Scharitzer M, Tamandl D, Ba-Ssalamah A
Universitätsklinik für Radiologie und Nuklearmedizin, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.
Radiologe. 2017 Apr;57(4):270-278. doi: 10.1007/s00117-017-0235-x.
The increased use of highly developed imaging procedures, such as multidetector-row computed tomography and magnetic resonance imaging has led to a substantial increase of asymptomatic and unexpected findings.
Abdominal CT investigations are particularly affected with a large number of incidental findings. This valuable diagnostic procedure also entails the risk of complex and cost-intensive subsequent investigations with partly invasive procedures.
For this reason radiologists are more often confronted with the difficult task of correctly assessing these lesions, to decide on the need for additional investigations and to inform the patient in detail about the clinical relevance.
The aims of this article are to describe the most common abdominal incidentalomas, to assist with the interpretation and differential diagnosis and to give recommendations for further management.
多排螺旋计算机断层扫描和磁共振成像等高精成像检查手段使用的增加，导致无症状和意外发现大量增多。
腹部CT检查受偶然发现影响尤为明显。这种有价值的诊断方法也存在后续进行复杂且成本高昂的部分侵入性检查的风险。
因此，放射科医生更常面临正确评估这些病变、决定是否需要进一步检查以及向患者详细说明临床相关性这一艰巨任务。
本文旨在描述最常见的腹部意外瘤，辅助解读和鉴别诊断，并给出进一步处理的建议。
