Lumbar Transforaminal Epidural Steroid Injections: Incidental Extraspinal Findings on Planning Imaging

Lagemann, Gerritt M.; Aldred, Patrick W.; Borhani, Amir A.; Ghodadra, Anish; Agarwal, Vikas

doi:10.2214/ajr.15.15929

Cited by 3 publications

(3 citation statements)

References 30 publications

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“…Therefore, we calculated our rates of IESF by number of patients in the study and not by number of studies performed. This is a similar approach taken by Lagemann et al [17] and we believe prevents us from over-counting the number of IESF.…”

Section: Subjectsmentioning

confidence: 88%

“…In part, this concern has encouraged our institution to request a radiologist comment on every radiographic study. Numerous reports have identi ed the incidence and signi cance of incidentalomas on CT [17,24] or MRI-based [12,13] spine studies, but the incidence for EOS full body imaging has not been well established. Here, we identi ed a high rate of benign radiographic ndings and a low rate of clinically signi cant ndings on whole body EOS images taken in a spinal deformity population.…”

Section: Discussionmentioning

confidence: 99%

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Incidental Extraspinal Imaging Findings on Adult EOS Full Body Radiographs: Prevalence and Clinical Importance

Wood

Martin

Polly

et al. 2020

Preprint

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PurposeThe purpose of this study was to review our institutional experience with the EOS machine in order to identify the incidence and clinical significance of incidental extraspinal findings (IESF) in an adult spinal deformity population.MethodsOur institutional database was queried for all full-length standing radiographs generated by the EOS machine. Dictations were reviewed and the number of incidental extraspinal findings were classified using a previously described system. All findings related to the spine were excluded. A subset of electronic medical records were reviewed to determine further workup for individual findings of suspected clinical significance. Results1857 EOS studies were identified. 503 patient studies (55.5% female, mean age 59-years-old, range 18 to 91-years-old) met inclusion criteria. 60.4% of dictations had at least one incidental extraspinal finding reported, most were classified as Minor. The rate of Major and Moderate findings was 4.8%. The final rate of clinically significant incidental extraspinal findings was 0.8% and included 3 presumed metastatic lesions in long bones and 1 pulmonary nodule.ConclusionTo our knowledge this is the first study that reports the rate of incidental extraspinal findings on full body EOS studies. We report a low rate (0.8%) of clinically significant incidental extraspinal findings which is lower than that of CT or MRI. Further research is warranted in comparing EOS and standard radiography.

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Section: Subjectsmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Incidental Extraspinal Imaging Findings on Adult EOS Full Body Radiographs: Prevalence and Clinical Importance

Wood

Martin

Polly

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…In part, this concern has encouraged our institution to request a radiologist comment on every radiographic study. Numerous reports have identified the incidence and significance of incidentalomas on CT [ 23 , 24 ] or MRI-based [ 12 , 13 ] spine studies, but the incidence for EOS full body imaging has not been well established. Here, we identified a high rate of benign radiographic findings and a low rate of clinically significant findings on whole body EOS images taken in a spinal deformity population.…”

Section: Discussionmentioning

confidence: 99%

Incidental extraspinal imaging findings on adult EOS full body radiographs: prevalence and clinical importance

et al. 2021

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Purpose The purpose of this study was to review our institutional experience with the EOS machine in order to identify the incidence and clinical significance of incidental extraspinal findings (IESF) in an adult spinal deformity population. Methods Our institutional database was queried for all full-length standing radiographs generated by the EOS machine. Dictations were reviewed and the number of incidental extraspinal findings were classified using a previously described system. All findings related to the spine were excluded. A subset of electronic medical records were reviewed to determine further workup for individual findings of suspected clinical significance. Results Original database query based on radiology reports returned a total of 1857 EOS studies. Duplicate studies, studies without the entire body, and patients with more than 1 study during the search period were excluded. 503 patient studies (55.5% female, mean age 59-years-old, range 18 to 91-years-old) met inclusion criteria. The overall rate of incidental extraspinal findings in our study was 60.4% (304 findings in 503 patients). Most findings were classified as Minor. The rate of Major and Moderate findings was 4.8%. The final rate of clinically significant incidental extraspinal findings was 0.8% and included 3 presumed metastatic lesions in long bones and 1 pulmonary nodule. Conclusion To our knowledge this is the first study that reports the rate of incidental extraspinal findings on full body EOS studies. We report a low rate (0.8%) of clinically significant incidental extraspinal findings which is lower than that of CT or MRI. Further research is warranted in comparing EOS and standard radiography.

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Beyond the Spinal Canal

Raghavan

Record

Vidal

2019

Radiologic Clinics of North America

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Lumbar Transforaminal Epidural Steroid Injections: Incidental Extraspinal Findings on Planning Imaging

Abstract: Clinically important incidental extraspinal findings were identified in 5.8% of patients on the planning imaging performed for CT-guided lumbar TFESIs. Communication of clinically important findings was poor (4.5%).

Cited by 3 publications

References 30 publications

Incidental Extraspinal Imaging Findings on Adult EOS Full Body Radiographs: Prevalence and Clinical Importance

Incidental Extraspinal Imaging Findings on Adult EOS Full Body Radiographs: Prevalence and Clinical Importance

Incidental extraspinal imaging findings on adult EOS full body radiographs: prevalence and clinical importance

Beyond the Spinal Canal

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