Incidental Findings Observed on Magnetic Resonance Imaging of Sacroiliac Joints

Objectives: To investigate the frequency and nature of various incidental findings and their relationship with presence or absence of sacroiliitis, observed on magnetic resonance imaging (MRI) of sacroiliac joints (SIJ). Study Design: Observational study. Place and Duration of Study: Fauji Foundatio...

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Main Author: Aasma Nudrat Zafar , Saqib Qayyum Ahmad
Format: Article
Language:English
Published: Riphah International University, Islamabad 2022-09-01
Series:Journal of Islamic International Medical College
Online Access:https://journals.riphah.edu.pk/index.php/jiimc/article/view/1278
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author Aasma Nudrat Zafar , Saqib Qayyum Ahmad
author_facet Aasma Nudrat Zafar , Saqib Qayyum Ahmad
author_sort Aasma Nudrat Zafar , Saqib Qayyum Ahmad
collection DOAJ
description Objectives: To investigate the frequency and nature of various incidental findings and their relationship with presence or absence of sacroiliitis, observed on magnetic resonance imaging (MRI) of sacroiliac joints (SIJ). Study Design: Observational study. Place and Duration of Study: Fauji Foundation Hospital, Rawalpindi, from January 2018 to March 2021. Materials and Methods: All patients undergoing MRI of SIJ were included except those who could not lie down supine in MR gantry. Data regarding age, gender, MRI findings related to SIJ and other incidental findings were recorded. Frequencies of findings in various groups were compared using chi-square test considering p value of <0.05 as significant. Results: Out of 302 patients, 126 (41.7%) showed incidental findings. Among 201 females, 87 (43.3%), while among 101 males, 39 (38.6%) showed incidental findings (p=0.437, not significant). Sacroiliitis (SI) was seen in 58.7% and 45.5% of females and males respectively (p=0.030, significant). One hundred and sixty-four (54.3%) of 302 patients were grouped as having SI on the basis of MRI while 138 (45.7%) had normal SIJ. In the former group 64 (20.5%) showed at least one incidental finding. Among the latter group, 62 (20.5%) had incidental findings (p= 0.300, not significant). Most common incidental finding was lower lumbar disc degenerative disease (LLDDD), seen in 65 (21.5%) patients. Conclusion: Incidental findings are commonly observed on MRI of SIJ. They were seen overall, in two-fifth of our patients. Incidental findings must be reported, as these can have important clinical implications. There was no significant difference between patients with and without SI with respect to prevalence of incidental findings.
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spelling doaj.art-16904204b58b425c9631eabd331507f92022-12-22T02:34:38ZengRiphah International University, IslamabadJournal of Islamic International Medical College1815-40182410-54222022-09-011731751801674Incidental Findings Observed on Magnetic Resonance Imaging of Sacroiliac JointsAasma Nudrat Zafar , Saqib Qayyum Ahmad0RADIOLOGY DEPARTMENT, FAUJI FOUNDATION HOSPITAL, FAUJI FOUNDATION UNIVERSITY, ISLAMABADObjectives: To investigate the frequency and nature of various incidental findings and their relationship with presence or absence of sacroiliitis, observed on magnetic resonance imaging (MRI) of sacroiliac joints (SIJ). Study Design: Observational study. Place and Duration of Study: Fauji Foundation Hospital, Rawalpindi, from January 2018 to March 2021. Materials and Methods: All patients undergoing MRI of SIJ were included except those who could not lie down supine in MR gantry. Data regarding age, gender, MRI findings related to SIJ and other incidental findings were recorded. Frequencies of findings in various groups were compared using chi-square test considering p value of <0.05 as significant. Results: Out of 302 patients, 126 (41.7%) showed incidental findings. Among 201 females, 87 (43.3%), while among 101 males, 39 (38.6%) showed incidental findings (p=0.437, not significant). Sacroiliitis (SI) was seen in 58.7% and 45.5% of females and males respectively (p=0.030, significant). One hundred and sixty-four (54.3%) of 302 patients were grouped as having SI on the basis of MRI while 138 (45.7%) had normal SIJ. In the former group 64 (20.5%) showed at least one incidental finding. Among the latter group, 62 (20.5%) had incidental findings (p= 0.300, not significant). Most common incidental finding was lower lumbar disc degenerative disease (LLDDD), seen in 65 (21.5%) patients. Conclusion: Incidental findings are commonly observed on MRI of SIJ. They were seen overall, in two-fifth of our patients. Incidental findings must be reported, as these can have important clinical implications. There was no significant difference between patients with and without SI with respect to prevalence of incidental findings.https://journals.riphah.edu.pk/index.php/jiimc/article/view/1278
spellingShingle Aasma Nudrat Zafar , Saqib Qayyum Ahmad
Incidental Findings Observed on Magnetic Resonance Imaging of Sacroiliac Joints
Journal of Islamic International Medical College
title Incidental Findings Observed on Magnetic Resonance Imaging of Sacroiliac Joints
title_full Incidental Findings Observed on Magnetic Resonance Imaging of Sacroiliac Joints
title_fullStr Incidental Findings Observed on Magnetic Resonance Imaging of Sacroiliac Joints
title_full_unstemmed Incidental Findings Observed on Magnetic Resonance Imaging of Sacroiliac Joints
title_short Incidental Findings Observed on Magnetic Resonance Imaging of Sacroiliac Joints
title_sort incidental findings observed on magnetic resonance imaging of sacroiliac joints
url https://journals.riphah.edu.pk/index.php/jiimc/article/view/1278
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