Quix and Lulu - good online radiology book

[JemmAus]

I found this amazing book online: "Fundamentals of  Diagnostic Radiology"...Very technical/medical but has great MRI pics with everything labelled. You can peruse the whole book by clicking the blue arrows in the top right hand corner.

Chapter 2 has a multitude of MRI pics with all the bits of the brain labelled:

http://www.msdlatinamerica.com/ebooks/FundamentalsofDiagnosticRadiology/sid118333.html

I liked it better than that "radiology assist" page because it has arrows pointing to what they are talking about, so you can comprehend easily.

Chapter 7 deals with demyelination.

http://www.msdlatinamerica.com/ebooks/FundamentalsofDiagnosticRadiology/sid171151.html

[JemmAus]

NO worries! It helped me quit freaking out too, as on Chapter 7, Figure 7.3 B is EXACTLY what my MRI shows at the corpus callosum....prior to reading and understanding that, I was quite sure I was dying of somethgin sordid...

[supermum_ms]

Well, I for one found it very informative and easy to read, read this bit (just after the statement noted by steph) :
----------------------------
Clinical testing and history are helpful. Additionally, deep white matter infarcts tend to spare the subcortical arcuate fibers and the corpus callosum, both of which can be involved with MS. Involvement of the callosal–septal interface is quite specific for MS.
-----------------

This makes sense to why the radiologists concluded my diproportionate for my age lesions were from 'chronic ischaemic small vessel disease' and not MS, note the last sentence above. In my report it specifically says that they found 'no hypertense foci at the collosal septal interface to suggest underlying demyelinating process'. Now if they had found a lesion there the conclusion would of been different, me thinks MS!

HA i missed my dx by (see me holding my fingers a millimeter apart) that much! I ended up laughing my head off, dh came to see what was so funny, all he saw was a picture of a brain, hmmm not funny, Ahh to me it was!! See, when i did see my brain pic's, there was an oval lesion all by its self in the left temporal lobe, id dismissed it because the first twit neuro said it was irrelevant. but having a lesion there answers my question to why i loose nouns and have other word finding issues. The left is where your language functions are.

'The functions of the left temporal lobe are not limited to low-level perception but extend to comprehension, NAMING, verbal memory and other language functions.' Its ironic, my symptoms are consistent with having symptomatic brain lesions, find them in places that would account for her problems and tell the patient she doesn't have a neurological condition. Yep problem solved lol!

BTW did anyone else notice MS is the primary cause for white matter lesions, Ischemic being the second but has numerous disease related causes?

Thanks Jemm, i've had a blast!

Cheers.........JJ

[Lulu54]

This is a great find - it will take me years to digest all the information in there.  Thanks for sharing this.

Another book I really like is the MRI Atlas of MS Lesions.  You can find it at

http://www.scribd.com/doc/8817608/MRI-Atlas-of-MS-Lesions

I would recommend you download it first (it is a PDF) and then read it.  It is 184 pages of images specific to MS.  


be well, Lulu

[JemmAus]

Yeah It certainly helped me understand a few things Steph.


*bump*

[steph74]

And a few quick quotes that may be interesting to some of the older members of this board (chapter 7):

"Small-vessel ischemic changes within the deep cerebral white matter are seen with such frequency in the older population (>60 years) that they are considered a normal part of aging."

"Differentiating white matter lesions related to ischemic changes from MS lesions can be difficult, especially in the older patient. This is important because 10% of patients who present with MS are older than 50 years of age."

Note that it doen't say "age-related lesions are common over 35, 40, 50" as many people here have heard.  Also, it notes that 10% of pts that present with MS are >50.  Just a little back-up for some of the members who have been told it's just normal aging they're experiencing...

[steph74]

Oh, this is awesome, Jemm!  Thanks for sharing.  I'll have to bookmark it and come back to it later, because I just spent over half an hour reading through chapter 2!  :-)

(In another life I should have been a doctor.  Well, I am a doctor, but a PhD, not an MD.)  ;-)

Stephanie