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re: Women gets full body MRI.. Discovers she has non-ruptured aneurysm
Posted on 3/20/25 at 12:24 pm to TorchtheFlyingTiger
Posted on 3/20/25 at 12:24 pm to TorchtheFlyingTiger
quote:
Anyone here get this done? I've been considering some elective medical tests but hard to know whats worth paying for.
Don't do it unless you just have some extra money to lying around. Chances are overwhelming it will be a non-diagnostic study.
0
Posted on 3/20/25 at 12:27 pm to Weekend Warrior79
quote:
Why wouldn't it be?
Bc there are certain conditions that are better screened with a CT or even plain XR. Everyone thinks of MRIs as being the "best" imaging modality, but thats not always the case. It's just a "different" modality that is better for certain things, but also worse for other things.
Posted on 3/20/25 at 12:28 pm to CatfishJohn
quote:
It’ll go down substantially with new technology and insurers will start covering it.
Insurance often rejects paying for imaging that is 100% necessary. You think they are going to start covering whole body MRIs without any clinical condition warranting it?
Posted on 3/20/25 at 12:29 pm to SteelerBravesDawg
Need more info
Splenic artery aneurysms are very common particularly in women and very rare they rupture
She got upsold by all involved
Splenic artery aneurysms are very common particularly in women and very rare they rupture
She got upsold by all involved
Posted on 3/20/25 at 12:31 pm to SteelerBravesDawg
quote:
Although like I said earlier,.$2,500 for a one-time procedure isn't bad.
$2500 as a total cost without insurance seems really suspect to me. The fee from the radiologist to literally read imaging of the entire body has to be close to that amount alone.
Posted on 3/20/25 at 12:33 pm to kywildcatfanone
quote:
I bet you can negotiate that even. There is an MRI place here in town that a friend of mine said Insurance was going to charge $700, but he paid cash, and got the same MRI for $250.
So then what did he do with the DICOM files?
Posted on 3/20/25 at 12:34 pm to MrSpock
quote:
Comparatively, MRI has terrible spatial resolution compared to CT and Radiography. So when looking for tiny things such as lung nodules, small pancreatic lesions, and small aneurysms you want the best spatial resolution. For example, we don't currently use MRI for lung cancer screening, we use CT which has much better detection for small lesions.
MRI is great contrast resolution (telling the difference between different tissues) for characterizing things and seeing the spread and extent of something initially seen other imaging modalities.
Furthermore, to acquire a whole-body MRI you have to crank up the field of view on the scanner which further degrades the spatial resolution of the scan. And forget about finding anything useful in anything that moves, the bowel, the lungs etc., or anything really small like small pancreatic lesions. Also, these companies aren't using contrast which lessens the sensitivity of the scans and they are relying on a concept called diffusion weighting to find these tumors. The problem is not all things that restrict diffusion are tumors and not all tumors restrict diffusion.
Someone knows what they're talking about.
Posted on 3/20/25 at 12:35 pm to tiggerthetooth
Spelling artery aneurysms are very common and have to be big before the touch them
Posted on 3/20/25 at 12:35 pm to brass2mouth
quote:
It’s essentially the pinnacle of preventative care.
You literally just made up that sentence.
Posted on 3/20/25 at 12:36 pm to SidetrackSilvera
quote:
Where the frick did you hear this?
CT scans are the best test for bony detail. MRI isn't even close. XRs are 2nd.
Posted on 3/20/25 at 12:43 pm to Sampson
quote:
2500 a pop without insurance. Perhaps she's getting kickback commissions to be the full body MRI spokeswoman.
And if you simply elect to get the scan and it’s not referred by your GP, insurance won’t cover it.
Stuff like this should be covered by insurance. Say once a year. Insurance should incentivize people to get preventative checkups and actually lower rates when the checkups reveal you’re healthy. And if it does catch an issue, it’s better for the patient and ultimately cheaper for the insurance company if it’s caught and treated early on
Posted on 3/20/25 at 12:46 pm to deltaland
quote:Then people who needed the MRI for a suspicious mass would have to wait considerably longer.
Stuff like this should be covered by insurance. Say once a year
Posted on 3/20/25 at 12:46 pm to deltaland
No. These things are going to lead to a million biopsies of small lesions (which are bending) but the biopsy can be deadly.
Posted on 3/20/25 at 12:48 pm to Sampson
quote:
$2500 a pop without insurance.
Everything’s negotiable.
Posted on 3/20/25 at 12:52 pm to Jake88
quote:
Then people who needed the MRI for a suspicious mass would have to wait considerably longer.
Insurance paying for this would cause collapse of the American health care industry.....
Posted on 3/20/25 at 12:52 pm to deltaland
quote:
Stuff like this should be covered by insurance. Say once a year. Insurance should incentivize people to get preventative checkups and actually lower rates when the checkups reveal you’re healthy. And if it does catch an issue, it’s better for the patient and ultimately cheaper for the insurance company if it’s caught and treated early on
I imagine the NNS (number needed to screen) and the amount of false positives on these things will prevent insurance from ever paying. And again, what exact cancers are these better than the current gold standards to screen for?
Posted on 3/20/25 at 12:53 pm to MrSpock
quote:
$2500 a pop without insurance.
That's not bad at all, really. I'd say it's worth it for someone with a poor family health history.
Posted on 3/20/25 at 12:58 pm to onmymedicalgrind
Yeah, that too. Plus they'd find all sorts of benign issues that require what ultimately would be unnecessary follow-ups and referrals.
Posted on 3/20/25 at 1:09 pm to MrSpock
quote:
I imagine the NNS (number needed to screen) and the amount of false positives on these things will prevent insurance from ever paying. And again, what exact cancers are these better than the current gold standards to screen for?
I am very biased against MRIs since too much of my practice is talking elderly patients off the ledge after reading the MRI report that their PCP should have never ordered for them......
Posted on 3/20/25 at 1:10 pm to Jake88
quote:
Yeah, that too. Plus they'd find all sorts of benign issues that require what ultimately would be unnecessary follow-ups and referrals.
Thats exactly right. MRIs, speaking generally here, are just not good screening tests. They will find a million things "wrong," but that doesn't mean anything is actually wrong.
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