Joining us is Dr. Bradley Jabour.
He is the world's leading neuroradiologist
with more than 20 years in practice.
Now yesterday, he did a very sophisticated MRI
on Dominic's brain
at his Medical Imaging center in Beverly Hills.
His center is directly adjacent
to Cedar Sinai Medical Center
and has state-of-the-art equipment.
Take a look.
I'm here to see Dr. Jabour today.
I know he is a top doctor in this field.
Hi Dominick.
I'm Nicole Jabour.
Welcome to Medical Imaging.
Nice to meet you.
Dr. Jabour, this is Dominick.
Dominick, this is Dr. Jabour. Dominick, I see you've
met my lovely wife.
Has she been good to you?
Of course.
Good.
So Dr. Jabour founded Medical Imaging 30 years ago
and I'm involved as his wife
managing the team on a day-to-day basis.
This is our Woman's Imaging facility
and this is the state-of-the-art 3D halogic mammogram unit.
This is our PET/CT scanner.
We're a great team
and we both have separate roles
but we share the same philosophy
and that's of being a very
patient-orientated hospitable environment.
What do you think is wrong with you?
I just feel like there's like the blood flow in my head
is not normal.
It depends what you guys can do, if you can make it better.
That's the goal today
is for us to try and answer that question for you.
Are you ready for this?
I'm ready.
Let's do it.
(gentle music)
You ready to go into the space ship?
Yes, I'm ready.
All right, good.
What we're doing today
is a three Tesla MRI
using all the latest technology
to be able to see both normal and abnormal tissue.
Based on his symptoms
and what history we have,
I would expect there's going to be
something significant in the frontal lobe of the brain.
Well done.
We've completed the study
and how do you feel?
I feel good.
The hundreds of images
that we're now gonna organize the data
and then we're gonna compare it with the old study
and we'll be able to put a report together.
Thank you for being such a good patient.
Thank you.
We'll see you tomorrow.
You did this study
and you're prepared to tell us what you found, right?
Yeah.
And he has your permission
to talk about this openly, right?
Of course.
I would love to know.
Let's walk up to the screen here
and if you would just walk us through this quickly.
Tell us this first image, what we're looking at.
So what we're looking at here
is the three dimensional three Tesla MRI of the brain
and as you can see,
we cut through the brain
to find these two popcorn-like lesions in the frontal lobe.
So he does in fact still have these lesions
that were located before
and these are pockets of blood, correct?
These are abnormal blood vessels
with pools of blood in them.
All right, next?
Here, we're looking from the front,
also a 3D image cutting into the brain
the way a neurosurgeon would sort of look at a lesion
and find exactly where it is
here in the middle frontal gyrus.
Now there is some good news here
in that this is located,
it's not really disrupting wiring?
In a way that's good
but it's also in the gray matter
which tends to cause the epilepsy.
And there has been a seizure, correct?
Yes.
There's been one epileptic seizure.
There's been several.
I had three so far.
Okay, has there been one that has been major
and then you've had others?
How many have you had total?
I think I had four altogether.
Okay next?
So here we're looking at in 2017,
he had a good MRI done back in New York I believe
and we could see there's not just one lesion but two.
And the study now shows
they have not got bigger.
If anything, the area of abnormality is well contained,
maybe even smaller.
So it does not look like it's out of control.
All right, now this is the blood flow
and this is the normal brain
and this is Dominick's
and we do show some areas
that don't have normal blood flow
and are less active than what you would want.
Yes, what this is giving us a clue to
is that his brain is not metabolically functioning
as optimally as it should.
So you can see in the normal brain,
there's quite a bit of red
representing good blood flow
and therefore good brain activity
and he is generally diminished,
particularly in the frontal areas,
which do control emotion.
All right, let's have a seat.
The simple question is
at this point, from what you see,
is this a likely explanation
for his explosive behavior
or is it not a likely explanation
for his explosive behavior?