Whole Body Scans

The Truth About Whole Body Scans

In an age when we as individuals take our health seriously and make an effort to be proactive about our own physical and mental well-being, it is only natural that we want answers with respect to how medical technology & advances can impact us.

In recent months there has been significant attention provided to Whole Body Scans using Ultrasound, Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) as a preventative cancer screening tool. All of these modalities have issues as a screening tool and it is critically important to understand their limitations.

The use of imaging to screen for potentially life threatening disease is neither novel nor new. In recent years CT, due to its quick acquisition time, was utilized as a tool for whole body preventative screening.   However, CT is no longer thought of as a general screening tool for two reasons.  The first is that CT requires ionizing radiation which is a risk factor for cancer.  In particular, if the examination needs to be periodically repeated then this should be considered an unacceptable cost to an asymptomatic patient.  Additionally, CT performed without an intravenous iodine containing agent lacks contrast resolution, therefore the test’s ability to separate a kidney cyst from a solid kidney mass is far more limited than MRI.  Nonetheless, CT remains a useful screening tool for heart scans which use very low amounts of radiation and yield excellent and helpful information.

Ultrasound has been used as a limited screening tool, particularly for the identification of abdominal aortic aneurysms.    However, ultrasound is relatively limited in its scope in comparison to MRI.  For example the spine, brain and bones cannot be assessed at all ultrasonographically.  As well, even in organs that can be addressed ultrasonographically the sensitivity of MRI for the identification of lesions is superior to ultrasound.  Finally, in larger patients ultrasound can be very limited for all but the most superficial structures.

The questions remains, what is different about screening with MRI which makes it superior to these other screening tests? The answer is quite a lot.

Unlike other screening tests, preventative screening with MRI concentrates on those areas which have been well documented to yield the most benefit from early detection. While not every cancer benefits from early detection, many do, such as renal cell carcinoma, liver cancer & certain gynecological cancers. In addition, whole body MRI screening focuses on life-threatening illnesses such as aneurysm, stroke, and vascular disease without exposing the patient to any harmful ionizing radiation.

From a technological standpoint, MRI has the unique ability to clearly define structures and lesions within the body in far greater detail than ever before. The additional detail obtained using MRI makes it possible for a radiologist to classify a lesion that is detected as either benign or as a lesion requiring further investigation with contrast or using other modalities. This significantly reduces the number of false positives requiring invasive follow-up endemic to the other screening modalities.

Individuals now have the opportunity to make a significant investment in their personal health utilizing whole body screening with MRI. You now have the opportunity to be proactive with your health with a safe and comprehensive test. The information obtained will provide valuable information to your physician which can significantly impact your wellbeing today or one day in the future.

Whole Body Scans With MRI – A Wise Investment?

Over the last decade, Magnetic Resonance Imaging (MRI) has undergone significant evolution with respect to improvements in scanner strength, enhancements in image quality and clarity, and the ability to capture images in far less time. From a radiologists’ perspective these advances have dramatically impacted their ability to discern abnormalities that may have previously gone undetected.

A further advancement in the world of MRI, now available in British Columbia, is the use of MRI as screening tool for the early detection of a number of potentially life-threatening illnesses and disease.

So – is investing in a preventive MRI screening exam a sound investment? We think so and here’s why.

It provides your physician with exceptionally detailed information about a number of body systems, allowing for the early detection of disease, cancer and other serious illnesses. It allows the opportunity for treatment at an early stage for those cancers/illnesses that are currently undetected and asymptomatic. It offers peace of mind for those patients who have concerns about certain aspects of their health based on their family history and it provides a baseline of perhaps critically important information against which all future scans will be compared.

Does this mean that whole body MRI screening is able to identify every issue within your body? Absolutely not. As with all medical examinations, it has its recognized limitations.

Whole body MRI does not have the capability to effectively diagnose coronary artery disease or evaluate the lungs for cancer (all of which are better done with CT). In addition, as a screening tool it is not optimal for the diagnosis of early colon or prostate cancer. It is also important to recognize that while whole body MRI screening has the potential to uncover a cancerous finding early, this does not guarantee that the cancer found will react successfully to treatment.

Weighing these benefits & limitations, many patients are turning to whole body MRI screening as an investment in their quest for exceptional healthcare. Though it is not, and will never be, all things to all people it is a sound, principled examination, which yields important and perhaps critical information. It is a wise investment.