Zidan Mogahid M A, Hassan Ikhlas A, Elnour Abdelrahaman M, Mahmoud Mustafa Z, Alghamdi Mohammed A, Salih Mohammed, Elhaj Mona, Ali Wadah M
Diagnostic Radiology Department, Faculty of Radiology and Nuclear Medicine Sciences, The National Ribat University, Sudan.
Diagnostic Radiologic Technology Department, College of Medical Radiological Sciences, Sudan University of Science and Technology, Khartoum, Sudan.
J Clin Imaging Sci. 2019 Jul 12;9:37. doi: 10.25259/JCIS_50_2019. eCollection 2019.
The purpose of this research was to determine the frequency of incidental extraspinal findings in the thoracic spine on magnetic resonance imaging (MRI).
A total of 120 thoracic spine MRI patients were prospectively examined in the period extending from August 2018 to April 2019. Both 1.5 and 0.35 Tesla MRI systems (Toshiba and Siemens Medical system) were applied to investigate patients with suspected intervertebral disc abnormalities at three MRI diagnostic centers in Khartoum, Sudan.
Out of the 120 patients, incidental extraspinal findings were found in 16 patients (13.3%). Various incidental findings (IFs) were seen, including renal cysts, liver mass, thyroid goiter, and pleural effusion. Out of these IFs, 37.5% were considered clinically significant.
Various IFs were identified during a routine thoracic spine MRI, and approximately one-third of them were clinically significant. Therefore, it is essential for the reporting radiologists to pay attention to extraspinal findings while reporting thoracic spine MRI to avoid missing clinically significant findings.
本研究的目的是确定磁共振成像（MRI）检查胸椎时偶然发现的脊柱外病变的频率。
2018年8月至2019年4月期间，对120例胸椎MRI患者进行了前瞻性检查。在苏丹喀土穆的三个MRI诊断中心，使用1.5特斯拉和0.35特斯拉的MRI系统（东芝和西门子医疗系统）对疑似椎间盘异常的患者进行检查。
120例患者中，16例（13.3%）发现了偶然的脊柱外病变。发现了各种偶然发现（IFs），包括肾囊肿、肝脏肿块、甲状腺肿大和胸腔积液。在这些IFs中，37.5%被认为具有临床意义。
在常规胸椎MRI检查中发现了各种IFs，其中约三分之一具有临床意义。因此，报告胸椎MRI的放射科医生在报告时必须注意脊柱外病变，以避免漏诊具有临床意义的病变。
