Incidental intracranial pathology: a retrospective case review of structural neuroimaging results amongst young adult psychiatric patients

David B LeBaron,1 Yasamin Mahjoub,1 Adam Abba-Aji1,21Faculty of Medicine and Dentistry, Department of Psychiatry, University of Alberta, Edmonton, Canada; 2Young Adult Assessment, Evaluation and Reintegration Alberta Hospital, Edmonton, CanadaObjective: Given that there continue to be conflicting re...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	LeBaron DB, Mahjoub Y, Abba-Aji A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Computed Tomography Scan Magnetic Resonance Imaging Incidental findings intracranial anomalies Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/4faa78ad08254f318c56fe461cc8c794
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:4faa78ad08254f318c56fe461cc8c794
record_format	dspace
spelling	oai:doaj.org-article:4faa78ad08254f318c56fe461cc8c7942021-12-02T09:24:37ZIncidental intracranial pathology: a retrospective case review of structural neuroimaging results amongst young adult psychiatric patients1178-2021https://doaj.org/article/4faa78ad08254f318c56fe461cc8c7942019-06-01T00:00:00Zhttps://www.dovepress.com/incidental-intracranial-pathology-a-retrospective-case-review-of-struc-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021David B LeBaron,1 Yasamin Mahjoub,1 Adam Abba-Aji1,21Faculty of Medicine and Dentistry, Department of Psychiatry, University of Alberta, Edmonton, Canada; 2Young Adult Assessment, Evaluation and Reintegration Alberta Hospital, Edmonton, CanadaObjective: Given that there continue to be conflicting recommendations on the inclusion of routine structural neuroimaging amongst the investigations ordered in psychiatric patients, our group aimed to add to the data on intracranial pathology amongst, specifically, the young adult psychiatric population. This is a novel study in that it includes all presentations (mania, depression, psychosis, anxiety, substance use disorders) and presents, to the authors’ knowledge, the largest cohort of imaging results amongst this group.Method: The neuroimaging (CT and MRI) reports of 224 patients admitted to the Young Adult Assessment, Evaluation and Reintegration Unit (12-A) at the Alberta Hospital Edmonton (AHE) between the years of 2012–2015 were reviewed, and all findings were classified into one of four categories (normal, abnormal/benign, abnormal and unlikely linked to symptoms, and abnormal with possible link to symptoms). This study is largely a review of CT scans, as there were only six MRI reports available in the study population.Results: In total, 86.6% of findings were classified as normal. Amongst the scans with abnormal findings, 10.7% were deemed benign and non-specific. 1.8% of abnormal findings required an outside consultation or follow-up, but were unlikely linked to symptoms; and 0.9% were deemed possibly causally related to symptoms, though follow-up imaging deemed otherwise. The most prevalent findings were cerebral atrophy (n=6), arachnoid cysts (n=5), ventricular asymmetry (n=3), and cavum septum pellucidum (n=3).Conclusions: This study represents the largest cohort of incidental findings in the young adult psychiatric population. These findings do not support the practice of ordering structural imaging tests in the young adult (17–26 years) psychiatric population. This suggestion agrees with recent recommendations on this question, and highlights the need for ongoing review in this area.Keywords: computed tomography scan, magnetic resonance imaging, incidental findings, intracranial anomaliesLeBaron DBMahjoub YAbba-Aji ADove Medical PressarticleComputed Tomography ScanMagnetic Resonance ImagingIncidental findingsintracranial anomaliesNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 1557-1562 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Computed Tomography Scan Magnetic Resonance Imaging Incidental findings intracranial anomalies Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Computed Tomography Scan Magnetic Resonance Imaging Incidental findings intracranial anomalies Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 LeBaron DB Mahjoub Y Abba-Aji A Incidental intracranial pathology: a retrospective case review of structural neuroimaging results amongst young adult psychiatric patients
description	David B LeBaron,1 Yasamin Mahjoub,1 Adam Abba-Aji1,21Faculty of Medicine and Dentistry, Department of Psychiatry, University of Alberta, Edmonton, Canada; 2Young Adult Assessment, Evaluation and Reintegration Alberta Hospital, Edmonton, CanadaObjective: Given that there continue to be conflicting recommendations on the inclusion of routine structural neuroimaging amongst the investigations ordered in psychiatric patients, our group aimed to add to the data on intracranial pathology amongst, specifically, the young adult psychiatric population. This is a novel study in that it includes all presentations (mania, depression, psychosis, anxiety, substance use disorders) and presents, to the authors’ knowledge, the largest cohort of imaging results amongst this group.Method: The neuroimaging (CT and MRI) reports of 224 patients admitted to the Young Adult Assessment, Evaluation and Reintegration Unit (12-A) at the Alberta Hospital Edmonton (AHE) between the years of 2012–2015 were reviewed, and all findings were classified into one of four categories (normal, abnormal/benign, abnormal and unlikely linked to symptoms, and abnormal with possible link to symptoms). This study is largely a review of CT scans, as there were only six MRI reports available in the study population.Results: In total, 86.6% of findings were classified as normal. Amongst the scans with abnormal findings, 10.7% were deemed benign and non-specific. 1.8% of abnormal findings required an outside consultation or follow-up, but were unlikely linked to symptoms; and 0.9% were deemed possibly causally related to symptoms, though follow-up imaging deemed otherwise. The most prevalent findings were cerebral atrophy (n=6), arachnoid cysts (n=5), ventricular asymmetry (n=3), and cavum septum pellucidum (n=3).Conclusions: This study represents the largest cohort of incidental findings in the young adult psychiatric population. These findings do not support the practice of ordering structural imaging tests in the young adult (17–26 years) psychiatric population. This suggestion agrees with recent recommendations on this question, and highlights the need for ongoing review in this area.Keywords: computed tomography scan, magnetic resonance imaging, incidental findings, intracranial anomalies
format	article
author	LeBaron DB Mahjoub Y Abba-Aji A
author_facet	LeBaron DB Mahjoub Y Abba-Aji A
author_sort	LeBaron DB
title	Incidental intracranial pathology: a retrospective case review of structural neuroimaging results amongst young adult psychiatric patients
title_short	Incidental intracranial pathology: a retrospective case review of structural neuroimaging results amongst young adult psychiatric patients
title_full	Incidental intracranial pathology: a retrospective case review of structural neuroimaging results amongst young adult psychiatric patients
title_fullStr	Incidental intracranial pathology: a retrospective case review of structural neuroimaging results amongst young adult psychiatric patients
title_full_unstemmed	Incidental intracranial pathology: a retrospective case review of structural neuroimaging results amongst young adult psychiatric patients
title_sort	incidental intracranial pathology: a retrospective case review of structural neuroimaging results amongst young adult psychiatric patients
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/4faa78ad08254f318c56fe461cc8c794
work_keys_str_mv	AT lebarondb incidentalintracranialpathologyaretrospectivecasereviewofstructuralneuroimagingresultsamongstyoungadultpsychiatricpatients AT mahjouby incidentalintracranialpathologyaretrospectivecasereviewofstructuralneuroimagingresultsamongstyoungadultpsychiatricpatients AT abbaajia incidentalintracranialpathologyaretrospectivecasereviewofstructuralneuroimagingresultsamongstyoungadultpsychiatricpatients
_version_	1718398120082014208

Incidental intracranial pathology: a retrospective case review of structural neuroimaging results amongst young adult psychiatric patients

Ejemplares similares