Dr. Brian Gay provides an easy to understand explanation of an MRI brain scan and how to read it. First Look MRI can provide a video report created by our experienced radiologists using lay terms so you can understand the findings.
Coming from someone who never had but a few headaches ever,I developed massive killer nausea headaches about 4 months ago.I am thanking God after asking for a MRI on my brain the results are completely normal.Stress can do a number on us but God is so good and im so blessed
@@ingevonschneider5100 no i praise God on my worse days!! My health is not 💯 like every one elses ain't.And ive worked my butt off to get to where i am today and I'll leave it at that. thanks
I found out I had four brain aneurysms by MRI, two of which were clipped that required invasive brain surgery. I've had several CT scans and angiogram's. My neurosurgeon always shows and explains the images similar to this video. It makes a world of difference understanding what I'm seeing. I think every surgeon should share image's with their patients. Sincere thank's for doing this video, well done.
@@piterce2933 normally you don't have symptoms but, mine were very large 8.7 and 9 mm which caused them to interfere with brain tissue and nerves. Those symptoms were headaches like nothing I ever experienced before, weakness, vomiting, blurred vision. My neurosurgeon suspected a leak.
@@user-cw5yr5ew8o yes, the clipping requires open surgery so, last year I had a pterional approach craniotomy. Not an easy surgery to go through but, life saving for sure.
Yes. It's amazing technology. Thank you. Very informative. I have an MRI in a few days. A dentist thinks hes seen a mass located in sinus area, on 3D CBCT scan. I work in dental so it's a bit ironic. I have zero symptoms so I'm hoping its nothing.
What Tesla is used on these images? I had the recent experience of having a 3T MRI (130 miles away) to compare my MS lesions with my standard 1.5T My lesion load exploded by at least 10, and my cervical stenosis upgraded to Serious.
@@youserguide I'm sorry to hear your lesion load increased (I have MS, too) and that you've got cervical stenosis. I recently had a 3T scan, too. Be well.
@@batman-sr2px all of them are soft tissue MRIs . The difference between the examinations are what protocols are used, what tissue you want to see and which you need to suppress in order to see the first better .
I just had a shunt placed for hydrocephalus and a crainiotomy for an acoustic neuroma resection in June and August. These were fascinating, as I could see on thd MRI some areas my neurosurgeons talked about. Thank you!
I had a stroke in 2018 and when in the hospital the doctor was talking to my wife about what happened exactly and what areas were effected. She knew about the different parts of the brain having learned psychology in University during that time (during a biology class or something problem.) So in the middle she asked questions and said "oh, so that's why this or that was effected". One of the nurses in the room said "whoa, how did you know that, are you a nurse?" .. Just a cute story I remember....
Imagine already having that response from doctors in some cases and I then just say "Biology was my favorite subject in high school, so I payed good attention luckily", and then to hear doctors "Oh that saves me time for not having to explain X or Y then".
Thank you for this very interesting video! Can you please add the option "Add subtitles" so we can help make this content available for everybody? Thanks again :)
These are very helpful videos. I have a shunt for hydrocephalus and had it advised 5 times. I used to ask for copays of the NRI'S but I didnt know what they meant
There are many different sequences. On some, flowing blood is white and fluid is black, and on other sequences, it is the reverse. On some sequences, both are black.
Thanks for this video. My 11 year old has to have a brain scan and this video helped ease some of her anxiety. Knowing what it's all about has given her power.
Hope she has been OK ever since. I was the same age when I had one to look for my epilepsy. While not exceptional, the machines have gotten a bit more silent and slightly less intimidating looking compared to when I had mine (back in 1999 or 2000) and a bit more friendly looking, so I hoped that also helped ease her mind a bit. If she had a good person manning the scanner this person kept her up to date continuously, like they did with mine, I could even listen to the radio (not that you heard that thing except during the treatment pauses because of how deafeningly loud the machine was, which at that time was also a big box with sharp edges and corners with a relatively tiny hole in it, which, compared to the slightly smaller, more curvy and friendlier looking machines of today might contribute to a bit less stress).
How old was this patient, if you don't mind me asking? And is it typical for an MRI report to be 1 paragraph long and for scans that look to be suspect, largely ignored? Any information would be helpful :) Love the video!
going for brain mri next week. 42 year old in shape male. headaches on and off all my life. This last year major migraines and intense vomitting. Missing lots of work and life
3:01 I mean I'm no doctor, nurse or surgeon here and certainly don't have any experience in medical imaging but wouldn't that be the left eye near the left side of the screen, if it's a top-down MRI scan?
The scan is take from the feet up, but he is scrolling backwards through the images making it appear as though the scan is "top down" as he said. Medical imaging is basically all viewed from the physicians standpoint aka opposite the patient. It's very confusing.
Hi..I’m an MD… (not a radiologist tho)… I don’t know the reason but when looking at MRIs…. It is like i you are looking from the bottom up….. So, the R side ends up on the pictures Left side (with your nose/face looking at top of picture)
It can go 2, and basically 3 ways (I've been screened for them through blood testing and it hasn't yet revealed anything worrying that warrants an MRI): 1. The best kind, you don't notice anything, and you need to get some regular checkups to see if it's benign (doesn't mean it doesn't grow and become a problem that way) or not. From what I once understood from an endocrinologist it's that there can actually be quite a number of people who have such a deviation near the pituitary or on the pituitary gland without them ever being none the wiser. 2. You notice a problem that might not necessarily be negative, but can become problematic 3. You notice problems that are primarily negative. The pituitary gland regulates a LOT of hormones in your body, so a tumor or cyst there can deregulate the endocrine system of your body. In some people it results in problems with their digestive system because of how certain electrolyte levels can be regulated through it because of how the pituitary gland can secrete a signalling hormone for the liver to respond to. Some people because of this become either insatiable when it comes to eating, or experience being easier full during a meal. Then there's also the way it regulates the dominant sex hormone in your body, along with the hypothalamus, by signalling the reproductive organs to make this hormone, and another hormone instructing the thyroid along with the liver to break the hormone down after it has had it's way through your body. It can increase or decrease the receptor count for said hormone(s) (It is obviously much more complicated than I make it sound here). I for instance, was screened when I was much younger because there were concerns I wasn't entering puberty because of having an overactive thyroid breaking down the signalling hormones for the reproductive organs prematurely, halting my body's growth. And the suspicion for that hyperthyroidism wasn't exactly a random one: I could eat tons of food without gaining weight, and bursted with energy, while staying exceptionally slim and short... Slight edit: The reason I hold this knowledge is because I take a drug that at much higher dosages than I take it now and for much longer than I have taken it at the higher dosage in the past, is known to cause benign tumors on or near the pituitary gland. That same drug is one my body probably really likes because of a different effect it also has, because without the drug, my body completely derailed hormonally and I could eat unlimited amounts of food: not because my stomach was processing the food like crazy, but because while my eyes visually witnessed me eating a lot of food, my stomach didn't really send the signal of being satiated, I kept having the feeling of wanting to eat more, it was awful.
I have an MRI coming up cause I have really bad memory and tremors, I am worried but I'm sure I'm going to be fine, I am watching this cause I want to look at my brain after to make sure that there are no issues cause the doctors might miss it 🤔🤍🖤
So, when someone has an MRI of the brain, you don't pay attention to anything in their neck/cervical spine? I was diagnosed with Horner's Syndrome a couple weeks ago and I had a chest CT with contrast, an MRI of my brain, and an MRA of my head & neck. All tests came back normal with no signs of tumors of stroke...so they can't figure out what is disrupting my sympathetic nerve that goes down my cervical spine, over the apex of the lung, and back up and behind the eye. I was under the impression than an MRI of the brain is the same thing as an MRI of the head (which I thought also showed the neck). If that's not the case, maybe I need to get an MRI of my neck done.
I have been trying to study my own MRI, because I am not confident that I am being treated correctly and boy mine looks different to this yet they say I'm "normal" I am sick to death of trying to fight to be seen or heard.... :(
Please go see a holistic doctor to have ur blood checked under microscope, also check ur hormones, and All vitamins ABCDEK and some minerals like magnesium, zinc, selenium etc
If you haven't found a source already: I am afraid this will heavily depend on the country you are in. I'm in The Netherlands myself and second opinions are a basic part of coverage in mandatory health care insurance, so it's basically as simple as asking for one, getting the letter, and phoning the other doctor (or maybe your doctor asks the other doctor, with all the electronic files these days I'm not sure what the procedure is). The time I did one I basically got the piece of my file that was important for the other doctor, and phoned the hospital the doctor I wanted to see worked in and got an appointment there, which resulted in the same procedure (biopsy of the stomach and first part of the intestines) being repeated, simply because they wanted to be sure. That also made me learn that that procedure could be done without feeling pain, which gave the nurses at my bed, when I mentioned that right after the procedure a look of horror on their face, with them asking when the time happened that I felt pain during that procedure, and I explained it happened in my local hospital with the doctor doing the procedure there waving away my complaint by saying "You can't feel pain there", and one of the nurses blurted out "Good god!!! What age is that man from? The Medieval times?! OF COURSE you can feel pain there....Jesus Christ that those people still exist these days!" Which well, gave me a feeling of reassurance that was nice to also have after the procedure.
When you have one of these ordered by a doc for a specific purpose (asymmetry in my hearing) does the radiologist look at all of this to spot any incidental findings ?
Probably, yes. They might look for signs of the little bones that send the message from your eardrum to the cochlea fusing together due to some kind of illness, and thus limiting your hearing that way, or they might be able to spot contaminents in the cochlea that should not be there, or responses to sound being processed different left through right. The brain is cross-connected: right-ear monitoring is done by the left side and vice-versa, which allows us to determine the position of sound, so there can be a lot of cross-communication between the parts of the brain. In can still recall having some kind of test performed around my epilepsy that showed that both my brain halves were very active in trying to solve problems, whereas it is (or was, it's been more than 24 years a go) more common to see a shift and have one of two sides be a bit more dominant.
Hydrocephalus is a condition in which an accumulation of CSF occurs within the brain. This typically causes increased pressure inside the skull. Older people may have headaches, double vision, poor balance, urinary incontinence, personality changes, or mental impairment. Exophthalmos, also known as proptosis, is a medical term for a bulging or protruding eyeball or eyeballs. It's most often caused by thyroid eye disease Microvascular ischemic disease is a brain condition that commonly affects older people. Untreated, it can lead to dementia, stroke and difficulty walking. Treatment typically involves reducing or managing risk factors, such as high blood pressure, cholesterol level, diabetes and smoking
The images I got from my MRI look very different. I can't even compare the them with this as they look so little alike. At 4:12 for instance. Whereas you have a lot of brain matter visible in this I don't, It's pretty much all black around the vessels you point out, there's no way of differentiating them. Any ideas?
Curious to know more about your tumor. I just had a brain MRI and they called this morning saying there was a spot on my pituitary gland and that they're scheduling another MRI. Did you happen to have consistent headaches/migranes?
@@thenamesmack no symptoms until a month b4 surgery. If ur tumor is so tiny I guess it's causing hormonal issues. Mine was a large piece that was causing sight issues but nothing else
@@thenamesmack what I can tell u is if ur growth is tiny no surgery will be done. They will try to treat u with meds I guess. Or in extreme cases maybe radio therapy
Thanks! I really appreciate you sharing a small part of your knowledge with us! The brain fascinates me to no end. A few pounds of fatty meat that contains the universe.
Should I be concerned about the contrast agent gadolinium? I’m really worried about residual gadolinium being left in my body... would really appreciate your view on this. Thankyou in advance
They do not know for sure if there will be any problems with contrast long term. They have discovered that small amounts of contrast stay in your body even if you are a healthy person with no impaired renal function, so the medical community is exercising caution just in case some day it is found to cause some issue. It is doubtful that there will be any significant ill effects since so many people have had contrast for so many years now, but as you know, anything is possible. Therefore, contrast may not recommended unless you really need it. Then, the benefit would far outweigh any possible risk. If you have already had it, again, it is very unlikely that you will ever have a problem related to it so I would not worry about it.
Brian Gay Thankyou so much for your detailed response, I really appreciate that. I feel under the circumstances I don’t really have a choice, I will have to do this test with contrast, hopefully it will be ok :)
Hello, thanks for the video, is it possible using a High Resolution MRI scanner counts the number of neurons in different portion of brain? or this scanner has no microscopic resolution
I have another spesific query as below: If patient suffer from stroke and below are the reports - A. Below is the CT scan report on the day of stroke. EXAMINATION : C.T.BRAIN. Serial axial contiguous 5 & 10 mm sections were obtained from base of skull to vertex ;as plain study. The cerebral parenchyma shows normal grey & white matter differentiation. A well defined hypodense area is seen in the right paraventricular region. There is no shift of mid-line structures. The ventricular system, basal cisterns, sylvian fissures, and the sulcal C.S.F. spaces do not reveal any abnormality. IMPRESSION : WELL DEFINED HYPODENSE AREA IN THE RIGHT PARAVENTRICULAR REGION IS MOSTLY DUE TO AN INFARCT. B) Below is the report of MRI on 5th day of hospitalization. MRI OF THE BRAIN LIMITED STUDY FOR STROKE REPORT: A LIMITED STUDY [FLAIR AND DIFFUSIONĮ WAS PERFOMED FOR SCREENING OF STROKE. The cerebellar hemispheres and vermis are normal. The brainstem is normal. The basal cisterns are prominent. There is a welldefined altered signal intensity area (hyperintense on Diffusion, Flair and hypointense on T1W images.) in the right insular cortex-basal ganglia- white matter in the posterior parietal periventricular region causing partial effacement of adjacent cerebral sulci.. The third, fourth and both lateral ventricles are normal in size. The thalamic-basal ganglia regions are normal. There is widening of rest of the cerebral sulci. The eye-balls and optic nerves appear normal. IMPRESSION: MR STUDY REVEALS A WELL-DEFINED ACUTE INFARCT INVOLVING THE RIGHT INSULAR CORTEX-BASAL GANGLIA - WHITE MATTER IN THE POSTERIOR PARIETAL/ PERIVENTRICULAR REGION CAUSING PARTIAL EFFACEMENT OF ADJACENT CEREBRAL SULCI. GENERALIZED CEREBRAL ATROPHY-CONSISTENT WITH AGE. C) Query is that, please check whether this condition fall in any of below term 1 Stroke Resulting In Permanent Symptoms Any cerebrovascular incident producing permanent neurological sequelae. This includes infarction of brain tissue, thrombosis in an intracranial vessel, hemorrhage and embolization from an extra cranial source Diagnosis has to be confirmed by a specialist medical practitioner and evidenced by typical clinical symptoms as well as typical findings in CT Scan or MRI of the brain. Evidence of permanent neurological deficit lasting for at least 3 months has to be produced. The following are excluded: • Transient ischemic attacks (TIA) • Traumatic injury of the brain • Vascular disease affecting only the eye or optic nerve or vestibular functions. 2. Permanent Paralysis Of Limbs Total and irreversible loss of use of two or more limbs as a result of injury or disease of the brain or spinal cord. A specialist medical practitioner must be of the opinion that the paralysis shall be permanent with no scope of recovery and must be present for more than Please revert, in this senario does patient is eligible for claim under Cr.illness policy or not.
Someone on RU-vid cannot answer that, as they no nothing about the patient and have not assessed the patient or the whole situation, thus you need to speak to the patient's physician and care givers. Good luck.
Hydrocephalus can push it to 1 side I think, a contusion of the brain can cause that, I think it's dangerous because if the bigger intracranial pressure, so the pressure would be surgically removed by removing the fluid, with maybe a craniectomy I hope I wrote it correctly in English
When I was 11 or 12 I also had an MRI that showed bright white blood vessels. It depends on the type of scan or part of it. I think it has something to do with making sure that areas that they want to see light up better compared to how other areas come back with the contrast reversed, sort of.
Correct me if I'm wrong but watching this video I've been doing a lot of study on MRIs and tapeworms as I have movement throughout my head in this video shown on the left ear region appears to be a ring-enhancing liaison and other signs of a tapeworm this does not appear as normal to me and other mri's I have studied however I had seen similar on mind having the tapeworm infection just thought id say and ask would be nice if I could get a reply in regards to it and if this maybe right
I believe they were in their 30s. Also, normal MRI reports can be pretty short but it is really related to the style of the radiologist. Some radiologists have really long, detailed reports.
@@Phlorochyll I have no idea what that means but when I went through the images I found 2 sets one where the stuff that is right above the pituitary gland is white and one where it is black I checked both, both were blacked out
