MISC

国際誌
2017年4月

Should incidental findings in diagnostic imaging be reported?

Minerva stomatologica
  • Karina C Panelli Santos
  • ,
  • Mariko Fujita
  • ,
  • Jefferson X Oliveira
  • ,
  • Yoshinobu Yanagi
  • ,
  • Junichi Asaumi

66
2
開始ページ
75
終了ページ
80
記述言語
英語
掲載種別
DOI
10.23736/S0026-4970.17.03971-1
出版者・発行元
EDIZIONI MINERVA MEDICA

BACKGROUND: Recent improvements in image quality have contributed to an increasing number of incidental findings (IF). Also called as "incidentalomas", this generic term refers to an entity discovered unexpectedly on an imaging examination performed for other reason. Commonly, normal variants, minor developmental anomalies and imaging artifacts are described as potential pathology. Some IF were reported in magnetic resonance imaging (MRI) exam of temporomandibular joint (TMJ), including IF in the brain, maxillary sinus, ethmoidal cells, mastoid cells, salivary glands, muscles. The aim of this study is to evaluate the prevalence of IF on MRI of TMJ from Japanese patients. METHODS: An image archive from 872 patients referred to MRI evaluation due to TMJ symptomatology was assessed. Three experienced radiologists evaluated all images, and the final diagnosis was achieved by consensus. The data regarding IF was recorded, considering only tumor and tumor-like lesions. RESULTS: A total of 12 (1.38%) of tumor and tumor-like lesions were observed from all 872 MRI exams evaluated. The most frequent lesion was arachnoid cyst (0.45%), followed by neoplastic lesions (0.22%). CONCLUSIONS: The question "should every IF be reported?" is still difficult to answer. Relevant IF are rare, and radiologists are expected to be reasonable: think about the adverse effects of reporting an IF, and, based on their own judgment, choose for a positive or a negative answer.

リンク情報
DOI
https://doi.org/10.23736/S0026-4970.17.03971-1
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/27973465
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000399171900005&DestApp=WOS_CPL
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85014625238&origin=inward
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85014625238&origin=inward
ID情報
  • DOI : 10.23736/S0026-4970.17.03971-1
  • ISSN : 0026-4970
  • eISSN : 1827-174X
  • PubMed ID : 27973465
  • SCOPUS ID : 85014625238
  • Web of Science ID : WOS:000399171900005

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