I'm here today to get an MRI to find out
what's going on inside my head.
Great to meet you.
Your main history seems to be that
you're struggling a little bit with
controlling your emotions.
What we're going to do today
is use some of the most amazing technology,
using MRI images to look into your brain,
so are you ready to do it?
Yes, sir. Okay, good.
I'm gonna have you change.
I'm hoping to see that he's got a normal brain.
We have the tools now to look not only at
the architecture of the brain,
but also mechanisms that are not working.
I'm only nervous about seeing the outcome.
I'm quite looking forward to having the tests.
Right now what we're doing is acquiring
all the information from his brain.
Let's look at the SWI quickly.
How did it feel?
Oh, just fine.
We've got a good look at your brain,
and we've got many hundreds of images.
I am anxious about the results.
Well, Kevin, you did a very good job.
Thank you for coming.
With Dr. Phil, I'll have a chance to really
explain to you what we found.
Thank you, sir. Okay, bye.
Please welcome Dr. Bradley Jabour.
(applause)
Dr. Jabour, in full disclosure,
I am not only a fan, I am a patient.
In fact, I think I have my own file drawer over there.
(laughing) I've got MRIs on my neck,
shoulders, knees, I mean, you've done
more stuff on me probably than anybody,
and you know, my specialty when I practice
is brain and central nervous system,
so we've actually consulted on cases
where we've looked at images and you and I have
discussed things, and I've just been blown away
by the technology you have,
because you guys are cutting edge.
And you spent time yesterday
doing these studies on Kevin,
and it's okay with you, do you give permission
for him to reveal, discuss, and disclose
this information here today?
Yes, sir.
Let's approach the screen. Okay.
And you can stay here, and we'll let Dr. Jabour
walk us through here.
Now, first, and when I say you guys have probably
never seen anything like this,
but this is the kinda imaging you start out
where it actually looks like him,
'cause you look at the screen, tell us what we're seeing.
So this is using a 3T MRI.
It's a real representation of Kevin's brain.
We peel through the skin, you can actually recognize him,
to see the brain, then we look into the wiring mechanism
inside the brain, which we can then measure
a thing called fractional anisotropy
to measure the actual wires and whether they have shrunk
or been damaged, and in his case, we see that he has lost--
His FA numbers have gone down significantly,
meaning that he has lost white matter integrity.
Okay, and when you say that he's lost
white matter integrity, tell me what you're talking about.
Tell everybody what you're talking about there.
So, without linking it to brain trauma,
but whatever the insult to the brain is
can cause damage to tissue that causes
the wires that connect different parts of the brain together
to be damaged, and then they disappear.
If there is disruption here,
this can express itself behaviorally.
Yes, including behavioral issues.
Okay, now let's go to the next image,
which looks at some of the scarring in the brain.
This is Kevin's brain.
He's got four areas of scar tissue in the brain,
which really represent damage to the axons,
axonal shear injury from a
acceleration, deceleration type,
or rotational type traumatic episode,
which we see in many different venues,
whether it's a car accident, with acceleration, deceleration
or impact sports, whether it's football
or even for young women, soccer,
hitting the ball can cause this type of injury.
And this is looking at shrinking and atrophy,
and tell us about what you're seeing
in the white space at the front here.
The brain is generally closer to that,
and you don't have the CSF,
or the fluid being so prominent.
So, if there was not atrophy here,
then the cerebral spinal fluid
would not be as prominent here,
and this would be all the way out to the edge.
Correct.
96% of people have a bigger brain than him
in certain frontal and temporal areas.
That is clinically significant in a big way.
A big way, yeah.