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Unexpected Findings in Magnetic Resonance Enterography and Their Clinical Significance
Joint Authors
Howlett, David C.
Ravindran, Srivathsan
Hancox, Sarah Helen
Barlow, Neil
Dunk, Arthur
Source
Canadian Journal of Gastroenterology and Hepatology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-03-29
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Aims.
To identify the prevalence of colonic and extraenteric incidental findings in magnetic resonance enterography (MRE) and their clinical significance.
Methods.
We retrospectively analysed 470 MRE studies carried out between March 2012 and 2014.
Incidental findings were defined as those not expected from or made apparent on the referral.
MRE reports were reviewed for colonic and extraenteric findings, subcategorised into “clinically significant” and “insignificant.” Follow-up was identified from the electronic patient record.
Results.
The majority of MRE requests were made for inflammatory bowel disease (97%).
In total, 114 incidental findings were noted in 94 (20%) scans performed.
There were 29 “colonic” findings (25%) with 55% having a diagnosis of colitis.
Out of 85 extraenteric findings, ovarian cysts (25%), renal cysts (10%), and abdominal lymphadenopathy (9%) were the commonest.
Cumulatively, 59 cases were clinically significant (52%); of these, 30 findings were not previously diagnosed, amounting to 26% of all incidental findings.
This led to intervention in seven patients.
Conclusions.
Incidental findings are common in MRE and there is a substantial proportion that is clinically significant and requires further investigation.
There need to be stratification of risk and employment of local guidelines in order to achieve this.
American Psychological Association (APA)
Ravindran, Srivathsan& Hancox, Sarah Helen& Barlow, Neil& Dunk, Arthur& Howlett, David C.. 2016. Unexpected Findings in Magnetic Resonance Enterography and Their Clinical Significance. Canadian Journal of Gastroenterology and Hepatology،Vol. 2016, no. 2016, pp.1-9.
https://search.emarefa.net/detail/BIM-1099867
Modern Language Association (MLA)
Ravindran, Srivathsan…[et al.]. Unexpected Findings in Magnetic Resonance Enterography and Their Clinical Significance. Canadian Journal of Gastroenterology and Hepatology No. 2016 (2016), pp.1-9.
https://search.emarefa.net/detail/BIM-1099867
American Medical Association (AMA)
Ravindran, Srivathsan& Hancox, Sarah Helen& Barlow, Neil& Dunk, Arthur& Howlett, David C.. Unexpected Findings in Magnetic Resonance Enterography and Their Clinical Significance. Canadian Journal of Gastroenterology and Hepatology. 2016. Vol. 2016, no. 2016, pp.1-9.
https://search.emarefa.net/detail/BIM-1099867
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099867