Radyasyon kaynakları ile çalışan sağlık personelinde abdominal ultrasonografideki insidental bulgular

Öz

Amaç: Bu çalışmada radyasyon kaynakları ile çalışılan departmanlarda görevli sağlık personelinde ultrasonografi ile abdomen bölgesinde saptanan insidental lezyonların ve bu lezyonların klinik öneminin değerlendirilmesi amaçlanmıştır. 

Yöntemler: Radyasyon kaynakları ile çalışılan departmanlarda görevli 52 sağlık çalışanının ultrasonografi raporları hastane rapor kayıt sistemi üzerinden retrospektif olarak değerlendirildi. Elde edilen bulgular anatomik varyant, benign lezyon ve ileri araştırma gerektiren durumlar olarak sınıflandırıldı. 

Bulgular: 19 (%36,53) sağlık çalışanında ultrasonografi incelemeleri tamamen normaldi. 33 (%63,46) personelde lezyon ya da sonopatolojik durum tespit edildi. 13 (%25) çalışanda hepatobilier sistemde, 8 (%15,38) çalışanda genitoüriner sistemde ve 12 (%23,07) çalışanda ise hem genitoüriner hem hepatobilier sistemde bulgu saptandı. 6 ( %11,53 ) çalışanda anatomik varyant, 24 (%46,15) çalışanda benign lezyon veya durum, 26 (%50) çalışanda ise ileri araştırma gerektiren durum tespit edildi. 

Sonuç: Radyasyon kaynakları ile çalışılan departmanlarda görevli sağlık personelinde insidental bulgular yaygın olarak gözlenir. Bu bulguların bir kısmı benign iken önemli bir kısmı araştırılması gereken durumları içerir. Yaygın saptanan insidental bulguların bilinmesi gereksiz endişeyi önlerken, ileri araştırma gerektiren durumlara gerekli önemin verilmesini de sağlar. 

Anahtar Kelimeler

• İnsidental bulgular,Ultrasonografi,Sağlık personeli

Incidental findings at abdominal ultrasonography in health personnel working with radiation sources

Öz

Aim: In this study; we aimed to evaluate the incidental lesions detected by ultrasonography in the abdomen and their clinical trials at health personnel working in departments using radiation sources. 

Methods: Ultrasonography reports on 52 health personnel working in departments using radiation sources were evaluated retrospectively, from the hospital report registry system. The findings were classified as anatomical variant, benign lesions and situations requiring further investigation. 

Results: In 19 (36.53%) of the workers, the ultrasonography was completely normal. In 33 (63.46%) of the workers, lesions or sonopathological conditions were detected. There were incidental findings in 13 (25%) patients in hepatobilier system, 8 (15.38%) patients in genitourinary system and 12 (23.07%) patients in both of them. 6 (11.53%) workers had a anatomic variant, 24 (46.15%) workers had a benign lesion or condition, and 26 (50%) workers required further examination. 

Conclusion: Incidental findings are widespread at health personnel working in departments using radiation sources. Some of the findings were benign, while a significant number of cases required further investigation. Knowing commonly detected lesions prevents unnecessary anxiety, while it can ensure that cases requiring further investigation are considered sufficiently.

Anahtar Kelimeler

• Incidental findings,Ultrasonography,Health personnel

Kaynakça

1. 1. Lantinga MA, Gevers TJG, Drenth JPH. Evaluation of hepatic cystic lesions. World Journal of Gastroenterology. 2013;19(23);3543–54. https://doi.org/10.3748/wjg.v19.i23.3543
2. 2. Patel S, Rajalakshmi BR, Manjunath GV. Histopathologic findings in autopsies with emphasis on interesting and incidental findings-A pathologist’s perspective. Journal of Clinical and Diagnostic Research. 2016;10(11);EC08-EC12. https://doi.org/10.7860/JCDR/2016/21106.8850
3. 3. Wilkins T, Tadkod A, Hepburn I, Schade RR. Nonalcoholic fatty liver disease: diagnosis and management. Am Fam Physician. 2013;88(1);35–42.
4. 4. Yao J, Burns JE. Extracolonic Findings on CT Colonography. Does the Benefit Outweigh the Cost? Academic Radiology. 2013;20(6);665–6. https://doi.org/10.1016/j.acra.2013.03.005
5. 5. Quattrocchi CC, Giona A, Di Martino AC, Errante Y, Scarciolla L, Mallio CA, Zobel BB. Extra-spinal incidental findings at lumbar spine MRI in the general population: a large cohort study. Insights into Imagin. 2013;4(3);301–8. https://doi.org/10.1007/s13244-013-0234-z
6. 6. Paluska TR, Sise MJ, Sack DI, Sise CB, Egan MC, Biondi M. Incidental CT findings in trauma patients: Incidence and implications for care of the injured. Journal of Trauma - Injury, Infection and Critical Care.2007;62(1);157–61. https://doi.org/10.1097/01.ta.0000249129.63550.cc
7. 7. Hitzeman N, Cotton E. Incidentalomas: Initial management. American Family Physician. 2014;90(11);784–89.
8. 8. Berland LL, Silverman SG, Gore RM, Mayo-Smith WW, Megibow AJ, Yee J, Taylor AJ. Managing incidental findings on abdominal CT: White paper of the ACR incidental findings committee. Journal of the American College of Radiology. 2010;7(10);754–73. https://doi.org/10.1016/j.jacr.2010.06.013

9. 9. Taşeva A, Taşev V, Bulanov D, Dimitrov K, Popov V, Zivkov E, Dimitrova V. Diagnosis of liver hemangioma. Khirurgiia (Sofiia). 2013;(3);8-13.
10. 10. Sperry JL, Massaro MS, Collage RD, Nicholas DH, Forsythe RM, Watson GA, Peitzman AB. Incidental radiographic findings after injury: Dedicated attention results in improved capture, documentation, and management. Surgery. 2010;148(4);618–24. https://doi.org/10.1016/j.surg.2010.07.017
11. 11. Sarici IS, Duzgun O. Gallbladder polypoid lesions > 15 mm as indicators of T1b gallbladder cancer risk. Arab Journal of Gastroenterology. 2017;18(3);156-58. https://doi.org/10.1016/j.ajg.2017.09.003
12. 12. Unver DN, Uysal L, Demirci S, Dogan KH, Kolcu G. Accessory spleens at autopsy. Clinical Anatomy.2011;24(6);757-62. https://doi.org/10.1002/ca.2011.04.006