Extraspinal findings prevalence and clinical significance in 4250 lumbar spine MRI exams
| Autor: | Mwaffaq El-Heis, Ahmad Farah, Maha Gharaibeh, Ruba Khasawneh, Firas A. Khasawneh, Ziyad M Mohaidat |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Science Urinary system Article 030218 nuclear medicine & medical imaging 03 medical and health sciences Young Adult 0302 clinical medicine Prevalence Medicine Humans Clinical significance Young adult Child Hydronephrosis Skeleton Aged Retrospective Studies Aged 80 and over Incidental Findings Multidisciplinary Lumbar Vertebrae business.industry Cysts Lumbar spine MRI Infant Retrospective cohort study Middle Aged medicine.disease Magnetic Resonance Imaging Clinical diagnosis Child Preschool Female Radiology business 030217 neurology & neurosurgery Kappa |
| Zdroj: | Scientific Reports Scientific Reports, Vol 11, Iss 1, Pp 1-11 (2021) |
| ISSN: | 2045-2322 |
| Popis: | To assess extraspinal findings (ESFs) prevalence in lumbar spine MRI, including clinically significant findings using a systematic approach, and to determine their reporting rate. Lumbar spine MRI scans were retrospectively reviewed over 18 months by two radiologists. Reading discrepancies were resolved by consensus. ESFs were classified according to the involved system, clinical diagnosis, and clinical significance. The reporting rate was estimated by referring to the original report. There were 1509 ESFs in 1322/4250 patients with a substantial agreement between the two radiologists (kappa = 0.8). Almost half (621/1322) were in the 45–60 age group. Females represented 56.6% (748/1322). 74.2% (1120/1509) of the ESFs involved the urinary system among which 79.6% (892/1120) were renal cysts. Clinically significant findings represented 8.7% (131/1509) among which hydronephrosis represented 23% (30/131). First time detected malignant lesions represented 4.6% (6/131). ESFs reporting rate was 47.3%. 58.8% of the clinically significant ESFs were not reported. ESFs prevalence was 31.1%. The Urinary system was the most commonly involved. Most ESFs were benign warranting no further workup. However, clinically significant ESF were not infrequently detected. More than half of the clinically significant findings were not reported. A systematic review of MRI images is highly recommended to improve patient’s outcome. |
| Databáze: | OpenAIRE |
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