PDF(Pubmed)
Abstract：
UNASSIGNED: CT and MRI scans of the shoulder can lead to the identification of incidental findings (IF), which can have a major impact on the further treatment of the patient. The aim of this retrospective study was to record the prevalence of IF, incidentalomas (IT) and malignant IT for CT and MRI examinations of the shoulder and to investigate the effect of patient characteristics on the statistical occurrence of IF, IT and malignant IT.
UNASSIGNED: A total of 903 shoulder examinations (415 CT, 488 MRI) were retrospectively analyzed for the presence of IF, subsequently categorized (harmless IF, IT requiring clarification, malignant IT) and analyzed regarding patient characteristics. The statistical analysis was carried out using independent t- and chi-square tests. A significance level of p < 0.05 was set.
UNASSIGNED: Among the 903 patients evaluated (436 female, 467 male), 153 (16.9%) patients experienced IF (harmless IF: 101 (11.2%) patients, IT: 94 (10.4%), malignant IT: 4 (0.4%). The average age of the patients without IF and IT was significantly lower compared to the patients with IF and IT (p < 0.001). While IF occurred in 31.1% of the CT, IF was only detected in 4.9% of the MRI (p < 0.001).
UNASSIGNED: IF have a high prevalence (16.9%), especially in CT examinations of the shoulder, which increases with age. The exact detection and initiation of appropriate therapy is of great clinical importance, as early detection of life-threatening diseases enables more effective treatment and a potential gain in health and lifespan.
UNASSIGNED: A total of 903 shoulder examinations (415 CT, 488 MRI) were retrospectively analyzed for the presence of IF, subsequently categorized (harmless IF, IT requiring clarification, malignant IT) and analyzed regarding patient characteristics. The statistical analysis was carried out using independent t- and chi-square tests. A significance level of p < 0.05 was set.
UNASSIGNED: Among the 903 patients evaluated (436 female, 467 male), 153 (16.9%) patients experienced IF (harmless IF: 101 (11.2%) patients, IT: 94 (10.4%), malignant IT: 4 (0.4%). The average age of the patients without IF and IT was significantly lower compared to the patients with IF and IT (p < 0.001). While IF occurred in 31.1% of the CT, IF was only detected in 4.9% of the MRI (p < 0.001).
UNASSIGNED: IF have a high prevalence (16.9%), especially in CT examinations of the shoulder, which increases with age. The exact detection and initiation of appropriate therapy is of great clinical importance, as early detection of life-threatening diseases enables more effective treatment and a potential gain in health and lifespan.
摘要：
■肩部的CT和MRI扫描可以导致偶然发现（IF）的识别，这可能对患者的进一步治疗产生重大影响。这项回顾性研究的目的是记录IF的患病率，CT和MRI检查肩关节的偶发瘤（IT）和恶性IT，并探讨患者特征对IF的统计发生率的影响，IT和恶性IT。
■总共903次肩部检查（415次CT，488MRI）回顾性分析是否存在IF，随后分类(无害IF，需要澄清的IT，恶性IT)并分析患者特征。使用独立的t检验和卡方检验进行统计分析。设定P<0.05的显著性水平。
■在接受评估的903名患者中（436名女性，467男性），153例（16.9%）患者经历了IF（无害IF：101例（11.2%）患者，IT：94（10.4%），恶性IT：4（0.4％）。无IF和IT患者的平均年龄显著低于有IF和IT患者(p<0.001)。如果发生在31.1％的CT中，仅在4.9%的MRI中检测到IF(p<0.001)。
■如果患病率很高（16.9%），尤其是肩部的CT检查,随着年龄的增长。准确检测和开始适当的治疗是非常重要的临床，因为早期发现危及生命的疾病可以实现更有效的治疗，并有可能获得健康和寿命。
■总共903次肩部检查（415次CT，488MRI）回顾性分析是否存在IF，随后分类(无害IF，需要澄清的IT，恶性IT)并分析患者特征。使用独立的t检验和卡方检验进行统计分析。设定P<0.05的显著性水平。
■在接受评估的903名患者中（436名女性，467男性），153例（16.9%）患者经历了IF（无害IF：101例（11.2%）患者，IT：94（10.4%），恶性IT：4（0.4％）。无IF和IT患者的平均年龄显著低于有IF和IT患者(p<0.001)。如果发生在31.1％的CT中，仅在4.9%的MRI中检测到IF(p<0.001)。
■如果患病率很高（16.9%），尤其是肩部的CT检查,随着年龄的增长。准确检测和开始适当的治疗是非常重要的临床，因为早期发现危及生命的疾病可以实现更有效的治疗，并有可能获得健康和寿命。
