Evidence map›Paper›PMID 33156721›Full record

ArticleThe British journal of radiology2021

Incidental findings associated with magnetic resonance imaging of the brachial plexus.

Antonia R Perumal, Ugonna Angel Anyamele, Rayna K Bhogal, Gordon McCauley, Irvin Teh, Grainne Bourke, James J Rankine, Ryckie George Wade

Open access · greenAbstract read
In one paragraph

Article in The British journal of radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 78% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Antonia R PerumalFaculty of Medicine and Health Sciences, University of Leeds, Leeds, UK.ORCID https://orcid.org/0000-0001-5550-6349
Ugonna Angel AnyameleFaculty of Medicine and Health Sciences, University of Leeds, Leeds, UK.ORCID https://orcid.org/0000-0002-6477-0149
Rayna K BhogalFaculty of Medicine and Health Sciences, University of Leeds, Leeds, UK.ORCID https://orcid.org/0000-0001-8944-7981
Gordon McCauleyFaculty of Medicine and Health Sciences, University of Leeds, Leeds, UK.ORCID https://orcid.org/0000-0001-8675-8258
Irvin TehLeeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.ORCID https://orcid.org/0000-0002-6705-3129
Grainne BourkeFaculty of Medicine and Health Sciences, University of Leeds, Leeds, UK.ORCID https://orcid.org/0000-0003-0059-8543
James J RankineDepartment of Radiology, Leeds Teaching Hospitals Trust, Leeds, UK.ORCID https://orcid.org/0000-0002-5851-5993
Ryckie George WadeDepartment of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals Trust, Leeds, UK.ORCID https://orcid.org/0000-0001-8365-6547
University of Leeds · GBLeeds Teaching Hospitals NHS Trust · GB

Funding

Department of Health DRF-2018-11-ST2-028
6 · The paper itself

Abstract

objectiveThe identification and management of incidental findings is becoming increasingly problematic, particularly in relation to brachial plexus imaging because the prevalence is unknown. Therefore, we aimed to estimate the prevalence of incidental findings in symptomatic patients undergoing MRI of the brachial plexus.

methodsThis retrospective cohort study included all children and adults who underwent MRI over a 12-year period, in a tertiary care centre in the UK. An incidental finding was any abnormality which was not a direct injury to or disease-process of the brachial plexus. An "incidentaloma" was defined by the need for further investigation or treatment. Multivariable logistic regression was used to estimate the odds ratio (OR) of an "incidentaloma". To estimate which factors were associated with the incident rate ratio (IRR) of incidental findings, multivariable Poisson regression was used.

resultsOverall, 502 scans (72%) reported incidental anomalies. Although the number of MRIs performed per annum increased by 23%, the prevalence of "incidentalomas" remained static (

conclusionsThe prevalence of clinically important incidental findings on brachial plexus MRI is lower than organ-specific imaging, but still 18% of scans identified an 'incidentaloma' which required further investigation or treatment. ADVANCES IN KNOWLEDGE: This cohort study shows that approximately 1 in 5 symptomatic patients undergoing a brachial plexus MRI had a clinically important incidental findings, which required further investigation or treatment. This information can be used to inform patients consenting to clinical or research imaging.

Indexed as

Incidental FindingsAdultBrachial PlexusBrachial Plexus NeuropathiesCohort StudiesFemaleHumansMagnetic Resonance ImagingMaleRetrospective Studies

Identifiers

PMID33156721
PMCPMC7774680
OpenAlexW3095658156

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.