Lumbreras Blanca, González-Alvarez Isabel, Gómez-Sáez Noemi, Lorente M Fermina, Hernández-Aguado Ildefonso
Public Health Department, Miguel Hernández University, Alicante, Spain; CIBER en Epidemiología y Salud Pública, Barcelona, Spain.
Radiodiagnostic Department, San Juan Hospital, San Juan de Alicante, Spain.
Clin Imaging. 2014 May-Jun;38(3):249-54. doi: 10.1016/j.clinimag.2013.12.018. Epub 2014 Jan 6.
We prospectively followed up patients with an incidental finding detected in an image test to assess the additional interventions carried out and the clinical implications of the incidental findings detected. Out of 474 patients with an incidental finding, 63 (13.3%) were further evaluated, and of these patients, 25 (39.7%) had clinical implications. Patients who had an X-ray (24/76, 31.6%), with a preoperative examination (19/77 24.7%), and with an incidental finding in the thoracic cavity (34/117, 29.1%) or in the head/neck (6/28, 21.4%) were more likely to have additional evaluations.
我们对在影像检查中发现有偶然病变的患者进行前瞻性随访，以评估所采取的进一步干预措施以及所发现偶然病变的临床意义。在474例有偶然病变的患者中，63例（13.3%）接受了进一步评估，其中25例（39.7%）具有临床意义。接受过X线检查的患者（24/76，31.6%）、接受过术前检查的患者（19/77，24.7%）以及在胸腔（34/117，29.1%）或头颈部有偶然病变的患者（6/28，21.4%）更有可能接受进一步评估。
