Frequency of potential causes of lower back pain and incidental findings in patients with suspected sacroiliitis: retrospective analysis of 886 patients with negative sacroiliac MRI examination for sacroiliitis

dc.contributor.authorKaya, Hasan Emin
dc.contributor.authorKerimoglu, Ulku
dc.date.accessioned2024-02-23T14:26:56Z
dc.date.available2024-02-23T14:26:56Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractBackground In a majority of patients with suspected sacroiliitis (SI) who underwent sacroiliac magnetic resonance imaging (MRI), imaging studies may be normal, may depict other causes for pain, or may show clinically irrelevant incidental findings. Purpose To determine the prevalence of possible etiologies other than SI and frequency of incidental findings demonstrated on sacroiliac MRI examinations in a cohort of patients with lower back pain and suspected SI. Material and Methods Sacroiliac MRI examinations of 1421 patients with suspected SI were retrospectively reviewed. In patients without SI findings, other potential causes for lower back pain and incidental findings were documented. Results SI was present in 535 of 1421 patients (37.6%). In 886 of the patients whose MRI studies were negative for SI, other possible causes for lower back pain or incidental findings were seen in 386 (43.5%). The most common musculoskeletal (MSK) finding was lumbosacral transitional vertebra (8.6%) followed by findings suggesting piriformis syndrome (4.2%), spondylosis (3.7%), and sacral insufficiency fractures (1.8%). The most common non-MSK findings were follicular cysts (15.3%) and uterine fibroids (4.9%). Conclusion In patients with suspected SI but negative MRI examinations for SI, some other possible causes for lower back pain and several incidental findings can be seen on imaging. The presence of these findings may explain the patient's symptoms, and awareness of these conditions may be helpful in patient management and individualizing treatment.en_US
dc.identifier.doi10.1177/0284185120968565
dc.identifier.endpage1364en_US
dc.identifier.issn0284-1851
dc.identifier.issn1600-0455
dc.identifier.issue10en_US
dc.identifier.pmid33121265en_US
dc.identifier.scopus2-s2.0-85094654910en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1358en_US
dc.identifier.urihttps://doi.org/10.1177/0284185120968565
dc.identifier.urihttps://hdl.handle.net/20.500.12452/14384
dc.identifier.volume62en_US
dc.identifier.wosWOS:000680254500001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSage Publications Ltden_US
dc.relation.ispartofActa Radiologicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSacroiliitisen_US
dc.subjectMagnetic Resonance Imagingen_US
dc.subjectIncidental Findingsen_US
dc.titleFrequency of potential causes of lower back pain and incidental findings in patients with suspected sacroiliitis: retrospective analysis of 886 patients with negative sacroiliac MRI examination for sacroiliitisen_US
dc.typeArticleen_US

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