Artikel ; Online: Incidental findings on staging rectal MRI: clinical significance and outcomes.
Acta radiologica (Stockholm, Sweden : 1987)
2023 Band 65, Heft 4, Seite(n) 374–382
Abstract: Background: Incidental findings (IFs) are commonly seen in staging rectal magnetic resonance imaging (MRI) scans. Their prevalence and clinical significance have not been previously documented.: Purpose: To assess the prevalence, clinical ... ...
| Abstract | Background: Incidental findings (IFs) are commonly seen in staging rectal magnetic resonance imaging (MRI) scans. Their prevalence and clinical significance have not been previously documented. Purpose: To assess the prevalence, clinical significance, and outcomes of incidental findings in MRI scans performed for the staging of rectal cancer. Material and methods: A retrospective study was performed at a tertiary colorectal imaging institution. Consecutive MRI rectal staging scans with correlative pathology confirmed primary rectal cancer between March 2014 and March 2021 were identified. The respective imaging reports were reviewed for IFs, which were classified as high, moderate, and low, according to their clinical significance. Medical records were reviewed to assess the outcomes of the highly significant IFs. Results: There were 266 eligible patients (97 women; mean age = 64.2 years) during the study period. A total of 120 (45%) patients did not have any IFs. A total of 238 IFs in 146 (55%) patients were found. There were 21 (9%) IFs of high clinical significance, 122 (51%) of moderate clinical significance, and 95 (40%) of low clinical significance. The prostate and uterus had the most IFs of high clinical significance, two of which were subsequently pathology confirmed as prostate adenocarcinomas. Conclusion: IFs were seen in more than half of the staging MRI scans in rectal cancer but less than 10% of these were of high clinical significance. The results of this study highlight the range of potential IFs and can guide future research assessing the potential impact of these IFs on patients and the healthcare system. |
|---|---|
| Mesh-Begriff(e) | Humans ; Female ; Male ; Incidental Findings ; Middle Aged ; Magnetic Resonance Imaging/methods ; Rectal Neoplasms/diagnostic imaging ; Rectal Neoplasms/pathology ; Retrospective Studies ; Neoplasm Staging ; Aged ; Rectum/diagnostic imaging ; Rectum/pathology ; Adult ; Aged, 80 and over ; Clinical Relevance |
| Sprache | Englisch |
| Erscheinungsdatum | 2023-12-19 |
| Erscheinungsland | England |
| Dokumenttyp | Journal Article |
| ZDB-ID | 105-3 |
| ISSN | 1600-0455 ; 0284-1851 ; 0349-652X |
| ISSN (online) | 1600-0455 |
| ISSN | 0284-1851 ; 0349-652X |
| DOI | 10.1177/02841851231217728 |
| Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
Zusatzmaterialien
Kategorien
Verfügbar in ZB MED Köln/Königswinter
| Ue I Zs.105: Hefte anzeigen | Standort: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
|||
| Zs.MO 204: Hefte anzeigen |
Über subito bestellen
Dieser Service ist kostenpflichtig (siehe Lieferbedingungen von subito). Bestellungen, die einen Artikel nebst Supplementary Material umfassen, werden grundsätzlich wie mehrfache Bestellungen bearbeitet. Gebühren fallen in diesen Fällen für jede einzelne Bestellung an.