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Comment by mgraczyk

8 days ago

And yes getting frequent full body MRIs is still overwhelming the right thing for the patient.

No? The point of the article, and of the preceding comments, echoing a pretty common tenet of evidence-based medicine, is that frequent full-body MRIs are a bad idea for the patient.

This guy has never heard the term 'scanxiety'. Go ask what it means on a cancer forum. The real OG's are the VHL folks. Bet we have a few here on this thread. Respect.

  • I have, it's the fault of how medicine is practiced to reduce cost. It's completely avoidable, you can just not tell people their scan results if they have no symptoms and the detection is less than 95% likely to be cancer. This is strictly better than the status quo because the only difference is some people who almost certainly have cancer learn that they have cancer and nothing else changes

    • Again, you're assuming the only downside of a routine scan is anxiety. No, the real downside is that you'll trigger needless invasive procedures.

      8 replies →

    • > you can just not tell people their scan results if they have no symptoms

      This article is about services like Prenuvo, where the entire point of the service is to get the results of elective scan not related to any symptoms.

Here in NZ an Australia, the college of radiologists disagree and say ‘don’t do it’ for screening the worried well.

https://www.ranzcr.com/college/document-library/2024-positio...

  • Seems like their main concern is "substantial downstream healthcare costs"

    • Yes, and needless biopsy can be a big deal.

      It’s a great document, I’m an MR tech and we now have something to lean on when we say no to these scans. We can then scan people with problems rather than people with too much money.

      12 replies →

  • NZ doesn't have the screening capacity for when it's medically necessary, much less optional.