Our expert answers 3 Questions
Most of my research involves the prevalence and natural history analyses for common disorders that lead to neurosurgical referral.
Most of my clinical practice consists of counseling patients about the relevance of an “abnormality” that was detected on intracranial or spinal imaging. It is astonishing to realize how little we know about these issues. How common are these findings? What will happen if we leave them alone? Where should we place the boundary between “normal”, “a normal variant”, and “abnormal.” If we call a finding “abnormal” does it need to be treated? In many cases, these important questions have never been properly answered.
Providing clearer answers to these types of questions has become critically important in our era of increasing imaging utilization. Understanding these issues better will lead to more appropriate decisions for referrals and procedures, cost savings, and hopefully, improved care for our patients.