MRI RESULT

[Alinur]

I had pelvis MRI to evaluate the met I have in acetabulum after 4 months of ADT.The lesion increased in size from 12/10 to18/14 BUT decreased in cellularity and vascularity with lower restrict diffusion! confused!

Any comments?

HAPPY NEW YEAR!

[joekaty]

I wish I could help! Feeling pretty lost here myself with all the medical jargon. Good luck!

[snoraste]

I had similar "enlargement" after 1.5 months of ADT. My MO thinks it could be the calcium/bone scar tissue build up after the tumor is cleared up.

[Sisira]

Sorry, not subjected to such experience. More often than not medical reports cause confusion for they use jargonised terminology. This is equally confusing for me too! But I tried to get the help of my Oxford Medical Dictionary and managed to interpret the report for myself with reasonable accuracy. I give below the meaning of all the medical terms mentioned in your post and you also can give a try to put them together in context to understand what the report says. Otherwise, to be more accurate one has to get it interpreted by a radiologist who prepare MRI reports. Given below are the meanings as explained in the Oxford Medical Dictionary.

- MRI : Magnetic Resonance Imaging ( Everybody knows )

- acetabulum : Two deep sockets one on each side of the hip bone into which the head of the thigh bone ( femur ) fits at the hip joint ( hip bone ). - At least Alinur should know!

- cellularity : Relates to the proper structure of a cell.

- vascularity : Related to or supplied with blood vessels.

- diffusion : Condition seen in imaging of tissues, muscle fibre etc. with varying intensity ( weights ). You know the diffused ( unclear ) images produced by normal light.

- lesion : A zone of tissue with impaired function as a result of damage. Eg. abscesses, ulcers and tumours.

- The difference in size measurements of the lesion indicates an enlargement.

I mange to sort out the confusion for myself.

Now it is your turn to try.

Best wishes to all for the New Year!

Sisira

[Alinur]

Thanks sisira for the effort to expand the sense of my post.What I know is that when cellularity and vasculatiy of a tumor is diminishing, the Cancer cells are dying! Tumors are more vascularized than normal cells.

If that is true why then the lesion grow in dimension? That is the question for my MO next week. I also read somewhere that that could be a FLARE PHENOMENON which happens in the first months of ADT to Mets!

Radiologists usually write a report and pass to you or to your doctor. They don't comment.

Thanks to Snoraste and joykaty as well.

Best wishes.

[Sisira in reply to Alinur]

Yes, the bottom line is your lesion has grown up in size. BUT ...........with the rest of the wording, you are thinking on the correct lines. Let it be a healing lesion.

Sisira