Tests for Diagnosing Brain Tumors

Tests for Diagnosing Brain Tumors

For people suspected of having a brain tumor, there will be some tests that are ordered by their doctors. These tests are geared towards finding out if there is, indeed, a tumor present. Once that is established, there will be other tests to determine where the tumor is and the size of it.

A neurological exam will include checking vision, balance, hearing, reflexes and coordination. If there appears to be a problem in one or more of these areas, that will point to the portion of the brain that is most affected by the tumor. All tests for brain tumors begin with this type of examination.

Magnetic resonance imaging, or MRI, will be used in helping with the diagnosis. Sometimes a dye is injected into a vein in your arm prior to the MRI. Other specialized MRI scans may also be performed to help get more details regarding the brain tumor. The results of these scans will help the doctor form a treatment plan.

If a brain tumor is found, there will be other tests performed to find out if it is the result of cancer spreading from other parts of the body. It is important to locate the source of the cancer so there will be tests done to find it. Sometimes, a secondary brain tumor is when other forms of cancer are found.

A biopsy may be performed as part of the surgery that removes the brain tumor. It can also be done through the use of a needle. A biopsy means that a sample of the affected tissue is collected and tested for cancer. This is another test that can be used in determining what the course of treatment should be to control, and ultimately, cure the tumor.

If, after all the tests are completed, you still have doubts, you’re perfectly within your rights to seek a second opinion.

Are You at Risk for Developing a Brain Tumor?

Are You at Risk for Developing a Brain Tumor?

While doctors are not quite clear on the culprit that is behind the genetic mutations that start primary brain tumors, there are some factors that have been identified as increasing the risk of developing a brain tumor. Read these factors with an open mind and don’t assume that you’re going to get brain cancer because you may fit into any of these groups. They are only to be used as a guideline. The risk factors include:

• Race: It seems that white people get brain tumors more often than other races. The one exception to this rule is meningioma that appears to strike black people more often.

• Age: As people get older, the risk for a brain tumor increases. Older adults have more incidents of brain tumors than younger ages, but they can happen at any age. Certain brain tumors, like medulloblastomas, typically strike children exclusively.

• Radiation Exposure: Exposure to a specific kind of radiation known as ionizing radiation can increase the risk of developing a brain tumor. Ionizing radiation comes from such things as the radiation therapy that treats cancer and exposure caused from atomic bombs. There are other types of radiation that are more common. These are the electromagnetic fields produced by power line and the radiofrequency radiation from microwave ovens and cell phones. However, there has not been a direct link established between brain tumors and these types of radiation.

• Chemical Exposure from Jobs: There are specific industries that cause more of an increased risk for people to develop brain tumors. It seems to be due to chemical exposure on the job.

• Family History: A small percentage of people that get brain cancer have a family history of it. However, this is the smallest risk factor used in trying to predict who will develop a brain tumor and who will not.

Causes of Brain Tumors

Causes of Brain Tumors

Primary brain tumors, or tumors that begin in the brain, form when normal cells acquire mutations in their makeup. These mutated cells grow and divide at rapid rates while also continuing to live rather than die, like healthy cells would. The result of these overrun mutating cells is a cluster of abnormal cells. This, in turn, creates a tumor.

The good news is that primary brain tumors happen less often than secondary brain tumors. The secondary brain tumors are a result of cancer spreading from elsewhere in the body. There are various types of primary brain tumors. Each type is named from the type of cells that cause it.
As previously stated, secondary brain tumors happen because there is cancer in another part of the body and it has traveled to the brain. This is called metastasizing. Secondary brain tumors typically strike people that already have a history of cancer. There are rare cases, however, where a metastatic brain tumor turns out to be the first sign of cancer that actually started somewhere else in the body.

Secondary brain tumors occur a lot more often than primary brain tumors. That’s because any type of cancer that starts anywhere in the body can travel to the brain. The most common cancers that metastasize to the brain include colon cancer, breast cancer, lung cancer, kidney cancer and melanoma. These are also some of the most common cancers that people tend to get, which is why they’re most known for bringing about brain cancer.

Rarely do genetics, or family history, play a part in why one person develops a brain tumor and another one doesn’t. However, researchers are looking into whether head injuries, using cell phones, or being exposed to certain chemicals increase the chances of developing a brain tumor. Thus far, no links have been established between any of these and brain tumors.

Symptoms of a Brain Tumor

Symptoms of a Brain Tumor

Most people don’t assume that they have a brain tumor every time they get a headache, even though some migraines can be so painful it can raise questions. However, while migraines can be horrible, they typically are not harbingers of brain tumors. There are some definite symptoms that do come with brain tumors and it’s important to be able to identify them.

Depending on where the tumor is located and its size, the symptoms can vary quite a bit. Some of these symptoms can include:

• Difference in headache patterns
• Increased frequency and severity in headaches
• Nausea or vomiting for no reason
• Blurred vision or double vision
• Peripheral vision loss
• Gradually losing the feeling or movement in a leg or an arm
• Difficulty with speaking
• Balance problems
• Confusion over daily routines
• Changes in behavior or personality
• Seizures. This is particularly alerting with someone that has no history of seizures.
• Difficulty hearing

If you have any of these symptoms that seem new or troublesome to you, it’s time to make an appointment to see your doctor. You may not even have anything to worry about, but it’s always better to get checked out instead of taking the risk that you DO have a brain tumor. Even if you don’t have all of the symptoms listed here, if there’s anything such as different sorts of headaches from the ones you usually get, don’t hesitate to see your doctor.

Most people know their bodies pretty well and can tell when something’s not quite right. So while headaches may be the first symptom that shows when a brain tumor is in place, there are certain differences that will be noticed. The pain may be a bit more intense or settled in one part of the head, for example. The important thing is to be sure you never ignore the signals your body sends you to tell you something’s not right.

Overview of Brain Tumors

Overview of Brain Tumors

The formation of brain tumors is something that generally comes about when the replacement of cells process goes wrong in some sort of manner. Most normal cells age or get damaged and die. When this happens, new cells replace them. Sometimes new cells grow even though they aren’t needed by the body, and old or bad cells don’t die as they’re meant to.  This buildup of too many cells can result in a mass or tissue called a growth.

Brain tumors are either benign or malignant. Benign tumors mean that the growth doesn’t have any cancer cells in it. These can usually be removed and rarely do they return. They also typically have an edge or border to them that’s easy to see. That’s because the cells from benign tumors usually don’t involve any of the other tissues surrounding them. This means that they won’t spread throughout the body. Benign tumors cause problems if they start pushing on certain portions of the brain. This is where they differ from benign tumors that form in other parts of the body. Benign brain tumors can turn into malignant ones.

Malignant brain tumors do contain cancer cells, which is why it is also known as brain cancer. These types of tumors usually become serious, and are often life-threatening. They grow quickly, invading any healthy brain tissue close by. The cancer cells can escape from malignant brain tumors and travel to other portions of the brain or spinal cord, although they don’t usually spread to other body parts. Primary brain tumors can start in the brain, or the cancer can start elsewhere in the body and travel to the brain to create secondary tumors.

Treatment options for brain tumors are really going to depend on the type of tumor, how large the tumor actually is and where in the brain the tumor is actually located. Tests will be conducted in order to gather this pertinent information before choosing a treatment strategy.

How Radiation Therapy Works

Radiation therapy or radiotherapy utilizes high energy rays that damage cancerous cells by preventing them from growing and dividing. The radiation therapy specialist, known as a radiation oncologist, administers the treatment.

Types of Radiation Therapy

Radiation therapy is a local treatment as it only affects the cells in the treatment area. Radiation can come from two places: an external or internal source. External radiation is exuded from a machine while internal radiation is from an implant containing radioactive material which is placed directly into or next to the tumor. Some patients are given both types of treatment.

External Radiation

This treatment is typically given on an outpatient basis in a clinic or hospital five days per week for a predetermined amount of time. During or following the treatment, patients lose all levels of radioactivity. This type of treatment is commonly utilized after a surgical procedure to eliminate any remaining cancerous cells.

Internal Radiation

During internal radiation therapy, individuals usually remain at the hospital for a couple of days. This implant can be temporary or permanent depending on patient need. The level of radiation in the hospital is typically high so the patient is not allowed to have visitors. As soon as the implant is removed, all radioactivity in the body disappears. On the other hand, the amount of radiation found in a permanent implant slowly decreases to a safe level before the patient leaves the hospital.

Common Side Effects

The side effects of the therapy are contingent upon the dose and area of the body being treated. Common side effects include, skin reactions (permanent pigmentation change, redness and scarring), tiredness and fatigue and loss of appetite. Also, inflammation of the tissue and organs is common. The procedure can irritate the colon resulting in diarrhea. Furthermore, radiation therapy has been known to decrease the number of white blood cells that help protect the body against invading bacteria.

A Review of MRI Scans

Magnetic Resonance Imaging or MRI is a type of scan using radio waves, magnetism and a powerful computer to form images of internal body structures. The MRI scanning equipment consists of a tube surrounded by a circular magnet which creates a magnetic field aligning the protons of hydrogen atoms. These atoms are then exposed to a beam of radio waves. The result is spinning protons within the body which produces a faint signal that is received by the MRI scanner. This information is then processed in a computer producing an image.

The Result of an MRI

The resulting image and resolution are extremely detailed and accurate. An MRI can detect even the smallest structures inside the body. In some procedures, a contrast agent is required to improve the accuracy of images. One popular contrast agent is gadolinium.

Usage of MRI Scans

This procedure can be used as an accurate method for detecting diseases throughout the entire body. Also, head trauma, such as bleeding and swelling, can be seen. Other irregularities like brain aneurysms, brain tumors, a stroke and inflammation of the spine can be distinguished. Neurosurgeons utilize MRI scans to define brain structure while analyzing the veracity of the spinal cord following a traumatic injury. Other uses include problems with spinal vertebrae and intervertebral discs as well as the structure of the heart.

MRI Preparation

To prepare for an MRI, patients are required to remove all metal objects from their person. In some instances, patients are offered sedative medicine to diminish anxiety and relax. For best accuracy, patients are to lie as still and quiet as possible. The most important aspect of the procedure is relaxation as it provides the best results. Occasionally patients will be given injections of liquid to improve the clarity of the images. Scanning time varies from a half hour to an hour and a half.

Types of Treatment for Brain Tumors

Those with brain tumors have several treatment options which are dependent on the type and stage of the tumor. Patients can be treated through surgery to remove the cancerous cells, radiation therapy or chemotherapy. Many patients receive an amalgamation of treatments. Also, at any stage in the process, patients can have treatment to control other symptoms of the cancer, to alleviate emotional problems or reduce the side effects of the therapy. This type of side treatment is known as symptom management.

Surgical Removal of the Tumor

The doctor is the ideal person to discuss the numerous treatment options available and their subsequent results. Another option is taking part in a clinical trial which is a study of innovative treatment methods. The most common type of treatment is surgery and is performed under general anesthesia. The opens a piece of the skull and removes a part or the entire brain tumor and replaces the opening with the bone, metal or plastic.

Radiation Therapy

In instances where the tumor is on the brain stem or other inoperable areas, surgery is not possible. Therefore, the patient must undergo radiation therapy which utilizes high-energy rays to kill the cancerous cells. X-rays, gamma rays or protons are the most effective rays. A large machine targets the cancerous and surrounding cells with radiation. This treatment usually follows surgery to eliminate any remaining cancerous cells.

Chemotherapy

The final type of treatment is chemotherapy in which patients use drugs to kill cancer cells. These drugs may be administered through injection or orally. Once taken, the drugs enter the blood stream and spread through the body. The drugs are typically given in cycles to allow for a recovery period. Chemotherapy can be completed in a doctor’s office, an outpatient clinic or at home. Children are the most common patients to receive chemotherapy. The combination of these treatments is the most widely-used practice.

Side Effects of Treatment for Brain Tumors

Since the three treatment types have been known to damage healthy cells and surrounding tissue, unwelcomed side effects are typical. The severity and type of side effects vary and are based on many factors such as the location of the brain tumor and the nature and degree of treatment. Side effects differ greatly between individuals and usually change between treatments. Prior to any treatment, the medical team will explain all side effects and how to properly manage them.

Side Effects from Surgery

Following the first few days of surgery, patients report headaches and discomfort which is controlled by medicine. Also, patients can feel tired and fatigued as recovery time from surgery varies. Another less common side effect is a build-up of cerebrospinal fluid in the brain causing it to swell. Healthcare professionals monitor for this specific symptom and will provide steroids to alleviate the swelling or may have another surgery to drain the fluid. A final side effect is infection or the brain which can be relieved through antibiotics.

Side Effects from Radiation Therapy

Many patients experience nausea for several hours following treatment. Tiredness and fatigue are common so resting is extremely important. Another typical side effect of radiation therapy is hair loss. The radiation may change the color of the infected area to red. Also, in some instances, the brain tissue will swell causing headaches and the feeling of pressure. Additionally, patients can experience radiation necrosis which causes seizures or can lead to death.

Side Effects of Chemotherapy

The specific side effects of chemotherapy treatment solely depend on the type of drugs administered. The most common side effects are chills and fever, nausea and vomiting, weakness and fatigue and a loss of appetite. Many of these side effects can be lessened through additional medicine. The most common types of preventative support are prescribing steroids to relive swelling, anti-convulsive medicine to prevent seizures and shunts to drain the fluids from the brain.

Rehabilitations Following Treatment of Brain Tumors

One of the most important aspects of the treatment of brain tumors is rehabilitation. The goals of the therapy differ between patients and are based on individual needs. The assigned healthcare team assists the patient with returning back to their daily activities. The three most common types of professionals that assist with rehabilitation include physical therapists, occupational therapists and speech therapists.

Physical Therapists

Since brain tumors and the subsequent treatment can cause paralysis, weakness and balance problems, physical therapists assist patients with the regeneration of strength and balance. This is accomplished through repetitive motion of the limbs that need therapy.

Occupational Therapists

These rehabilitation professionals help patients learn to administer their daily activities such as eating, bathing, dressing and using the toilet. Depending on the extent of the damage from the brain cancer and treatment, occupational therapists may not be necessary or may be spending the most time with the patient.

Speech Therapists

Speech therapists are available to those who need assistance with speaking, swallowing or are having trouble expressing their thoughts. Since brain tumors can affect motor skills and the memory, speech therapists help patients regain these basic functions.

The Needs of Children

Some children that have pursued treatment may need special recovery needs. For instance, they may have school tutors in the hospital or at home to keep them up-to-date with their schoolwork.  Those with learning disorders may need tutors and special classes once they return back to school.

After Treatment

Following treatment and rehabilitation, patients must conduct regular follow-ups where the doctor will check to ensure the tumor has not returned. These checkups commonly include physical and neurological exams. During several meetings, the doctor may administer an MRI or CAT scan. If the patient still has a shunt, the doctor will check to ensure it is working properly. Part of the treatment plan includes the follow-up schedule.