The Significance of Incidental Findings on Computed Tomography of the Chest

Waterbrook, Anna L.; Manning, Marie A; Dalen, James E.

doi:10.1016/j.jemermed.2018.06.001

Cited by 11 publications

(10 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The field of view in the oral and maxillofacial region often includes a region from the base of the brain to the apex of the lung, and thus oral radiologists need to take care to observe adjacent regions in the images. Indeed, many incidental findings have been described in previous reports (6)(7)(8)(9)(19)(20)(21). The thyroid gland should be focused upon because its entirety is frequently included in CT images of the oral and maxillofacial region.…”

Section: Discussionmentioning

confidence: 97%

“…With the development of imaging modalities in recent years, there has been an increase in the identification of incidental lesions on images obtained by CT and MRI, as advanced imaging modalities (6)(7)(8)(9)(19)(20)(21). In particular, CT machines are maintained at many facilities, and it is possible to obtain more detailed diagnoses by CT immediately after lesions are suspected on plain radiographs of the oral and maxillofacial region.…”

Section: Discussionmentioning

confidence: 99%

“…The numbers of abnormal findings incidentally detected in adjacent regions are increasing with advances in imaging modalities (6)(7)(8)(9). Such findings are often observed on CT images with extended fields of view.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Incidental findings in the thyroid gland on computed tomography images of the oral and maxillofacial region

et al. 2020

View full text Add to dashboard Cite

The numbers of abnormal findings incidentally detected in adjacent regions are increasing with advances in imaging modalities. The present study aimed to examine the prevalence and characteristics of incidental findings in the thyroid gland on computed tomography (CT) images of the oral and maxillofacial region. CT scans of the oral and maxillofacial region in patients obtained between January 2012 and December 2016 were retrospectively reviewed. Images that revealed incidental findings in the thyroid gland, including nodules, were recorded, together with the sizes and characteristics of the findings. The Japan Association of Breast and Thyroid Sonology (JABTS) guidelines were used for classification. The rate of descriptions of these findings in the radiographic interpretation reports were also examined. Of the 1,135 patients examined, 326 (28.7%) had several types of incidental findings. In particular, 169 (14.9%) of the 1,135 patients had nodules >5 mm in diameter, for which further careful examination is recommended in the JABTS guideline. The description rate for nodules >5 mm in diameter in the radiographic interpretation reports was 30.8% (52/169 patients), of whom 17.3% (9/52 patients) were referred to the endocrinology department for further careful examination. Incidental findings in the thyroid gland were relatively common on CT images of the oral and maxillofacial region. Oral radiologists tend to focus specifically on the oral and maxillofacial region during diagnosis on oral and maxillofacial CT images, but should pay the same careful attention to observe adjacent regions, such as the thyroid gland.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Incidental findings in the thyroid gland on computed tomography images of the oral and maxillofacial region

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Such practice has enhanced the detectability of relevant abnormalities across multiple body parts. However, the rate of detecting incidental and gs has also increased [9,10]. We aimed to shed some light on a selective elderly population examined in a Saudi teleradiology practice to address such Mild and moderate degrees of the bronchial wall detected in 57% of cases.…”

Section: Discussionmentioning

confidence: 99%

Frequency of Incidental Ageing-Related Lung Findings in an Elderly Population: A Saudi Teleradiology CT Study

Ajlan

Eskander

2021

JPRI

View full text Add to dashboard Cite

Objectives: To assess the frequency of ageing-related lung changes seen on computed tomography (CT) chest examinations performed on teleradiology cohort of elderly patients. Materials and Methods: An experienced radiologist retrospectively assessed at a 3-month worth of teleradiology data of CT chest, abdomen and pelvis performed for detection or staging of malignancy is in asymptomatic patients 60 years old and older, residing in Saudi Arabia. Patients with known smoking history or obscuring abnormalities were excluded. Lung windows were analyzed to detect bronchial wall thickening, mosaic attenuation, linear scars, reticulations and pneumatocoeles. Bronchial thickening and mosaic attenuation were stratified by severity, while the scars and pneumatocoeles were stratified by number. Results: A total of 26 cases were collected out of 137 patients, with a mean age of 67 years old (61% males). Bronchial wall thickening was detected and 56%, with 35% being of moderate degree. Mosaic attenuation was detected in 26%, with 70% being of mild degree. Linear scarring was seen and 61%, in the absence of reticulations. Pneumatocoeles were detected in 26%, with 22% being more than 2 in numbers. Conclusion: In a select teleradiology cohort of asymptomatic CT chest imaging in elderly patients, bronchial wall thickening, mosaic attenuation, linear scarring pneumatocoeles are frequently encountered. Such findings should not lead to clinical or imaging misinterpretations.

show abstract

“… 1 Pulmonary nodules are common, with an average prevalence of 10% detected on chest CT scans done for reasons other than cancer screening, and reported incidences may range up to 70% among the elderly and smokers. 2 As the volume of total shoulder arthroplasty procedures in the US has increased by four-fold over the last two decades, 3 and preoperative CT imaging has become a popular tool to better understand glenoid deformities and to improve accuracy on component positioning, 4 orthopedic surgeons should become aware of how to counsel and manage patients with incidental pulmonary nodules. 5…”

Section: Introductionmentioning

confidence: 99%

Incidental Pulmonary Nodules Found on Shoulder Arthroplasty Preoperative CT Scans

Lopez

Ding

Peterson

et al. 2022

Journal of Shoulder and Elbow Arthroplasty

View full text Add to dashboard Cite

With current emphasis on preoperative templating of anatomical and reverse shoulder arthroplasty (aTSA and rTSA, respectively), patients often receive thin slice (<1.0 mm) computerized tomography (CT) scans of the operative shoulder, which includes about two-thirds of the ipsilateral lung. The purpose of this study is to evaluate the prevalence and management of incidentally detected pulmonary nodules on preoperative CT scans for shoulder arthroplasty. In this single-center retrospective study, we queried records of aTSA and rTSA patients from 2015 to 2020 who received preoperative CT imaging of the shoulder. Compared to patients with negative CT findings, there were significantly more females (63.8% vs. 46.4%; P = .011), COPD (13.0% vs. 4.7%; P = .015), and asthma (18.8% vs. 6.9%; P = .003) among the patients with incidental nodules on CT. Binary logistic regression confirmed that female sex (odds ratio = 2.00; 95% CI = 1.04 to 3.88; P = .037), COPD history (OR = 3.02; 95% CI = 1.05 to 8.65; P = .040), and asthma history (OR = 3.17; 95% CI = 1.30 to 7.77; P = .011) were significantly associated with an incidental nodule finding. Incidental pulmonary nodules found on shoulder arthroplasty preoperative CT scans are often low risk in size with low risk of malignancy, and do not require further workup. This study may provide guidance to orthopedic surgeons on how to manage patients with incidental pulmonary nodules to increase chances of early cancer detection, avoid unnecessary referrals, reduce potentially harmful radiation exposure of serial CT scans, and improve cost efficiency.

show abstract

The Significance of Incidental Findings on Computed Tomography of the Chest

Cited by 11 publications

References 10 publications

Incidental findings in the thyroid gland on computed tomography images of the oral and maxillofacial region

Incidental findings in the thyroid gland on computed tomography images of the oral and maxillofacial region

Frequency of Incidental Ageing-Related Lung Findings in an Elderly Population: A Saudi Teleradiology CT Study

Incidental Pulmonary Nodules Found on Shoulder Arthroplasty Preoperative CT Scans

Contact Info

Product

Resources

About