The prevalence of adrenal incidentaloma in routine clinical practice.

Hdl Handle:
http://hdl.handle.net/10147/207098
Title:
The prevalence of adrenal incidentaloma in routine clinical practice.
Authors:
Davenport, Colin; Liew, Aaron; Doherty, Bryan; Win, Htet Htet N; Misran, Hafiza; Hanna, Sarah; Kealy, David; Al-Nooh, Fatima; Agha, Amar; Thompson, Christopher J; Lee, Michael; Smith, Diarmuid
Affiliation:
Department of Diabetes and Endocrinology, Royal College of Surgeons in Ireland, Medical School, Beaumont Hospital, Dublin 9, Ireland. drcdavenport@gmail.com
Citation:
Endocrine. 2011 Aug;40(1):80-3. Epub 2011 Mar 10.
Journal:
Endocrine
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207098
DOI:
10.1007/s12020-011-9445-6
PubMed ID:
21547511
Abstract:
The prevalence of adrenal incidentaloma (AI) on computed tomography (CT) in the general population has been reported to be as high as 4.2%. However, many of the previous studies in this field utilised a prospective approach with analysis of CT scans performed by one or more radiologists with a specialist interest in adrenal tumours and a specific focus on identifying the presence of an adrenal mass. A typical radiology department, with a focus on the patient's presenting complaint as opposed to the adrenal gland, may not be expected to diagnose as many adrenal incidentalomas as would be identified in a dedicated research protocol. We hypothesised that the number of AI reported in routine clinical practice is significantly lower than the published figures would suggest. We retrospectively reviewed the reports of all CT thorax and abdomen scans performed in our hospital over a 2 year period. 3,099 patients underwent imaging, with 3,705 scans performed. The median age was 63 years (range 18-98). Thirty-seven true AI were diagnosed during the time period studied. Twenty-two were diagnosed by CT abdomen (22/2,227) and 12 by CT thorax (12/1,478), a prevalence of 0.98 and 0.81% with CT abdomen and thorax, respectively, for AI in routine clinical practice.
Language:
eng
ISSN:
1559-0100 (Electronic); 1355-008X (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorDavenport, Colinen_GB
dc.contributor.authorLiew, Aaronen_GB
dc.contributor.authorDoherty, Bryanen_GB
dc.contributor.authorWin, Htet Htet Nen_GB
dc.contributor.authorMisran, Hafizaen_GB
dc.contributor.authorHanna, Sarahen_GB
dc.contributor.authorKealy, Daviden_GB
dc.contributor.authorAl-Nooh, Fatimaen_GB
dc.contributor.authorAgha, Amaren_GB
dc.contributor.authorThompson, Christopher Jen_GB
dc.contributor.authorLee, Michaelen_GB
dc.contributor.authorSmith, Diarmuiden_GB
dc.date.accessioned2012-02-01T09:59:11Z-
dc.date.available2012-02-01T09:59:11Z-
dc.date.issued2012-02-01T09:59:11Z-
dc.identifier.citationEndocrine. 2011 Aug;40(1):80-3. Epub 2011 Mar 10.en_GB
dc.identifier.issn1559-0100 (Electronic)en_GB
dc.identifier.issn1355-008X (Linking)en_GB
dc.identifier.pmid21547511en_GB
dc.identifier.doi10.1007/s12020-011-9445-6en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207098-
dc.description.abstractThe prevalence of adrenal incidentaloma (AI) on computed tomography (CT) in the general population has been reported to be as high as 4.2%. However, many of the previous studies in this field utilised a prospective approach with analysis of CT scans performed by one or more radiologists with a specialist interest in adrenal tumours and a specific focus on identifying the presence of an adrenal mass. A typical radiology department, with a focus on the patient's presenting complaint as opposed to the adrenal gland, may not be expected to diagnose as many adrenal incidentalomas as would be identified in a dedicated research protocol. We hypothesised that the number of AI reported in routine clinical practice is significantly lower than the published figures would suggest. We retrospectively reviewed the reports of all CT thorax and abdomen scans performed in our hospital over a 2 year period. 3,099 patients underwent imaging, with 3,705 scans performed. The median age was 63 years (range 18-98). Thirty-seven true AI were diagnosed during the time period studied. Twenty-two were diagnosed by CT abdomen (22/2,227) and 12 by CT thorax (12/1,478), a prevalence of 0.98 and 0.81% with CT abdomen and thorax, respectively, for AI in routine clinical practice.en_GB
dc.language.isoengen_GB
dc.titleThe prevalence of adrenal incidentaloma in routine clinical practice.en_GB
dc.contributor.departmentDepartment of Diabetes and Endocrinology, Royal College of Surgeons in Ireland, Medical School, Beaumont Hospital, Dublin 9, Ireland. drcdavenport@gmail.comen_GB
dc.identifier.journalEndocrineen_GB
dc.description.provinceLeinster-

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