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Prevalence, Clinical Management, and Natural Course of Incidental Findings on Brain MR Images: The Population-based Rotterdam Scan Study.
Bos, Daniel; Poels, Marielle M F; Adams, Hieab H H; Akoudad, Saloua; Cremers, Lotte G M; Zonneveld, Hazel I; Hoogendam, Yoo Y; Verhaaren, Benjamin F J; Verlinden, Vincent J A; Verbruggen, Jasper G J; Peymani, Abbas; Hofman, Albert; Krestin, Gabriel P; Vincent, Arnaud J; Feelders, Richard A; Koudstaal, Peter J; van der Lugt, Aad; Ikram, M Arfan; Vernooij, Meike W.
Afiliação
  • Bos D; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • Poels MM; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • Adams HH; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • Akoudad S; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • Cremers LG; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • Zonneveld HI; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • Hoogendam YY; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • Verhaaren BF; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • Verlinden VJ; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • Verbruggen JG; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • Peymani A; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • Hofman A; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • Krestin GP; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • Vincent AJ; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • Feelders RA; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • Koudstaal PJ; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • van der Lugt A; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • Ikram MA; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
  • Vernooij MW; From the Departments of Radiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., B.F.J.V., G.P.K., M.A.I., M.W.V.), Epidemiology (D.B., M.M.F.P., H.H.H.A., S.A., L.G.M.C., H.I.Z., Y.Y.H., B.F.J.V., V.J.A.V., J.G.J.V., A.P., A.H., A.v.d.L., M.A.I., M.W.V.), Neurology (S.A., P.J.K., M.A.I.), Neuro
Radiology ; 281(2): 507-515, 2016 Nov.
Article em En | MEDLINE | ID: mdl-27337027
Purpose To present an updated prevalence estimate for incidental findings on brain magnetic resonance (MR) images and provide information on clinical relevance, including natural course, over a period of up to 9 years. Materials and Methods This study was approved by the institutional review board and all participants gave informed consent. In a prospective population-based setting, structural brain MR imaging was performed in 5800 participants (mean age, 64.9 years; 3194 women [55.1%]). Trained reviewers recorded abnormalities, which were subsequently evaluated by neuroradiologists. The prevalence with 95% confidence interval (CI) of incidental findings was determined, and clinical management of findings that required the attention of a medical specialist was followed. Follow-up imaging in the study context provided information on the natural course of findings that were not referred. Results In 549 of 5800 participants (9.5% [95% CI: 8.7%, 10.3%]), incidental findings were found, of which meningiomas (143 of 5800; 2.5% [95% CI: 2.1%, 2.9%]) and cerebral aneurysms (134 of 5800; 2.3% [95% CI: 2.0%, 2.7%]) were most common. A total of 188 participants were referred to medical specialists for incidental findings (3.2% [95% CI: 2.8%, 3.7%]). Of these, 144 (76.6% [95% CI: 70.1%, 82.1%]) either underwent a wait-and-see policy or were discharged after the initial clinical visit. The majority of meningiomas and virtually all aneurysms not referred or referred but untreated remained stable in size during follow-up. Conclusion Incidental findings at brain MR imaging that necessitate further diagnostic evaluation occur in over 3% of the general middle-aged and elderly population, but are mostly without direct clinical consequences. © RSNA, 2016.
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Encefalopatias / Imageamento por Ressonância Magnética / Achados Incidentais / Neuroimagem Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: Radiology Ano de publicação: 2016 Tipo de documento: Article
Buscar no Google
Imprimir
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PubMed Links

Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Encefalopatias / Imageamento por Ressonância Magnética / Achados Incidentais / Neuroimagem Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: Radiology Ano de publicação: 2016 Tipo de documento: Article