Display options
Cite
Khan N, Ather MH, Ahmed F, et al. Has the significance of incidental findings on unenhanced computed tomography for urolithiasis been overestimated? A retrospective review of over 800 patients. Arab J Urol. 2012;10(2):149-54doi: 10.1016/j.aju.2012.01.002.
Khan, N., Ather, M. H., Ahmed, F., Zafar, A. M., & Khan, A. (2012). Has the significance of incidental findings on unenhanced computed tomography for urolithiasis been overestimated? A retrospective review of over 800 patients. Arab journal of urology, 10(2), 149-54. https://doi.org/10.1016/j.aju.2012.01.002
Khan, Nadir, et al. "Has the significance of incidental findings on unenhanced computed tomography for urolithiasis been overestimated? A retrospective review of over 800 patients." Arab journal of urology vol. 10,2 (2012): 149-54. doi: https://doi.org/10.1016/j.aju.2012.01.002
Khan N, Ather MH, Ahmed F, Zafar AM, Khan A. Has the significance of incidental findings on unenhanced computed tomography for urolithiasis been overestimated? A retrospective review of over 800 patients. Arab J Urol. 2012 Jun;10(2):149-54. doi: 10.1016/j.aju.2012.01.002. Epub 2012 Feb 20. PMID: 26558018; PMCID: PMC4442895.
Copy Download .nbib Format: NLM
Share it on

Arab J Urol. 2012 Jun;10(2):149-54. doi: 10.1016/j.aju.2012.01.002. Epub 2012 Feb 20.

Has the significance of incidental findings on unenhanced computed tomography for urolithiasis been overestimated? A retrospective review of over 800 patients.

Arab journal of urology

Nadir Khan, M Hammad Ather, Farhan Ahmed, Abdul M Zafar, Aamir Khan

Affiliations

  1. Department of Radiology, Aga Khan University, Karachi, Pakistan.
  2. Department of Surgery, Aga Khan University, Karachi, Pakistan.
  3. Research Associate in Diagnostic Imaging, Rhode Island Hospital/Brown University, Providence, RI, USA.

PMID: 26558018 PMCID: PMC4442895 DOI: 10.1016/j.aju.2012.01.002

Abstract

OBJECTIVES: To evaluate the detection of clinically unsuspected pathologies using 64-slice multidetector computed tomography (CT) of the abdomen in patients with flank pain. The presence of significant incidental findings (those warranting immediate management) was also correlated with that of urolithiasis, to assess potential changes of management.

PATIENTS AND METHODS: The study included 899 patients undergoing CT in a 6-month period between June and December 2008. Patients who were referred from outside, with no medical record in the hospital where the study was conducted, and those who were lost to follow-up, were excluded. All of the CT examinations were reported after a radiology resident and a consultant radiologist with >4 years of experience evaluated the CT. Genitourinary and extra-genitourinary findings were assessed and divided into clinically significant or not.

RESULTS: The overall incidence of additional and incidental findings was 14%. Besides urolithiasis and obstruction there were 34 (28%) genitourinary findings and 87 (72%) extra-genitourinary findings; most of the former were insignificant. Of the extra-genitourinary findings, significant diagnoses were documented in 34 cases.

CONCLUSIONS: Abdominal multidetector CT detects more incidental findings which are clinically significant.

Keywords: CT; Clinical significance; GU, genitourinary; Genitourinary; Incidental cancer; Incidental findings; KUB, kidneys, ureters and bladder; MD, multidetector

References

  1. Radiol Med. 2001 Oct;102(4):256-61 - PubMed
  2. Urol J. 2009 Winter;6(1):14-8 - PubMed
  3. Urology. 2000 Jul;56(1):53-7 - PubMed
  4. J Am Coll Radiol. 2010 Oct;7(10 ):754-73 - PubMed
  5. J Chin Med Assoc. 2004 Feb;67(2):73-8 - PubMed
  6. Eur Radiol. 2003 Nov;13(11):2513-20 - PubMed
  7. BMC Urol. 2003 Mar 17;3:2 - PubMed
  8. AJR Am J Roentgenol. 1999 Jun;172(6):1491-4 - PubMed
  9. AJR Am J Roentgenol. 1996 Jan;166(1):97-101 - PubMed
  10. AJR Am J Roentgenol. 1999 Dec;173(6):1447-50 - PubMed
  11. Int J Surg. 2010;8(3):252-6 - PubMed
  12. Nat Rev Urol. 2009 Oct;6(10 ):526-7 - PubMed
  13. AJR Am J Roentgenol. 2010 Jun;194(6):1630-4 - PubMed
  14. Int J Urol. 2003 Jun;10 (6):287-92 - PubMed
  15. J Urol. 2006 May;175(5):1725-30; discussion 1730 - PubMed
  16. Korean J Radiol. 2001 Jan-Mar;2(1):14-20 - PubMed

Publication Types