MM regrowth?
« on: August 12, 2013, 08:57:53 pm »
So I had my surgery in Mar of 2012 which left behind about 1.5CM of my 4CM AN..  all other scans before this were stable.  The question I have is might this really be growth or could it just be the way the scan was done (I am now at a different place and new Dr) or maybe it's just scar tissue?  I am going to wait until my next scan to see if anything changes again but just would like to hear other thoughts...  Thanks!
4CM AN Right Side. Retrosig Surgery March 2012. SSD

Jim Scott

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Re: 1 1/2 yr mri - 1MM regrowth?
« Reply #1 on: August 13, 2013, 01:08:11 pm »
Rob ~

I'm not a doctor but to my knowledge, post-op MRI scan results can vary due to differences in the apparatus as well as the skill of the operator and the experience of the radiologist 'reading' the images.  A 1mm difference could well be the result of using different machines or other factors.   If no new AN symptoms arise in the meantime, I believe that waiting until you have the results of your next MRI scan before worrying about re-growth is prudent.   

Jim
4.5 cm AN diagnosed 5/06.  Retrosigmoid surgery 6/06.  Follow-up FSR completed 10/06.  Tumor shrinkage & necrosis noted on last MRI.  Life is good. 

Life is not the way it's supposed to be. It's the way it is.  The way we cope with it is what makes the difference.

Rob85616

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Re: 1 1/2 yr mri - 1MM regrowth?
« Reply #2 on: August 13, 2013, 02:20:10 pm »
Thanks for the thoughts Jim!  None of my symptoms have changed much since the surgery..  I still have some numbness and issues with taste, burnt tongue feeling, dry mouth, etc all on the AN side.. but nothing worse than it has been.  Still also get some pain in the incision site, (the sunken area) but I think that has to do with big weather changes as that's when it normally occurs.  So I feel pretty good waiting for the next MRI and not worrying too much..
4CM AN Right Side. Retrosig Surgery March 2012. SSD

arizonajack

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Re: 1 1/2 yr mri - 1MM regrowth?
« Reply #3 on: August 13, 2013, 07:16:05 pm »
A 1mm change in a year and a half could be explained by how the MRI slices the images.

3/15/18 12mm x 6mm x5mm
9/21/16 12mm x 7mm x 5mm
3/23/15 12mm x 5.5mm x 4mm
3/13/14 12mm x 6mm x 4mm
8/1/13 14mm x 5mm x 4mm (Expected)
1/22/13 12mm x 3mm (Gamma Knife)
10/10/12 11mm x 4mm x 5mm
4/4/12 9mm x 4mm x 3mm (Diagnosis)

My story at: http://www.anausa.org/smf/index.php?topic=18287.0

nftwoed

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Re: 1 1/2 yr mri - 1MM regrowth?
« Reply #4 on: August 13, 2013, 08:17:55 pm »
 Hi; Not sure what you mean? Isn't a slice width typically 4 mm?

arizonajack

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Re: 1 1/2 yr mri - 1MM regrowth?
« Reply #5 on: August 13, 2013, 10:28:38 pm »
Hi; Not sure what you mean? Isn't a slice width typically 4 mm?

True. But there is also a gap between the slices. I looked at my own images. There wasn't anything that told me the width of the slices but I was able to figure out the width of the gaps (3.2mm).

My AN is shaped like a baked bean (4mm x 4mm x 12mm).

Imagine an egg slicer slicing my baked bean.

If a slicing wire parallel to the length of the bean were to slice the bean right down the middle you would see that the 2 dimensional image of the bean was 4mm x 12 mm.

If the wire was off center, the 2 dimensional image would be smaller and smaller as the wire moved further from the center.

If 2 wires came down on the bean and were equidistant from the center of the bean they would each slice off an edge of the bean and the 2 dimensional image of those images would be smaller than the center image.

So, if one MRI happened to slice right down the middle and the next MRI had the wire a little off center, it could make a 1mm (or more) difference in measurement even though the tumor was the same size.

I don't think it matters much how wide the slice is (the narrower the slice the clearer the image - is what I have read). I think that the gap is what makes the difference.

Try slicing hard boiled eggs with an egg slicer and you'll get the idea.

Of course, the above are the ramblings of a layman, but I think that's a reasonable explanation. There may be other responders that know more about it.

3/15/18 12mm x 6mm x5mm
9/21/16 12mm x 7mm x 5mm
3/23/15 12mm x 5.5mm x 4mm
3/13/14 12mm x 6mm x 4mm
8/1/13 14mm x 5mm x 4mm (Expected)
1/22/13 12mm x 3mm (Gamma Knife)
10/10/12 11mm x 4mm x 5mm
4/4/12 9mm x 4mm x 3mm (Diagnosis)

My story at: http://www.anausa.org/smf/index.php?topic=18287.0

Rob85616

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Re: 1 1/2 yr mri - 1MM regrowth?
« Reply #6 on: August 15, 2013, 12:27:20 pm »
Thanks Jack - for the reply and the explanation.  I will have another MRI in about 5 months so even if there is a change - I would hope that another 5 months won't make a big difference.  So I will just sit tight & keep hoping for the best!
4CM AN Right Side. Retrosig Surgery March 2012. SSD