Incidental clinically important extraurinary findings at MDCT urography for hematuria evaluation: Prevalence in 1209 consecutive examinations

American Journal of Roentgenology

Volumn 199, Issue 3, 2012, Pages 616-622

  Song, Julie H ^a   Beland, Michael D ^a   Mayo Smith, William W ^a  

^a BROWN UNIVERSITY   (United States)

Author keywords

CT urography; Hematuria; Incidental findings; MDCT urography

Indexed keywords

ABSCESS; ACUTE PANCREATITIS; ADULT; AGED; ARTICLE; AVASCULAR NECROSIS; CANCER SIZE; CHOLECYSTITIS; CLINICAL EVALUATION; CROHN DISEASE; DIGESTIVE SYSTEM INFLAMMATION; DIVERTICULITIS; FEMALE; FOLLICULAR LYMPHOMA; FOLLOW UP; HEMATURIA; HISTOPATHOLOGY; HUMAN; ILEITIS; INCIDENTAL FINDING; LOBECTOMY; LUNG CARCINOMA; LUNG NODULE; MAJOR CLINICAL STUDY; MALE; MULTIDETECTOR COMPUTED TOMOGRAPHY; OVARY CYST; PANCREAS CYST; PANCREATITIS; POSITRON EMISSION TOMOGRAPHY; PRIORITY JOURNAL; RADIOFREQUENCY ABLATION; RETROPERITONEAL HEMORRHAGE; RETROSPECTIVE STUDY; SIGMOID VOLVULUS; SPLEEN HEMATOMA; UROGRAPHY;

ADULT; AGED; AGED, 80 AND OVER; FEMALE; HEMATURIA; HUMANS; INCIDENTAL FINDINGS; MALE; MIDDLE AGED; MULTIDETECTOR COMPUTED TOMOGRAPHY; NEOPLASMS; UROGRAPHY; YOUNG ADULT;

EID: 84865607177     PISSN: 0361803X     EISSN: 15463141     Source Type: Journal    
DOI: 10.2214/AJR.11.8127     Document Type: Article

References (32)

1. Ramchandani P, Kisler T, Francis IR, et al. Hematuria: ACR appropriateness criteria. American College of Radiology Website. www.acr.org/SecondaryMainMenuCategories/quality-safety/app-criteria/pdf/ ExpertPanelonUrologicImaging/HematuriaDoc6.aspx. Published 1995. Revised 2008. Accessed April 1, 2011
2. Coakley FV, Yeh BM. Invited commentary. RadioGraphics 2003; 23:1455-1456
3. Silverman SG, Leyendecker JR, Amis ES. Jr What is the current role of CT urography and MR urography in the evaluation of the urinary tract? Radiology 2009; 250:309-323
4. Berland LL, Silverman SG, Gore RM, et al. Managing incidental findings on abdominal CT: White Paper of the ACR Incidental Findings Committee. J Am Coll Radiol 7: 754-773
5. Hall WB, Truitt SG, Scheunemann LP, et al. The prevalence of clinically relevant incidental findings on chest computed tomographic angiograms ordered to diagnose pulmonary embolism. Arch Intern Med 2009; 169:1961-1965
6. Lee CI, Tsai EB, Sigal BM, Plevritis SK, Garber AM, Rubin GD. Incidental extracardiac findings at coronary CT: clinical and economic impact. AJR 2010; 194:1531-1538
7. Song JH, Chaudhry FS, Mayo-Smith WW. The incidental adrenal mass on CT: prevalence of adrenal disease in 1,049 consecutive adrenal masses in patients with no known malignancy. AJR 2008; 190:1163-1168 (Pubitemid 351684914)
8. Hara AK, Johnson CD, MacCarty RL, Welch TJ. Incidental extracolonic findings at CT colonography. Radiology 2000; 215:353-357 (Pubitemid 30237827)
9. Gluecker TM, Johnson CD, Wilson LA, et al. Extracolonic findings at CT colonography: evaluation of prevalence and cost in a screening population. Gastroenterology 2003; 124:911-916 (Pubitemid 36389793)
10. Hellström M, Svensson MH, Lasson A. Extracolonic and incidental findings on CT colonography (virtual colonoscopy). AJR 2004; 182:631-638 (Pubitemid 38269522)
11. Yee J, Kumar NN, Godara S, et al. Extracolonic abnormalities discovered incidentally at CT colonography in a male population. Radiology 2005; 236:519-526 (Pubitemid 41023435)
12. Pickhardt PJ, Hanson ME, Vanness DJ, et al. Unsuspected extracolonic findings at screening CT colonography: clinical and economic impact. Radiology 2008; 249:151-159
13. Veerappan GR, Ally MR, Choi JR, Pak JS, Maydonovitch C, Wong RKH. Extracolonic findings on CT colonography increases yield of colorectal cancer screening. AJR 2010; 195:677-686
14. Messersmith WA, Brown DFM, Barry MJ. The prevalence and implications of incidental findings on ED abdominal CT scans. Am J Emerg Med 2001; 19:479-481 (Pubitemid 32959570)
15. Katz DS, Scheer M, Lumerman JH, Mellinger BC, Stillman CA, Lane MJ. Alternative or additional diagnoses on unenhanced helical computed tomography for suspected renal colic: experience with 1000 consecutive examinations. Urology 2000; 56:53-57 (Pubitemid 30408653)
16. Ahmad NA, Ather MH, Rees J. Incidental diagnosis of diseases on un-enhanced helical computed tomography performed for ureteric colic. BMC Urol 2003; 3:2
17. Liu W, Mortelé KJ, Silverman SG. Incidental extraurinary findings at MDCT urography in patients with hematuria: prevalence and impact on imaging costs. AJR 2005; 185:1051-1056
18. Chai RY, Jhaveri K, Saini S, Hahn PF, Nichols S, Mueller PR. Comprehensive evaluation of patients with haematuria on multi-slice computed tomography scanner: protocol design and preliminary observations. Australas Radiol 2001; 45:536-538 (Pubitemid 34595493)
19. Zalis ME, Barish MA, Choi JR, et al. CT colonography reporting and data system: a consensus proposal. Radiology 2005; 236:3-9 (Pubitemid 40853289)
20. MacMahon H, Austin JHM, Gamsu G, et al. Guidelines for management of small pulmonary nodules detected on CT scans: a statement from the Fleischner Society. Radiology 2005; 237:395-400 (Pubitemid 41507873)
21. Levine D, Brown DL, Andreotti RF, et al. Management of asymptomatic ovarian and other adnexal cysts imaged at US: Society of Radiologist in Ultrasound Consensus Conference statement. Radiology 2010; 256:943-954
22. Pickhardt PJ, Hanson ME. Incidental adnexal masses detected at low-dose unenhanced CT in asymptomatic women age 50 and older: implications for clinical management and ovarian cancer screening. Radiology 2010; 257:144-150
23. Lang EK, Thomas R, Davis R, et al. Multiphasic helical computerized tomography for the assessment of microscopic hematuria: a prospective study. J Urol 2004; 171:237-243 (Pubitemid 37549133)
24. Albani JM, Ciaschini MW, Streem SB, Herts BR, Angermeier KW. The role of computerized tomographic urography in the initial evaluation of hematuria. J Urol 2007; 177:644-648 (Pubitemid 46054007)
25. Sudakoff GS, Dunn DP, Guralnick ML, Hellman RS, Eastwood D, See WA. Multidetector computerized tomography urography as the primary imaging modality for detecting urinary tract neoplasms in patients with asymptomatic hematuria. J Urol 2008; 179:862-867
26. Caoili EM, Cohan RH, Inampudi P, et al. MDCT urography of upper tract urothelial neoplasms. AJR 2005; 184:1873-1881 (Pubitemid 40770163)
27. Cowan NC, Turney BW, Taylor NJ, McCarthy CL, Crew JP. Multidetector computed tomography urography for diagnosing upper urinary tract urothelial tumour. BJU Int 2007; 99:1363-1370 (Pubitemid 47164791)
28. Jinzaki M, Matsumoto K, Kikuchi E, et al. Comparison of CT urography and excretory urography in the detection and localization of urothelial carcinoma of the upper urinary tract. AJR 2011; 196:1102-1109
29. Rinaldi MF, Bartalena T, Giannelli G, et al. Incidental lung nodules on CT examinations of the abdomen: prevalence and reporting rates in the PACS era. Eur J Radiol 2010; 74:e84-e88
30. Spreng A, Netzer P, Mattich J, Dinkel H, Vock P, Hoppe H. Importance of extracolonic findings at IV contrast medium-enhanced CT colonography versus those at non-enhanced CT colonography. Eur Radiol 2005; 15:2088-2095 (Pubitemid 41403506)
31. Pickhardt PJ, Kim DH, Meiners RJ, et al. Colorectal and extracolonic cancers detected at screening CT colonography in 10286 asymptomatic adults. Radiology 2010; 255:83-88
32. Lumbreras B, Donat L, Hernández-Aguado I. Incidental findings in imaging diagnostic tests: a systematic review. Br J Radiol 2010; 83:276-289