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Doctor insights on: How Is A Diagnosis Of Ms Supported By An Mri Of The Brain And The Spine

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How is a diagnosis of MS supported by an MRI of the brain and the spine?

How is a diagnosis of MS supported by an MRI of the brain and the spine?

MRI guidelines : Mri of brain and spinal cord may show areas of abnormal signal which are consistent with ms but must be taken in the context of the individual's clinical course, objective findings on the neurological exam, and no better explanation forthcoming. Ms diagnosis can be supported by MRI findings, often with additional support from spinal fluid abnormalities consistent with the diagnosis. ...Read more

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Dr. Lydia Collins
5 doctors shared insights

Mri (Definition)

Mri or magnetic resonance imaging is one of the more recently developed imaging modalities available to physicians. It uses powerful magnets to generate images. There is no ionizing radiation which is a major advantage over many other modalities. Mri is the best imaging exam that we have for most soft tissue and joint related problems. There are radiologists ...Read more


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2 years ago i was diagnosis with transverse myelitis. Again i had another lesion on my spine close to the first one past and present brain MRI was clear should I be doing a spinal tap. Could it still be ms?

2 years ago i was diagnosis with transverse myelitis. Again i had another lesion on my spine close to the first one past and present brain MRI was clear should I be doing a spinal tap. Could it still be ms?

This needs diagnosis: Need to tie this down. First, get aquaporin-4 study for neuromyelitis optica, and also visual evoked potential which is twice as accurate as mri. Yes, it could very well be ms, and you should get spinal fluid and check oligoclonal bands, but send fluid to mayo clinic, not locally. Lastly, get a second opinion asap. Ms drugs will make worse if nmo. Other problems should be excluded. ...Read more

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Can your mri of the spine be negative for MS, but your brain mri postive?

Can your mri of the spine be negative for MS, but your brain mri postive?

MY MRI's?: Well, thanks for asking. MY MRI's of the spine and brain...well, they're very well thank you..;) But I guess we're talking about maybe YOUR MRI's? I need to say 1 very important thing. Listen up...MRI's don't diagnose MS..qualified people do. An MRI of a spinal CORD can definitely NOT show signs CONSISTENT with MS while a brain's does. Make sense? Maybe? Got pictures? ww.healthtap.com/drsaghafi ...Read more

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Doc ordered brain MRI for lhermitte's signal. Wouldn't a spine MRI also be necessary to rule out ms?

Doc ordered brain MRI for lhermitte's signal. Wouldn't a spine MRI also be necessary to rule out ms?

Agree with you: I do appreciate the thinking that resulted in brain mri, but lhermitte's can be due to non-ms mechanisms such as b-12 deficiency, and would certainly add a cervical mri. However, in defense of your doc, the decision could have been influenced by insurance restrictions. (choices mandated by non-physicians, who have gained control over the marketplace). Talk with your doc, as i think he means best. ...Read more

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Ordered CT scan brain MRI for lumbar spine after fall stairs lft leg has been numb 3yr prior to stairs spine not bad brain chronic microvascular ishemic white matter disease ms? Autoimmune?

Ordered CT scan brain  MRI for  lumbar spine after fall stairs lft leg has been numb 3yr prior to stairs spine not bad brain chronic microvascular ishemic  white matter disease ms? Autoimmune?

Ischemic Brain: Not likely. At your age, the vascualr ischemia is more apt to be due to chronic high blood pressure or diabetes. It is important to follow up on this with your doctor to avoid small lesions called "lacunar" infarcts. Often, medication can be prescribed which will improve your micro vascualr integrity and avoid further damage. ...Read more

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Can a brain mri without contrast detect signs of MS?

Can a brain mri without contrast detect signs of MS?

Yes, it can: MRI is definitely terrific in demonstrating MS lesions. The newer ones which would be contrast positive allow us to make treatment decisions and changes. The older lesions can be seem chronically on a non-contrast MRI. ...Read more

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I had a negative brain mri without contrast. Do I need one with contrast or only if they saw something? Are the chances of ms lower?

I had a negative brain mri without contrast. Do I need one with contrast or only if they saw something? Are the chances of ms lower?

Comments: Negative brain MRI is very much against MS, but if concerns persist, a cervical MRI should be sought. Lack of contrast may be minor issue, as this would highlight newer lesions, but not miss older lesions. Chance, so far, of MS is very low, but to be complete, if symptoms are compelling, repeat images at 6 months. ...Read more

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Is a neg brain MRI enough to rule out ms?

Is a neg brain MRI enough to rule out ms?

Multiple sclerosis: A normal brain MRI can USUALLY exclude multiple sclerosis as a diagnosis. However, it depends on the quality of the MRI and whether the proper sequences (e.g FLAIR and sometimes Gadolinium) were performed. Even with a good MRI, 5% of patients with MS will have normal MRIs. A neurologist can diagnose multiple sclerosis based upon your neurologic symptoms over time, even if the MRI is normal. ...Read more

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Had a negative brain MRI w/o contrast on 1.5 tesla.Still having MS type symptoms.would another MRI be helpful ?should it be w contrast or is w/o fine?

Had a negative brain MRI w/o contrast on 1.5 tesla.Still having MS type symptoms.would another MRI be helpful ?should it be w contrast or is w/o fine?

Couple points: "MS symptoms" can be very nonspecific and can be due to many different conditions, so certainly not a diagnosis. The negative MRI films of brain are reassuring, and if no MS lesions seen on cervical imaging, you do NOT have MS. You mention spinal cord compression, and this mechanical issue may explain your symptoms. ...Read more

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Male, 37yo, only symptom is lhermitte's, brain MRI is clear. Is MS still most likely cause or something else?

Male, 37yo, only symptom is lhermitte's, brain MRI is clear. Is MS still most likely cause or something else?

Significance: Lhermitte's is sign of problem involving posterior columns of spinal cord, and could be due to vertebral or disc compression, B-12 deficiency, and even MS. Did you have spinal MRI? If you possess but one localized area of complaint, this is not an initial sign of MS until other possibilities are excluded. ...Read more

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Cerebrum (Definition)

Cerebrum essentially refers to the majority of the brain. Embryologically, it develops from the telencephalon, and together with the diencephalon, ...Read more