How Many So Far?

I’ve taken probably twenty seven MRI scans since 2006. Almost all of these tests were with contrast until I discovered that making so many MRI scans with gadolinium-based contrast was a bad decision. Therefore, on early 2018 I began to omit part of the contrast with each MRI all until I was told that development took place, I started taking contrast (starting on Dec 2020).

Most Recent MRI

Feb 5th, 2021

So that took place right after the surgery

Below is a better view view that shows what actually remained untouched after the surgery

As you can see, some remained untouched still

The Neurosurgeon, Dr. Oliver stated that he can remove further of these remaining with another surgery after 3 to 6 months of the first surgery, but he stated that this is not an “emergency” and that it can wait.

This MRI which took place on Feb 4th can be downloaded here, and you can also have a quick look in YouTube below

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The report that came from the Radiologist is different than the one in Spain (right after the surgery). You can download the one-day report by clicking here.

This report pushed me to meet with Dr. Oliver again, and that took place and the details of that meeting can be seen here.

Jan 5th, 2021

You can also have a look at the MRI that took place one day after the surgery, on Jan 5th, 2021. You can also download that here

Before Second Surgery

While in Spain

On the Dec 30th, a few days before to the second surgery, Dr. Oliver asked for an MRI and fMRI prior to the surgery. As you’ll see later, I did this few weeks before in King Hussien, but he did not feel comfidence that the fMRI was done best.

You can download the MRI/fMRI by asking me to share it with you (I did not publish because it’s large, around 600 MB)

Before Leaving to Spain

I did and MRI on December 2nd, 2020, with contrast and Functional MRI. It was done at The King Hussein Cancer, and three reports showed information as follwos

I made a short video from the outcome of this MRI with Contrast


Nov 2nd, 2020

This MRI with Contrast, along with the Functional MRI is big (~500MB) can it can be downloaded and reviewed by those who are interested.

Compare Important Images

I choose to help you see what things looked like against different years.

The first 12 photos below are the most recent one. The others are 2018, and 2012. The growth on 2018 (and 2019) were not seen as real growth per Dr. Richard Cooper. Therefore I did not take action. However, the brain neurosurgeon believes I’m late, and I should be taking surgery immediately. He believes he will safely remove it all, and that only one area won’t be resected in the middle of the brain.

November 2nd (without contrast)
2018 (without contrast)
2012 (without contrast)

Quick MRI Reading?

Don’t want to download large files and yet want to see the MRI quickly from your browser? (These are for the last five MRI scans only)

To sign in, you’ll go to
https://cloud82.carestream.com/portal/WebLogin.aspx

For the password, please write to me through the contact me page so I can share the password with you immediately!

In the meanwhile, the below are the Reports on the last few MRIs

Quick Brief About Reports

November 2nd: Most Recent MRI

Here is the report outcome:

Limited examination as no IV contrast were administered

Evidence of huge, lobulated, heterogenous abnormal signal intensity seen in the left temporoparietal lobe which shows no significant changes in bulk and signal characteristic when compared with previous study dated 12, July 2020.

Previously seen areas of low and high signal intensities, may represent a blood, shows no significant changes in the current study.

The midline shift to the right side, almost unchanged, which also includes the mass effect on the left pons and left brain stem.

There is effacement of ventricles are almost the same as previous examination.

In the current study, there is hypertrophy of left nasal turbinates and mucosal thickening of left ethmoidal air cells, previously were more on the right side.

Nasal septum deviation as well as the polypoid and mucosal thickening which may represent retention cyst versus small polyp measuring 1 cm in diameter involving the left maxillary antrum, seen unchanged

This outcome made me feel that my brain cancer is developing slowly, and I am deciding to do something about this. Initially, I will listening to what King Hussein Cancer Center (KHCC) will say, and I will switch to Ketogenic Diet, and will go back to doing HBOT. Reaching KHCC will surely require repeating MRI, and will surely ask for Contrast.

I felt better about taking a Contrast after I have done

July 12th, 2019

This MRI test was conducted a day before I start my HBOT sessions.

The outcome was shared as per the below (which made me feel safe to forward with HBOT)

Sep 19th, 2019

Just before traveling to the states, and going for SPECT, I decided to make yet one more MRI.

The outcome was as per the below

As you can see, there is no progress

This test was one month after starting having gone through ketosis as I started on Ketogenic diet.

I will be seeking to see the opinion of Dr. Richard Cooper to hear what he has to say.

You can see the MRI itself by going to the area called “Quick MRI Comparison” below.

July 2019, Right Before Above

This MRI was somewhat different in comparison to the recent ones, and therefore I asked Dr. Richard Cooper for his professional review.

Here are his thoughts:

The MRI findings and the MRS peaks observed on the MRI that I wrote you about before are more consistent with benign gliosis than a recurrence or the interval development of tumor cells.

The glial cells are basically the group of ’support cells’ that provide protection, nourishment, and other forms of support for the neurons in the brain. They are typically interspersed throughout the neurons, and they are responsible for the myelination process that covers the nerve cells with the fatty coating they need to transmit signals along pathways.

Gliosis is basically somewhat of a generic term for the dysfunction and changes that develop in these cells after any kind of trauma or an infection. In this case, the surgery was the traumatic event, and post-surgical gliosis is a very well known and common phenomena. It tends to have particular MRI traits and maintain a stable appearance over time. The MRI features match the findings on the most recent MRI.

Gliosis is one of the false-positive causes for MRS values that correspond to the high and low values seen when tumor cells are present — basically the injured glial cells and the tumor cells are both ‘leaky’ and thus have similar traits and MRS values.

There is a lot more to dive into regarding gliosis and what kinds of things we might try to decrease it or overcome it, but it is a natural part of the brains response to injury and it does not typically cause problems or affect function or behavior.

The main thing is that it is benign, natural, and present – therefore it explains the observed MRS findings. In addition, there are no secondary findings present to suggest developing tumor cells — no new areas or enlarged regions or mass effect/midline shift or other changes to suggest that a process of growing cells has started. This is probably why the reader of the exam made the addendum that he did where he explains the findings but then just basically says “possible neoplasm, for follow-up” instead of coming down hard about tumor cells or suggesting further evaluation or neurosurgical consult.

Dr. Richard Cooper, Fri Aug, 2nd 2019

In comparison to the one in Jan 2019 (4 months before), it is clear that is something slightly different in comparison.

Historical Brain MRI Reports

All MRI Reports have been saved. Some were taken for a second opinion, which explains while some of the reports were for the same test. They are all here.

Historical Brain MRI Scans

All MRI scan files, from before my surgery in 2006 until now can be downloaded here.

I am working on making them available chronologically by year and around major events.

fMRI Documents

I have other interesting documents, like fMRI, and MRS. I have put them on a different page, and you can access them here