Contrast is a good idea (I think), but not worth gettting into a hassle over. It will not reveal lesions that do not show up on other sequences, only make new lesions brighter.
What is more important, especially for spinal imaging, is the strength of the MRI and the quality of the software, also that MS protocol be used. The protocol makes sure that even tiny areas are not skipped.
If you think you have lower back issues, then lumbar MRI is worthwhile. But this is not related to MS diagnosis, since there is no cord in the lumbar region.
ess
I've heard two valid opinions - one is that you should use contrast, and another is that contrast won't enhance spine lesions. I personally think the radiologist is right, and that you shouldn't bother with contrast.
Honestly I don't know the answer to this one for sure but I have a gut feeling that contrast isn't worthwhile in spinal imaging. The spine is difficult to image and adding contrast I don't think adds much to those pictures. Brains are a totally different story - but even that is not required.
Be sure you understand the use of contrast and the significance of enhancing lesions before you demand this. Imaging can be done without contrast. The contrast causes new plaque (lesions) to enhance - new is scarring less than about 40 days old. It is helpful to show new activitiy and help to meet the separati on of time requirement in the Mcdonald criteria.
I'm not sure what the laws are in Canada about getting copies of your tests and images. I'm sure someone else around here from up north can jump in and help with this one.
be well,
Lulu
From what I have personally experienced and also the experiences of many here on this forum-----I wouldn't trust the word of a radiologist. I would insist on have contrast done, this is the only way an enhancing lesion will show up. Usually the MRI is ordered with and without on brain, cervical, thoracic and lumbar.
I really would call and tell him it needs to be with contrast. If he says no I would ask what the radiologist's reason was. Then I would call the radiologist and help him understand your symptoms. They are wasting money to do it any other way I think.
Ask for a copy of your film on a CD. I told them just before the MRI that needed a copy. I had one before I left the building.
You really have to advocate for yourself----I know it's hard.
(((Hugs)))