Extraspinal findings prevalence and clinical significance in 4250 lumbar spine MRI exams

Abstract 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...

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Autores principales:	Ruba A. Khasawneh, Ziyad Mohaidat, Firas A. Khasawneh, Ahmad Farah, Maha Gharaibeh, Mwaffaq El-Heis
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/97c897aeb26e45858177ae5bc67d36ce
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spelling	oai:doaj.org-article:97c897aeb26e45858177ae5bc67d36ce2021-12-02T15:23:05ZExtraspinal findings prevalence and clinical significance in 4250 lumbar spine MRI exams10.1038/s41598-021-81069-y2045-2322https://doaj.org/article/97c897aeb26e45858177ae5bc67d36ce2021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-81069-yhttps://doaj.org/toc/2045-2322Abstract 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.Ruba A. KhasawnehZiyad MohaidatFiras A. KhasawnehAhmad FarahMaha GharaibehMwaffaq El-HeisNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ruba A. Khasawneh Ziyad Mohaidat Firas A. Khasawneh Ahmad Farah Maha Gharaibeh Mwaffaq El-Heis Extraspinal findings prevalence and clinical significance in 4250 lumbar spine MRI exams
description	Abstract 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.
format	article
author	Ruba A. Khasawneh Ziyad Mohaidat Firas A. Khasawneh Ahmad Farah Maha Gharaibeh Mwaffaq El-Heis
author_facet	Ruba A. Khasawneh Ziyad Mohaidat Firas A. Khasawneh Ahmad Farah Maha Gharaibeh Mwaffaq El-Heis
author_sort	Ruba A. Khasawneh
title	Extraspinal findings prevalence and clinical significance in 4250 lumbar spine MRI exams
title_short	Extraspinal findings prevalence and clinical significance in 4250 lumbar spine MRI exams
title_full	Extraspinal findings prevalence and clinical significance in 4250 lumbar spine MRI exams
title_fullStr	Extraspinal findings prevalence and clinical significance in 4250 lumbar spine MRI exams
title_full_unstemmed	Extraspinal findings prevalence and clinical significance in 4250 lumbar spine MRI exams
title_sort	extraspinal findings prevalence and clinical significance in 4250 lumbar spine mri exams
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/97c897aeb26e45858177ae5bc67d36ce
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Extraspinal findings prevalence and clinical significance in 4250 lumbar spine MRI exams

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