Hepatitis B Community
6-monthly liver scan by MRI instead of Ultrasound
About This Community:

This forum is an un-mediated, patient-to-patient forum for questions and support regarding Hepatitis B. Topics in this forum include but are not limited to, Causes, Diagnosis, Family and Relationships, Living With Hepatitis B, Research Updates, Treatment, Success Stories, Support, Symptoms.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

6-monthly liver scan by MRI instead of Ultrasound

Was reading a number of books and scientific papers on the topic, and found out that MRI is much better for screening for liver cancer then ultrasound.
It looks like the major HCC screening guidelines are not including MRI mainly because it is so much more expensive then the ultrasound and because it is inaccessible everywhere.
In the future I plan to in addition to my 6-monthly ultrasound also do 6-monthly MRI...if I have enough money for it...
14 Comments Post a Comment
Blank
Avatar_m_tn
a good US machine is perfect for HCC screening every 6 months, no need to go for MRI and if you use contrast you just damage kidneys and get toxic substances for little/no benefit

if hbsag is less than 1000iu/ml, hbvdna und and fibroscan less than 6kpa you are at lowest cancer risk close to non infected
Blank
Avatar_m_tn
A number of articles I read, actually all of them agree that US is far from a perfect screening tool for cancer. Here is an example:
http://faculty.vet.upenn.edu/gastro/documents/hccarticle.pdf

Yes...but how many of us have hbsag less then 1000IU/ml - only a minority of us.
Blank
Avatar_m_tn
a rival to stef2011 :)
Blank
Avatar_m_tn
best US are perfect for it because they detect from much less than 1mm nodules
detecting smaller nodules like those 1-2mm or smaller is useless in terms of HCC because there is no way to tell if it is HCC but waiting for those small nodules to grow bigger

the best way to predict HCC is combining the new blood hcc markers (not afp) and US
Blank
Avatar_m_tn
when i had cirrhosis the research center that followed me never used MRI  for the following reasons:

magnetic vs sound, magnetic might make damage overtime
contrast needed to add much more sensibility and this is toxic to kidneys

once a hcc nodule is found it is best to use mri with contrast for confirming and staging but for monitoring although sensibility is higher it does not add so much to the best US machines available today

i had a suspect nodule 4mm big and mri with contrast was planned only if it was detected again after 3 months on US
Blank
Avatar_m_tn
Thx for this inside info stef

What are the best US, do you have the knowledge on that topic?
Blank
Avatar_m_tn
my doctor (im in the U.S) insists on alternating between MRI/CatScan and ultrasound every 6 months.
They said MRI is safe as long as your kidneys don't have any problems. they always do a test for your kidneys before doing the MRI.
Blank
Avatar_m_tn
So you are saying each year you get 1 ultrasound and 1 MRI, did I understand it correctly?
That might be the best option...I i'll go with it from now on...
Blank
Avatar_m_tn
what kidney test they are doing for MRI?
Blank
Avatar_m_tn
we need the kidneys for tenofovir and entecavir, remember there are no tests to see kidneys damage but only function and when function goes down half kidneys are gone already....the real point of this is money, mri is more expensive

another point is all nodules less than 1.5cm are not hcc in most cases and you have to wait and see if they grow to be sure they are, so it is not useful to use such machines for monitoring of all livers, even those free of hcc

the good thing about HCC is the studies on gcmaf, first clinic opened in nov 2013 in swiss and now 2 others opened in germany this is because they are injecting high dose gcmaf close to tumors by ultrasound guided needles and the rates of tumors reduction per week are increadible

https://gcmaf.eu/wp-content/uploads/2014/03/ClinicResultsAmLimmun_ajisp.2014.23.32.pdf


Blank
Avatar_m_tn
yes. My doctor insists on 1 utrasound and 1 MRI or CTScan every year.
I don't remember what they test they ran for my kidney. I think they take your blood and examine it to make sure it is behaving normal.
They do it right before the MRI
Blank
Avatar_m_tn
thanks bro...will take an MRI soon...
Blank
Avatar_m_tn
Got my MRI results today...and yes the MRI is far far superior than ultrasound which  didn't see a 16 mm lesion on my liver (which thanks to God seems to be just a cyst), which MRI (and I took it even without contrast) was able to see. Btw, I did my ultrasound with the most famous ultrasound doctor in my city.

People, forget the ultrasound if you wan't to seriously examine your liver for liver cancer, and do the MRI instead. Doctors send people to liver ultrasounds just because thats what major guidelines - health insurance agencies would rather have you done because it is way cheaper for them.

Please, insist you do your 6-monthly liver scans with MRI's, not with ultrasound....
Blank
Avatar_m_tn
Want to add the research fact...that the regular 6-monthly ultrasound is able to life-save only about 25% of the liver cancers, which leaves it useless for about 75% of the others who regularly follow it with ultrasound.
What a junk of a screening test....

Sources of this are many...the most reputable german scientist also state these in their book: http://pdf.flyingpublisher.com/Hepatology2014.pdf
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Hepatitis B Community Resources
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
Top Hepatitis Answerers
Avatar_m_tn
Blank
stef2011
Italy
Avatar_m_tn
Blank
StephenCastlecrag
Australia
9624973_tn?1413019730
Blank
melcul
United Kingdom
568322_tn?1370169040
Blank
CoWriter
Avatar_m_tn
Blank
SafiSifa
Izmir, Turkey
Avatar_m_tn
Blank
veteranB
CA