Incidental findings are frequent in shoulder CT and MRI scans and increase with age
Pasurka M, Statescu A, von Knebel Doeberitz P, Kubach J, Dally F, Gravius S, Betsch M (2024)
Publication Type: Journal article
Publication year: 2024
Journal
Book Volume: 56
Pages Range: 161-166
DOI: 10.1016/j.jor.2024.05.024
Abstract
Objectives: CT and MRI scans of the shoulder can lead to the identification of incidental findings (IF), which can have a major impact on the further treatment of the patient. The aim of this retrospective study was to record the prevalence of IF, incidentalomas (IT) and malignant IT for CT and MRI examinations of the shoulder and to investigate the effect of patient characteristics on the statistical occurrence of IF, IT and malignant IT. Materials and methods: A total of 903 shoulder examinations (415 CT, 488 MRI) were retrospectively analyzed for the presence of IF, subsequently categorized (harmless IF, IT requiring clarification, malignant IT) and analyzed regarding patient characteristics. The statistical analysis was carried out using independent t- and chi-square tests. A significance level of p < 0.05 was set. Results: Among the 903 patients evaluated (436 female, 467 male), 153 (16.9%) patients experienced IF (harmless IF: 101 (11.2%) patients, IT: 94 (10.4%), malignant IT: 4 (0.4%). The average age of the patients without IF and IT was significantly lower compared to the patients with IF and IT (p < 0.001). While IF occurred in 31.1% of the CT, IF was only detected in 4.9% of the MRI (p < 0.001). Conclusion: IF have a high prevalence (16.9%), especially in CT examinations of the shoulder, which increases with age. The exact detection and initiation of appropriate therapy is of great clinical importance, as early detection of life-threatening diseases enables more effective treatment and a potential gain in health and lifespan.
Authors with CRIS profile
Mario Pasurka
Department of Orthopaedic and Trauma Surgery
Joshua Kubach
Department of Orthopaedic and Trauma Surgery
Marcel Betsch
Professur für Orthopädie und Orthopädische Chirurgie
Involved external institutions
Germany (DE)How to cite
APA:
Pasurka, M., Statescu, A., von Knebel Doeberitz, P., Kubach, J., Dally, F., Gravius, S., & Betsch, M. (2024). Incidental findings are frequent in shoulder CT and MRI scans and increase with age. Journal of Orthopaedics, 56, 161-166. https://doi.org/10.1016/j.jor.2024.05.024
MLA:
Pasurka, Mario, et al. "Incidental findings are frequent in shoulder CT and MRI scans and increase with age." Journal of Orthopaedics 56 (2024): 161-166.
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