Q. My recent MRI taken for multiple sclerosis shows no new lesion. Is this a good sign?

Answered by Dr. Ardit Tela and medically reviewed by Dr. Nithila A

 

New
Do you have a question on Multiple Sclerosis or Mri? We have medical experts to help you right away. Ask a Doctor Now »
 

Hello doctor,

I am a 34-years-old female. Last year I was diagnosed with MS. I had an MRI scan with the contract last year, which showed up lesions in the brain and two were active at that time. I had another MRI last week and got my results today. It shows no new lesions or activity also the lesions I had have shrunken. Is this a good sign? I read if lesions heal, that means the MS is progressing is this right? I have had dizziness for over a year, and it is not going away. I cannot understand it as I have no active lesions, and the ones I did have are healing.


Related Questions:
MRI of which body parts will best reveal spondyloarthropathy?
My recent MRI taken for multiple sclerosis shows no new lesion. Is this a good sign?
MRI shows stroke and brain changes. Is it due to untreated sleep apnea?
 

Dr. Ardit Tela
NEUROLOGY POSTGRADUATE RESIDENCY PROGRAM
Neurology

Hello,

Welcome to icliniq.com.

I have read your question carefully, and I will try to give you a detailed answer.

There are several types of multiple sclerosis, more precisely four,

1. The first type is the commonest one, relapsing-remitting, with temporary periods of exacerbation and feeling well between attacks.

2. The second type is secondary progressing, which means that after some time in the first type, the lesions could get the transition in the second type, where symptoms worsen gradually.

3. The third type is not so common, primary progressive when from the beginning, patients have slowly worsening symptoms.

4. The rarest type, progressive relapsing, with slowly worsening symptoms, accompanied by acute exacerbation, with no remission.

So, periodic clinical and imaging evaluation should classify the type. In general, conventional MRI measures do not fully correlate with clinical standards. Said, someone might have more lesions in MRI and feel better than someone who has fewer lesions. In current medical practice, MRI features that correlate more to progression are, accelerated brain volume loss (atrophy), the formation of black holes (permanent damage of axons), which indicates more degeneration. About half of them will go away, providing the sign remyelination. When they remain, it is a sign of permanent scarring. I hope I was clear in my answer. Feel free to ask further questions any time.

 

Thank you doctor,

I was diagnosed with relapsing-remitting, MS. I read that if lesions shrink, it could mean that the disease is progressing. I was so happy when I got told the results today now I am unsure since I read that.

 

Dr. Ardit Tela
NEUROLOGY POSTGRADUATE RESIDENCY PROGRAM
Neurology

Hello,

Welcome back to icliniq.com.

There is a study where atrophied lesions could be related to neurodegeneration, hence disability and progression. And the research was done with a powerful MRI machine (3T) that is not possessed and used regularly in everyday clinical practice. But, atrophied brain lesions are very distinct from other disappearing and shrinking lesions, described in your case, which may be related to the beneficial repair. So, I would not worry about your results.

However, if you still feel in doubt, I recommend consulting your (neuro) radiologist for a more detailed explanation of your MRI scan. My second (more friendly) recommendation is that google search is very beneficial and trustworthy for more common health problems. I do not recommend any specific issues, especially new studies, where the interpretation of results and terminology is not so easy to understand and use for non-healthcare professionals. It may lead to misunderstanding and unnecessary stress and concern. I hope I answered your question.

 
 
Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Related Questions & Answers


Can my symptoms be related to multiple sclerosis?
Query: Hi doctor, I had an MRI with a possible indication of MS. I want to know based on the following symptoms, what type of MS it could be? A few weeks back, I had blurry vision in one eye for 20 to 30 seconds. My bladder wall is thick, and I had frequent urination problem. I consulted a urologist, and...  Read Full »
Dr. Ashok Kumar Choudhary
Geriatrician

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. Although many of your symptoms can be explained by other factors, the presence of symptoms in collaboration with deep white matter changes points toward the possibility of multiple sclerosis. Among the given symptoms, trans...  Read Full »
 
What is the chance of multiple sclerosis in pars planitis?
Query: Hi doctor, I have had burning sensations on my skin since 14 years. I am also very much sensitive to touch, which feels like my entire body is bruised all over. It is so hard to explain, but that is the best way I can put it into words. I feel inflamed all over at times. I had a brain MRI before ...  Read Full »
Dr. J Mariano Anto Bruno Mascarenhas
Neuro Surgeon

Answer: Hi, Welcome to icliniq.com.I have read your question with care and understand your concerns. Let me explain some basics. Multiple sclerosis is found only in around 10% to 15% of people with pars planitis (eye inflammatory disease). It means that if 10 people have pars planitis then one of them will ...  Read Full »
 
MRI shows 'intermediate signal intensity lesion in endometrial cavity.' What is it?
Query: Hello doctor,My mother aged 55 years got an MRI with an observation of 'intermediate signal intensity lesion noted in the endometrial cavity measuring 19x28x24, in the fundal body region with loss of endometrial interface. Tethering of sigmoid colon with distal ileal loops to the uterus in fundus re...  Read Full »
Dr. Jimesh H Mavani
Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. With this report, there is a possibility of malignancy. Cancer of the uterus is more likely. Do CA 125 level, CT scan abdomen and pelvis, X-ray, sonography, PET scan and consult a gynecologist near you and also take an opinion from an oncosurgeon. Doctors will do o...  Read Full »
 
 

Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.
 

Ask a Doctor Online

* guaranteed answer within 4 hours
 

Most Viewed


Sepsis - Causes|Symptoms|Risk Factors|Diagnoses|Treatments|Prevention
Sepsis is a medical emergency, as it causes multiple organ failure. When the body's response to infection in the blood s...  Read more »
I have on and off acid reflux as well as mild dysphagia. Is this esophageal cancer?
Hello doctor,I am a 26-year-old male. I have been experiencing on and off acid reflux for a few weeks as well as mild dy...  Read more »
There is a hard lump under the nipple. I am afraid of breast cancer. How to proceed further?
Hi doctor, I am a 25-year-old female. I found a quarter-sized hard nonmobile lump under my nipple a day ago. Is that an...  Read more »
 
 

Also Read Answers From