Magnetic Resonance Imaging (MRI) of the lumbar spine with the standard protocol can be useful in the diagnosis of incidental extraspinal lesions. The study aims to find the frequency and types of incidental findings (IF)of lumbosacral spine MRI in adult patients with suspected discopathy. It was a prospective analytical study involving MRI scans performed on a group of 50 patients (22 males and 28 females) in the age range of 25-85 years old reporting clinically chronic back pain without a history of acute trauma. The data was collected in Yastabshiroon Medical Centre, Khartoum, Sudan between February 2018 and February 2019. The relationship between incidental findings (IF) and patients’ age and gender was assessed using a chi’ squared test. The age ranges of patients less than 35, 36-45 years, 46-55 years, 56-65 years, and more than 65 years comprised 10.0%,18.0%, 22.0%, 20.0%, and 30% accordingly. All patients had incidental findings, and hemangioma was the most frequent finding (18 patients, 36%) followed by an abscess (15 patients, 30%). There was no significant association between gender and type of diagnosed incidental finding (IF), most frequently IF Lumber reported finding in MRI hemangioma, abscess, and collapse.
1. Quattrocchi CC, Giona A, Di Martino AC, Errante Y, Scarciolla L, Mallio CA, et al. Extra-spinal incidental findings at lumbar spine MRI in the general population: a large cohort study. Insights Imaging. 2013;4(3):301-8.
2. Semaan HB, Bieszczad JE, Obri T, Aldinger PK, Bazerbashi MF, Al-Natour MS, et al. Incidental Extraspinal Findings at Lumbar Spine Magnetic Resonance Imaging: A Retrospective Study. Spine (Phila Pa 1976). 2015;40(18):1436-43.
3. Gouliamos AD, Tsiganis T, Dimakakos P, Vlahos LJ. Screening for abdominal aortic aneurysms during routine lumbar CT scan: modification of the standard technique. Clin Imaging. 2004;28(5):353-5.
4. Park HJ, Jeon YH, Rho MH, Lee EJ, Park NH, Park SI, et al. Incidental findings of the lumbar spine at MRI during herniated intervertebral disk disease evaluation. AJR Am J Roentgenol. 2011;196(5):1151-5.
5. Tuncel SA, Çaglı B, Tekataş A, Kırıcı MY, Ünlü E, Gençhellaç H. Extraspinal Incidental Findings on Routine MRI of Lumbar Spine: Prevalence and Reporting Rates in 1278 Patients. Korean J Radiol. 2015;16(4):866-73.
6. Sobhan M, Samiee M, Asgari Y, Ahmadi M. Incidental findings of the lumbar spine at MRI in patients diagnosed with discopathy. Int J Med Imaging. 2016;4(5):44-7.
7. Qasim HA, Al-Bayati H, Mahmoud NA. Incidental finding during MRI evaluation of lumbosacral disc prolapse in adults in Al-Hilla Teaching Hospital. Med J Babylon. 2017;14(3):537-49.
8. Kamath S, Jain N, Goyal N, Mansour R, Mukherjee K. Incidental findings on MRI of the spine. Clin Radiol. 2009;64(4):353-61.
9. Maizlin ZV, Barnard SA, Gourlay WA, Brown JA. Economic and ethical impact of extrarenal findings on potential living kidney donor assessment with computed tomography angiography. Transpl Int. 2007;20(4):338-42.
10. Brown SD. Professional norms regarding how radiologists handle incidental findings. J Am Coll Radiol. 2013;10(4):253-7.
11. Eroglu A, Yilmaz I. Coincidental Lesions that have been seen in Patients with Lumbar Discopathy at Spinal MR Examination. Med Sci Discov. 2018;5(3):137-40.
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