Top answers from doctors based on your search:
Disclaimer

Does an MRI with contrast always detect acoustic neuroma

A 43-year-old member asked:
Dr. Dennis Diaz
37 years experience in ENT and Head and Neck Surgery
Yes: An MRI of the posterior fossa and internal auditory canals with and without contrast (gadolinium) can easily detect the majority of worrisome acoustic ... Read More
5
5 thanks

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month
A 45-year-old member asked:
Dr. Paul Aitchison
25 years experience in Radiology
Yes: Mri with gadolinium is very sensitive in evaluation for acoustic neuroma and is the study of choice.
1
1 thank
A 47-year-old female asked:
Dr. Steven Warren
8 years experience in Family Medicine
Yes: if they know beforehand to look for it then they can narrow the scan to that area but overall they should be able to see it but a reminder beforehand ... Read More
2
2 thanks
A 50-year-old female asked:
Dr. Bennett Machanic
51 years experience in Neurology
Careful followup: You have two areas uncovered. The acoustic neuroma is the bigger issue, and needs to be carefully monitored and watched. If it gets bigger, it will ... Read More
A 47-year-old female asked:
Dr. Tanya Russo
24 years experience in Pediatrics
Acoustic neuroma dx: MRI with gadolinium is the imaging test of choice (Gold Standard) for diagnosis of an acoustic neuroma, a tumor of the 8th cranial nerve.
2
2 comments
1
1 thank
A 44-year-old female asked:
Dr. Gerald Mandell
51 years experience in Nuclear Medicine
Yes: Coronal projections usually are part of MR brain examination. These would show acoustic neuroma well.
1
1 thank
A 46-year-old member asked:
Dr. Seth Zeidman
32 years experience in Neurosurgery
Often: Both ct and MRI can reveal an acoustic neuroma. Mri is generally more sensitive and may show the tumor earlier.
2
2 thanks
A 62-year-old female asked:
Dr. Joseph Accurso
28 years experience in Radiology
Sarcoid is a mimic: It would have to be in the correct location, but neurosarcoid could have a similar appearance (soft tissue that enhances). Internal auditory canal ... Read More
1
1 thank
A 44-year-old member asked:
Dr. Stephan Wicky
30 years experience in Radiology
Possibly: They are mr sequences (protocols) that can be used to detect aneurysm without contrast injection. But small aneurysms can be missed. If the patient ha ... Read More
9
9 thanks
A 40-year-old male asked:
Dr. Tony Ho
Dr. Tony Ho answered
13 years experience in Infectious Disease
Enhancement: Contrast causes enhancement of certain structures, like abscesses, making them much easier to see. In addition, the differential diagnosis hinges som ... Read More
1
1 thank
A 65-year-old male asked:
Dr. Robert Uyeda
44 years experience in General Surgery
MR angiography: Can probably detect most aneurysms, and it is always done with gadolinium type contrast. But it is probably not as accurate as an arteriogram, which ... Read More
A 23-year-old male asked:
Dr. Kevin Yoo
Dr. Kevin Yoo answered
27 years experience in Neurosurgery
MRI: A MRI with contrast is sufficient to detect evidence of a brain tumor. If there is any question as to whether a brain tumor is present or not, one can ... Read More
1
1 comment
A 43-year-old male asked:
Dr. Jean Jeudy
16 years experience in Radiology
3T is great for MRA: MRA is done in a MR scanner with the administration of IV contrast. One of the advantages of a 3 Tesla magnet is greater signal which is very helpful ... Read More
1
1 thank
A 51-year-old female asked:
Dr. David Satloff
39 years experience in Pain Management
Rule out Lyme Diseas: Check with your neurologist concerning another MRI. Many pts with MS like symptoms test positive for Lyme Disease. Check with a Lyme literate doctor ... Read More
1
1 thank
A 25-year-old female asked:
Dr. Herman Hammerstead
49 years experience in Trauma Surgery
Yes: But a MRA with gadalinium is a better test
A 41-year-old member asked:
Dr. Timothy Mosher
31 years experience in Radiology
Yes: Mri provides better soft tissue detail than ct, particularly if the ct was performed without contrast, and could demonstrate a tumor not seen on ct.
8
8 thanks
A 48-year-old member asked:
Dr. Paxton Daniel
38 years experience in Radiology
Highly: Recommended to give contrast when evaluating for brain tumors, demyelinating disease, and other diseases too numerous to describe here.
A 65-year-old male asked:
Dr. James Goodrich
38 years experience in Neurosurgery
Brain aneurysm: Contrast is essential otherwise the radiologist cannot identified the aneurysm.
A 55-year-old female asked:
Dr. Mary Callahan
28 years experience in Cardiology
Aortic aneurysm: An MRI can detect an aortic aneurysm as long as the scan is done on the chest or abdomen. No additional contrast is needed for this, it can be evalua ... Read More
1
1 thank
A 48-year-old member asked:
Dr. Alfred Parkhill Hand
20 years experience in Radiology
Yes: A CT scan can detect a brain tumor, but will be better able to detect a tumor if it performed with IV contrast. Mri with contrast can detect very smal ... Read More
A 65-year-old female asked:
Dr. Brian Chimenti
26 years experience in Sports Medicine
MRI: I'm assuming you mean intra-articular contrast (arthrogeam). It adds additional detail making more subtle injuries more clear (ie small cartilage tear ... Read More

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month