Prevalence of incidental benign and malignant lesions on radiographs ordered by orthopaedic surgeons
Journal of the American Academy of Orthopedic Surgeons Apr 17, 2020
Velasco BT, et al. - The number of incidental findings reported from orthopaedic radiographs ordered were tested in an academic orthopaedic multispecialty group over 1 year. Researchers conducted a retrospective review including a total of 13,948 eligible radiographs at the institution over a 12-month period. They classified reports based on examination type. They classified incidental findings as having concern for possible malignancy versus likely benign conditions. They further subdivided possibly malignant findings into either bone or lung malignancies. Via etiology and anatomic location, the benign findings were subcategorized. The finding suggested that axial radiographs such as of the spine and pelvis are more likely to report an incidental finding as opposed to appendicular radiographs of distal extremities.They recommended additional diagnostic workup with focused imaging. This is beneficial information for orthopaedic surgeons who read their own radiographs (without formal radiologist interpretation) to grow awareness of common, concerning incidental findings that may be missed and warrant additional follow-up.
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