Recently there have been numerous ad campaigns on the benefits of whole-body MRIs, claiming that they can detect aneurysms and oncologic malignancies early and potentially save lives. The procedure is costly so not many people can afford it. Are these claimed benefits justified and scientifically sound? Anna, Larchmont, New York
Whole-body scans have become a trend in recent years, with buzzy, venture-backed startups touting their ability to detect the earliest stages of diseases such as cancer by imaging a person's entire body. It's an alluring prospect. If you can catch disease early, it can often be much easier to treat. Of course, as many a trend, it also comes with an endorsement from celebrities including Paris Hilton and Cindy Crawford. All for the price of a few thousand dollars.
But much of the medical community is not exactly sold on this idea. I reached out to the American College of Radiology, the professional organization for radiologists, and their stance was pretty definitive. "The ACR does not believe there is sufficient evidence to justify recommending total-body screening for patients with no clinical symptoms, risk factors or a family history suggesting underlying disease or serious injury," a spokesperson told me.
While the organization will continue to monitor any new studies on the practice, to date the organization says "there is no documented evidence that total-body screening is cost-efficient or effective in prolonging life."
More than that, they say, it can do harm by identifying nonspecific, potential problems in the body that lead to rounds of unnecessary testing and procedures, such as biopsies, for things that turn out to be nothing. Essentially, the risk of a false-positive, at least for now, outweighs any potential benefit. — Kristen V. Brown |
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