Posted 10/7/2014 10:26 AM (GMT 0)
Cindy you asked in Big's thread if MRIs can be wrong and like WB is saying to you, it's not that they are wrong it's who and what they're looking for.
Radiology for anatomical anomalies, fractures, collapse, degenerate changes, etc and a specific specialty such as Neuro are looking for physiological and pathological changes and issues. Rad may see a small anamoly and Neuro will see the same but will look to see if that could cause this?
I don't want to confuse you with a bunch of terminology so simply it goes like this. MRI, Rad sees some degeneration loss of bone mass, normal aging. A Neuro sees the same film with the same changes but he knows you are having numbness say in your foot? So he is going to take that film and look at can those changes be the cause? He sees the bone loss at L4 and knows spinal nerve 6 runs relatively close and in a probability the loss of bone mass has Also caused loss of disc space and is applying pressure on some point of that spinal nerve.
Surgeon's see all this up close, personal, and in real time! They spend countless hour's in the gross anatomy lab, more countless hour's operating and viewing the real thing versus a good pic or anatomical skeleton and we all use to hate rotation through the gross anatomy lab and I always would cringe thinking about the folks who donated their family to medical science but I thank goodness for those brave souls who do because when a surgeon goes looking for my childs appendix I am darn sure happy he's seen the real thing not a textbook picture!!
So no MRIs are not wrong because there is no right or wrong but the viewer can have differing opinions based on what they are looking for!
Hope this makes sense and helps you some.