Department of Radiology, Washington Permanente Medical Group, Seattle, WA, United States.
Department of Radiology, University of Washington School of Medicine, Seattle, WA, United States.
Br J Radiol. 2023 Feb;96(1142):20220135. doi: 10.1259/bjr.20220135. Epub 2022 Apr 19.
Given the ever-increasing utilization of magnetic resonance angiography, incidental vascular findings are increasingly discovered on exams performed for unconnected indications. Some incidental lesions represent pathology and require further intervention and surveillance, such as aneurysm, certain vascular malformations, and arterial stenoses or occlusions. Others are benign or represent normal anatomic variation, and may warrant description, but not further work-up. This review describes the most commonly encountered incidental findings on magnetic resonance angiography, their prevalence, clinical implications, and any available management recommendations.
鉴于磁共振血管造影的应用日益增多,在进行无关联检查时,越来越多的偶然发现血管病变。一些偶然发现的病变代表着病理学,并需要进一步的干预和监测,例如动脉瘤、某些血管畸形、动脉狭窄或闭塞。其他病变是良性的,或者代表正常的解剖变异,可能需要描述,但不需要进一步检查。本文综述了磁共振血管造影中最常见的偶然发现,包括其发生率、临床意义以及现有的管理建议。