在分期直肠MRI上的偶然发现:临床意义和结果
Yen Zhi Tang1, Abdullah Alabousi1
1Department of Radiology, McMaster University, St Joseph's Healthcare, Hamilton, ON, Canada.
Acta radiologica (Stockholm, Sweden : 1987)
|December 20, 2023
概括
在直肠MRI扫描中偶然发现 (IF) 是常见的,超过一半的患者有它们. 然而,只有不到10%的这些偶然发现具有临床意义,需要进一步调查.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
背景情况:
- 偶然发现 (IF) 经常在直肠癌的直肠磁共振成像 (MRI) 阶段中遇到.
- 这些FI的患病率和临床意义尚未得到充分证实.
研究的目的:
- 确定用于直肠癌分期的MRI扫描中发现的IFs的患病率和临床意义.
- 评估与临床显著的IFs相关的结果.
主要方法:
- 连续的直肠MRI分期扫描与确诊的直肠癌的回顾性分析 (2014年3月至2021年3月).
- 对IFs的成像报告的审查,按临床意义分类 (高,中等,低).
- 通过医疗记录审查评估高意义投资基金的结果.
主要成果:
- 在266名患者中,有146人 (55%) 患有至少1例FI,总共238例FI.
- IF被分为高 (9%),中等 (51%) 和低 (40%) 的临床意义.
- 前列腺和子宫是高显著IF的常见地点,包括两种病理确认的前列腺腺癌.
结论:
- 超过一半的直肠癌分期MRI扫描显示IFs,但很少一部分 (<10%)具有很高的临床意义.
- 这些发现强调了IF的范围,并为未来的研究提供了关于其患者和医疗保健系统影响的信息.
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