Journal
RADIOLOGIA MEDICA
Volume 126, Issue 2, Pages 181-188Publisher
SPRINGER-VERLAG ITALIA SRL
DOI: 10.1007/s11547-020-01235-6
Keywords
MR enterography; Crohn disease; Incidental findings
Ask authors/readers for more resources
The study found a high incidence of extra-intestinal incidental findings in patients with Crohn disease undergoing magnetic resonance enterography, with 16% of these findings deemed clinically relevant. Age was positively correlated with incidental findings.
Purpose To determine the incidence and clinical relevance of extra-intestinal incidental findings (IF) in a cohort of patients with proven or suspected Crohn disease (CD) examined with magnetic resonance enterography (MR-E) in a single University Centre. Methods Between January 2018 and June 2019, 182 patients with proven or suspected CD with a planned first MR-E examination, were retrospectively included in this study. Incidental findings were considered as any abnormality identified in the absence of previous clinically suspected or known disease. IF were categorized as unremarkable, benign or potentially relevant findings requiring further imaging or specific treatment. Results Of the 182 revised MR-E, extra-intestinal IF were recorded in 70 cases (38.5%); 35 (50%) incidental lesions were recognized as non-significant, 24 (34%) as benign and 11 (16%) as clinically relevant. Moreover, there was a positive correlation between IF and patients' age (p < 0.0001). Conclusions In our experience, a high number of IF (38.5%) was found, with a prevalence that increases with patients' age. Clinically relevant findings were found in 16% of MR-E. This means that MR-E is a useful tool to detect IF, therefore, the presence of a radiologist during the image acquisition is crucial in adding sequences to the examination.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available