Global Advanced Research Journal of Medicine and Medical Sciences (GARJMMS) ISSN: 2315-5159
September 2017 Vol. 6(9), pp. 234-239
Copyright © 2017 Global Advanced Research Journals
Full Length Research Paper
Extraspinal Incidental Findings on Routine MRI of Cervical Spine
Mogahid M. A Zidan1,3, Ikhlas A. Hassan2, Abdelrahaman M. Elnour1, Khalid M Abd Alla5, Mohammed Dowlyb5, Mohamed Yousef2 and Wadah M. Ali1,4,*
1College of Radiologic Technology, the National Ribat University, Khartoum, Sudan
2College of Medical Radiologic science, Sudan University of Science and Technology, Khartoum, Sudan
3Al-Ghad International College for Applied Medical Science, Medical Imaging Technology Department, Abha, KSA
4College of Allied Health Science, Gulf Medical University, Medical Imaging Department, Ajman, UAE
5Department of radiology. Khamis Meshit Hospital, Abha, KSA
*Corresponding Author E-mail: email@example.com
Accepted 22 September, 2017
The aim of the present study was to determine the prevalence and reporting rate of incidental findings (IF) on the magnetic resonance imaging (MRI) scans of cervical spine, to find the frequencies of these incidental findings, and to emphasize the clinical importance of them. Scan of a total of 266 cervical spine MRI (collected from patients with a mean age of 46.6±16.3 years, range 1–80 years) during the period from August 2016 to April 2017. The images interpretation was done by a two consultant radiologists. A total of 45 IFs were found in 266 patients (16.9% of 266). Among these, clinically significant IFs (n = 45) included: 16 thyroid nodules (6.3 %), 12 thyroid goiter (4.6%), 7 mucosal thickening in paranasal sinuses (2.68 %), 2 Tornwaldt cyst (0.76%), 1 cystic hygroma (0.37%), 1 colloid cyst (0.37%), 3 polyps/retention cyst (1.14%), 1 cancer of the thyroid (0.37%), 1 pituitary macro adenoma (0.37%) and 1 lymphadenopathy. The MRI examination of intervertebral discs, paying attention to incidentally detected pathological extraspinal findings is very important due to the fact that they can alter the treatment of the patient or affect the patient’s life. Therefore, they should be included in the reports since they will give additional and valuable information.
Keywords: Incidental findings, cervical spine, Magnetic resonance imaging, Extra-spinal findings
Aleksander Grande Hansen, Anne-Sofie Helvik, Ståle Nordgård, Vegard Bugten, Lars Jacob Stovner, Asta K Håberg, Mari Gårseth, Heidi Beate Eggesbø (2014). BMC Ear, Nose and Throat Disorders 14:13 http://www.biomedcentral.com/1472-6815/14/13
Anil G, Hegde A, Chong FH (2011). Thyroid nodules: risk stratification for malignancy with ultrasound and guided biopsy. Cancer imaging : the official publication of the International Cancer Imaging Society. 11: 209-223.
Baisakhiya N, Deshmukh P, Pawar V (2011). Tornwaldt Cyst: A Cause of Neck Pain and Stiffness. Ind. J. Otolaryngol. Head and Neck Surg. 63: 147-148.
Bal M, Berkiten G, Uyanik E (2014). Mucous retention cysts of the paranasal sinuses. Hippokratia. 18: 379-379.
Brady B (2015). Goiters:Abnormally Large Thyroid Glands (Online). Endocrineweb. Available: https://www.endocrineweb.com/conditions/goiters/goiters-abnormally-large-thyroid-glands.
Dilli A, Ayaz UY, Turanli S, Saltas H, Karabacak OR, Damar C, Hekimoglu B (2014). Incidental extraspinal findings on magnetic resonance imaging of intervertebral discs. Arch. Med. Sci.10: 757-763.
Frager DH, Elkin CM , Kansler F , Mendelsohn SL, Leeds NE (1986). Extraspinal abnormalities identified on lumbar spine CT. Neuroradiol. 28 (1) : 58-60
Illes J.rosen AC, Huang L Goldstein RA, Raffin TA Swan G.ande Atlas SW (2004). Ethical consideration of incidental findings on adult brain MRI in research Neurol. 62:888-890
James (2017). Lymphadenopathy (Online). wikipedia. Available: https://en.m.wikipedia.org/wiki/lymphadenopathy.
Kamath S, Jain N, Goyal N, Mansour R, Mukherjee K (2009). Incidental findings on MRI of the spine. Clin. Radiol. 64:353–361
Little A (2016). Pituitary Program-pituitary Experts in Phoenix.arizona (Online). Barrow Neurological Instituate. Available: https://www.barrowneuro.org/specialty/macroadenoma/.
Maia FFR, Zantut-Wittmann DE (2012). Thyroid nodule management: clinical, ultrasound and cytopathological parameters for predicting malignancy. clin. Clinics. 67: 945-954.
Mirza B, Ijaz L, Saleem M, Sharif M, Sheikh A (2010). Cystic Hygroma: An Overview. J. Cutaneous and Aesthetic Surg. 3: 139-144.
Ottonello CPG, Giardino AL, Lombardi F, Sardanell I (2014). Thyroid abnormalities as incidental findings in cervical spine MRI. european society of radiol.
Salam M.joori, Mays R Albeer, Duraid S Al-Baldawi (2013). Extraspinal incidental findings of spinal MRI. J. Fac. Med. Baghdad. 55(3).
Tarp B, Fiirgaard B, Christensen T, Jensen JJ, Black FT (2000). The prevalence and significance of incidental paranasal sinus abnormalities on MRI. Rhinol. 38(1):33–38.
Wagner SC, Morrison WB, Carrino JA, Schweitzer ME, Nothnagel H (2002). Picture archiving and communication system: effect on reporting of incidental findings. Radiol. 225:500-505
Weerakkody Y (2008). Colloid nodule (thyroid) (Online). Radiopeadia. Available: http://radiopeadia.org/articles/colloid-nodule-thyroid-1.
Westbrook JI, Braighwaite J, Mclntosh JH (1998). The outcomes for patients with incidental lesions: serendipitous or iatrogenic? AJR. 171:1193–1196
Xing M (2013). Molecular pathogenesis and mechanisms of thyroid cancer. Nature reviews. Cancer. 13: 184-199.
Yap KKH, Ramaseshan G, Sutherland T, Shafik-EID R, Taubman K, Schlicht S (2015). Prevalence of incidental or unexpected findings on low-dose CT performed during routine SPECT/CT nuclear medicine studies. JMIRO J. Med. Imaging and Radiation Oncol. 59: 26-33.
- Mogahid MA Zidan on Google Scholar
- Mogahid MA Zidan on Pubmed
- Ikhlas A Hassan on Google Scholar
- Ikhlas A Hassan on Pubmed
- Abdelrahaman M Elnour on Google Scholar
- Abdelrahaman M Elnour on Pubmed
- Khalid M Abd Alla on Google Scholar
- Khalid M Abd Alla on Pubmed
- Mohammed Dowlyb on Google Scholar
- Mohammed Dowlyb on Pubmed
- Mohamed Yousef on Google Scholar
- Mohamed Yousef on Pubmed
- Wadah M Ali on Google Scholar
- Wadah M Ali on Pubmed