CT结肠成像中的偶然发现：文献综述与当前研究实践调查
Incidental findings in CT colonography: literature review and survey of current research practice.
作者信息
Siddiki Hassan, Fletcher J G, McFarland Beth, Dajani Nora, Orme Nicholas, Koenig Barbara, Strobel Marguerite, Wolf Susan M
机构信息
Mayo Clinic Department of Radiology, USA.
出版信息
J Law Med Ethics. 2008 Summer;36(2):320-31, 213. doi: 10.1111/j.1748-720X.2008.00276.x.
Abstract
Incidental findings (IFs) of potential medical significance are seen in approximately 5-8 percent of asymptomatic subjects and 16 percent of symptomatic subjects participating in large computed tomography (CT) colonography (CTC) studies, with the incidence varying further by CT acquisition technique. While most CTC research programs have a well-defined plan to detect and disclose IFs, such plans are largely communicated only verbally. Written consent documents should also inform subjects of how IFs of potential medical significance will be detected and reported in CTC research studies.
摘要
在参与大型计算机断层扫描（CT）结肠成像（CTC）研究的无症状受试者中，约5%-8%会出现具有潜在医学意义的偶然发现（IFs），有症状的受试者中这一比例为16%，且其发生率会因CT采集技术的不同而进一步变化。虽然大多数CTC研究项目都有明确的计划来检测和披露IFs，但这些计划大多只是口头传达。书面同意文件还应告知受试者在CTC研究中如何检测和报告具有潜在医学意义的IFs。
相似文献
1
Incidental findings in CT colonography: literature review and survey of current research practice.CT结肠成像中的偶然发现：文献综述与当前研究实践调查
J Law Med Ethics. 2008 Summer;36(2):320-31, 213. doi: 10.1111/j.1748-720X.2008.00276.x.
2
CT Colonography: an update on current and future indications.CT结肠成像：当前及未来适应证的最新进展
Expert Rev Gastroenterol Hepatol. 2016 Jul;10(7):785-94. doi: 10.1586/17474124.2016.1143358. Epub 2016 Feb 6.
3
Extracolonic findings identified in asymptomatic adults at screening CT colonography.在筛查CT结肠造影中无症状成年人所发现的结肠外表现。
AJR Am J Roentgenol. 2006 Mar;186(3):718-28. doi: 10.2214/AJR.04.1748.
4
Incidental physiological sliding hiatal hernia: a single center comparison study between CT with water enema and CT colonography.偶然发现的生理性滑动性食管裂孔疝：CT 水灌肠与 CT 结肠成像的单中心比较研究
Radiol Med. 2015 Aug;120(8):683-9. doi: 10.1007/s11547-015-0515-3. Epub 2015 Feb 19.
5
Diagnostic value of computed tomography colonography (CTC) after incomplete optical colonoscopy.CT 结肠成像（CTC）在不完全性光学结肠镜检查后的诊断价值。
Int J Surg. 2016 Sep;33 Suppl 1:S36-44. doi: 10.1016/j.ijsu.2016.05.053. Epub 2016 May 30.
6
Computed tomographic colonography: prevalence, nature, and clinical significance of extracolonic findings in a community screening program.计算机断层结肠成像：社区筛查项目中结肠外发现的患病率、性质及临床意义
Am J Gastroenterol. 2005 Dec;100(12):2771-6. doi: 10.1111/j.1572-0241.2005.00337.x.
7
Computed tomographic colonography: current perspectives and future directions.计算机断层结肠成像：当前观点与未来方向。
Gastroenterology. 2009 Jul;137(1):7-14. doi: 10.1053/j.gastro.2009.05.036. Epub 2009 May 18.
8
Computed tomography colonography in 2014: an update on technique and indications.2014年计算机断层扫描结肠成像：技术与适应证的最新进展
World J Gastroenterol. 2014 Dec 7;20(45):16858-67. doi: 10.3748/wjg.v20.i45.16858.
9
Should small sliding hiatal hernias be reported at CT colonography?CT 结肠成像时是否应报告小的滑动性膈疝？
AJR Am J Roentgenol. 2011 Apr;196(4):W400-4. doi: 10.2214/AJR.10.5392.
10
Current role and future potential of computed tomographic colonography for colorectal polyp detection and colon cancer screening-incidental findings.计算机断层结肠成像在结直肠息肉检测和结肠癌筛查中的当前作用及未来潜力——偶然发现
Clin Imaging. 2008 Jul-Aug;32(4):280-6. doi: 10.1016/j.clinimag.2008.01.001.
引用本文的文献
1
Considerations for Colorectal Neoplasia Detection in Inflammatory Bowel Disease Clinical Trials.炎症性肠病临床试验中结直肠肿瘤检测的考虑因素。
Dig Dis. 2024;42(1):12-24. doi: 10.1159/000533395. Epub 2023 Sep 27.
2
Unexpected Findings in Magnetic Resonance Enterography and Their Clinical Significance.磁共振肠道成像的意外发现及其临床意义。
Can J Gastroenterol Hepatol. 2016;2016:4020569. doi: 10.1155/2016/4020569. Epub 2016 Mar 29.
3
Incidental computer tomography radiologic findings through research participation in the North Texas Healthy Heart Study.通过参与北德克萨斯健康心脏研究的研究过程中偶然发现的计算机断层扫描影像学结果。
J Am Board Fam Med. 2014 May-Jun;27(3):314-20. doi: 10.3122/jabfm.2014.03.130250.
4
Suspected extracolonic neoplasms detected on CT colonography: literature review and possible outcomes.CT 结肠成像检查中发现的疑似结肠外肿瘤：文献回顾与可能的结果。
Acad Radiol. 2013 Jun;20(6):667-74. doi: 10.1016/j.acra.2013.01.017. Epub 2013 Mar 1.
5
To tell or not to tell? A systematic review of ethical reflections on incidental findings arising in genetics contexts.是否告知？遗传学背景下偶然发现的伦理思考系统综述。
Eur J Hum Genet. 2013 Mar;21(3):248-55. doi: 10.1038/ejhg.2012.130. Epub 2012 Jun 27.
6
Management of incidental findings during imaging research in "healthy" volunteers: current UK practice.在“健康”志愿者的影像学研究中偶然发现的管理：当前英国的实践。
Br J Radiol. 2012 Jan;85(1009):11-21. doi: 10.1259/bjr/73283917. Epub 2011 Sep 21.
7
Incidental findings in imaging research: evaluating incidence, benefit, and burden.影像研究中的偶然发现：评估发生率、益处和负担。
Arch Intern Med. 2010 Sep 27;170(17):1525-32. doi: 10.1001/archinternmed.2010.317.
8
Colorectal cancer screening: the role of CT colonography.结直肠癌筛查：CT 结肠成像的作用。
World J Gastroenterol. 2010 Aug 28;16(32):3987-94. doi: 10.3748/wjg.v16.i32.3987.
9
Incidental findings found in "healthy" volunteers during imaging performed for research: current legal and ethical implications.影像学检查中在“健康”志愿者身上偶然发现的结果：当前的法律和伦理影响。
Br J Radiol. 2010 Jun;83(990):456-65. doi: 10.1259/bjr/15877332. Epub 2010 Mar 24.
10
Managing incidental findings in human subjects research: analysis and recommendations.人类受试者研究中偶然发现的管理：分析与建议
J Law Med Ethics. 2008 Summer;36(2):219-48, 211. doi: 10.1111/j.1748-720X.2008.00266.x.
本文引用的文献
1
Managing incidental findings in human subjects research: analysis and recommendations.人类受试者研究中偶然发现的管理：分析与建议
J Law Med Ethics. 2008 Summer;36(2):219-48, 211. doi: 10.1111/j.1748-720X.2008.00266.x.
2
Can high-attenuation renal cysts be differentiated from renal cell carcinoma at unenhanced CT?在未增强CT上，高衰减肾囊肿能与肾细胞癌区分开吗？
Radiology. 2007 May;243(2):445-50. doi: 10.1148/radiol.2432060559.
3
Frequency and impact of extracolonic findings detected at computed tomographic colonography in a symptomatic population.有症状人群中计算机断层结肠成像检测到的结肠外发现的频率和影响。
Br J Surg. 2007 Mar;94(3):355-61. doi: 10.1002/bjs.5498.
4
Polyp measurement with CT colonography: multiple-reader, multiple-workstation comparison.CT结肠成像的息肉测量：多读者、多工作站比较
AJR Am J Roentgenol. 2007 Jan;188(1):122-9. doi: 10.2214/AJR.05.1535.
5
Extracolonic findings identified in asymptomatic adults at screening CT colonography.在筛查CT结肠造影中无症状成年人所发现的结肠外表现。
AJR Am J Roentgenol. 2006 Mar;186(3):718-28. doi: 10.2214/AJR.04.1748.
6
Subjects' expectations in neuroimaging research.神经影像学研究中受试者的期望。
J Magn Reson Imaging. 2006 Feb;23(2):205-9. doi: 10.1002/jmri.20499.
7
Computed tomographic colonography: prevalence, nature, and clinical significance of extracolonic findings in a community screening program.计算机断层结肠成像：社区筛查项目中结肠外发现的患病率、性质及临床意义
Am J Gastroenterol. 2005 Dec;100(12):2771-6. doi: 10.1111/j.1572-0241.2005.00337.x.
8
Guidelines for management of small pulmonary nodules detected on CT scans: a statement from the Fleischner Society.CT扫描发现的小肺结节管理指南：弗莱施纳学会声明
Radiology. 2005 Nov;237(2):395-400. doi: 10.1148/radiol.2372041887.
9
Extracolonic abnormalities discovered incidentally at CT colonography in a male population.男性人群中CT结肠成像偶然发现的结肠外异常。
Radiology. 2005 Aug;236(2):519-26. doi: 10.1148/radiol.2362040166.
10
CT colonography reporting and data system: a consensus proposal.CT结肠成像报告与数据系统：一项共识提议。
Radiology. 2005 Jul;236(1):3-9. doi: 10.1148/radiol.2361041926.
Zotero 插件