Evidence map›Paper›PMID 35525892›Full record

SynthesisActa neurochirurgica2022

Prevalence of incidental intracranial findings on magnetic resonance imaging: a systematic review and meta-analysis.

Divya Elizabeth Sunny, Michael Amoo, Maryam Al Breiki, Elite Dong Wen Teng, Jack Henry, Mohsen Javadpour

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Acta neurochirurgica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Incidental findings from cone-beam computed tomography in children and adolescents: a systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. High-Resolution MRA Cerebrovascular Findings in a Tri-Ethnic Population.AJNR. American journal of neuroradiology · 2024
    Article
  9. Incidental brain tumor findings in children: prevalence, natural history, management, controversies, challenges, and dilemmas.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Review
  10. Review
  11. Article
  12. Meningioma in the elderly.Neuro-oncology advances · 2023
    Article
  13. Article
  14. Review
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

6 authors at 2 institutions in 1 country.

Divya Elizabeth SunnyNational Neurosurgical Centre, Beaumont Hospital, Dublin 9, Ireland.
Michael AmooNational Neurosurgical Centre, Beaumont Hospital, Dublin 9, Ireland. michaelamoo@rcsi.ie.ORCID 0000-0001-6886-6714
Maryam Al BreikiNational Neurosurgical Centre, Beaumont Hospital, Dublin 9, Ireland.
Elite Dong Wen TengNational Neurosurgical Centre, Beaumont Hospital, Dublin 9, Ireland.
Jack HenryNational Neurosurgical Centre, Beaumont Hospital, Dublin 9, Ireland.ORCID 0000-0001-5662-198X
Mohsen JavadpourNational Neurosurgical Centre, Beaumont Hospital, Dublin 9, Ireland. mjavadpour@rcsi.ie.ORCID 0000-0001-9836-1741
University College Dublin · IERoyal College of Surgeons in Ireland · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs the volume and fidelity of magnetic resonance imaging (MRI) of the brain increase, observation of incidental findings may also increase. We performed a systematic review and meta-analysis to determine the prevalence of various incidental findings.

methodsPubMed/MEDLINE, EMBASE and SCOPUS were searched from inception to May 24, 2021. We identified 6536 citations and included 35 reports of 34 studies, comprising 40,777 participants. A meta-analysis of proportions was performed, and age-stratified estimates for each finding were derived from age-adjusted non-linear models.

resultsVascular abnormalities were observed in 423/35,706 participants (9.1/1000 scans, 95%CI 5.2-14.2), ranging from 2/1000 scans (95%CI 0-7) in 1-year-olds to 16/1000 scans (95%CI 1-43) in 80-year-olds. Of these, 204/34,306 were aneurysms (3.1/1000 scans, 95%CI 1-6.3), which ranged from 0/1000 scans (95%CI 0-5) at 1 year of age to 6/1000 scans (95%CI 3-9) at 60 years. Neoplastic abnormalities were observed in 456/39,040 participants (11.9/1000 scans, 95%CI 7.5-17.2), ranging from 0.2/1000 scans (95%CI 0-10) in 1-year-olds to 34/1000 scans (95%CI 12-66) in 80-year-olds. Meningiomas were the most common, in 246/38,076 participants (5.3/1000 scans, 95%CI 2.3-9.5), ranging from 0/1000 scans (95%CI 0-2) in 1-year-olds to 17/1000 scans (95%CI 4-37) in 80-year-olds. Chiari malformations were observed in 109/27,408 participants (3.7/1000 scans, 95%CI 1.8-6.3), pineal cysts in 1176/32,170 (9/1000 scans, 95%CI 1.8-21.4) and arachnoid cysts in 414/36,367 (8.5/1000 scans, 95%CI 5.8-11.8).

conclusionIncidental findings are common on brain MRI and may result in substantial resource expenditure and patient anxiety but are often of little clinical significance.

Indexed as

Brain NeoplasmsIncidental FindingsChildHumansMagnetic Resonance ImagingMagnetic Resonance SpectroscopyPrevalenceAneurysmIncidental findingIncidentalomaMagnetic resonance imagingMRI

Identifiers

PMID35525892
PMCPMC9519720
OpenAlexW4229334436

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.