“ROLE OF UNENHANCED COMPUTED TOMOGRAPHY KIDNEY, URETER, BLADDER (CT KUB) IN THE DIAGNOSIS OF INCIDENTAL FINDINGS”
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Keywords
Incidental Findings, Genitourinary, Non-genitourinary, Gynecological, Gastrointestinal
Abstract
Introduction: Incidental findings refer to results that are irrelevant to the actual purpose of performing a diagnostic assessment. The superiority of Unenhanced Computed Tomography is that detects ureteral stones, identifies extra-urinary abnormalities, and does not require intravenous contrast.
Objectives: The objective of the study is to better understand the role of Unenhanced CT while evaluating the detection of incidental findings and to determine the medical importance of incidental findings.
Material and Method: From March 2023 to August 2023, a cross-sectional study with consecutive sampling was conducted in the radiology department of the tertiary care hospital Hayatabad Medical Complex Peshawar, Pakistan. The Institutional Research and Ethics Review Board (IREB) of the Hayatabad Medical Complex Peshawar, Pakistan gave its clearance for the study. Participants' ages ranged from 20 to 70.
Results: Of the total 320 patients, 48 (15%) patients had Incidental findings of which 30 were males and 18 were females.19 patients included the genitourinary, 28 the non-genitourinary, and 1 had both the genitourinary and non-genitourinary Incidental findings. The most frequent genitourinary findings were renal cyst 7. In contrast, the most common non-genitourinary findings were appendicitis 5, which was shown to happen most frequently in those between the ages of 20 to 29. The most affected age group was 30 to 39. ER Physician 31 sent the majority of patients to CT KUB, as compared to Urologists.
Conclusion: The number of incidental findings found by MDCT during the KUB examination for possible kidney stones was much higher than that reported in other study papers. Unenhanced computed tomography is a successful tool for identifying incidental findings and has an immense effect on how patients are managed. Radiology technologists and radiologists' knowledge, skills, and genuine interest play a critical role in diagnosing abnormalities other than kidney stones.
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Abdul Salam
Department of Radiology, College of Medical Technology Bacha Khan Medical College (BKMC), Mardan - Pakistan
Girma Abdeta Bogale
Department of Medical Imaging, First Affiliate Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi - PR China
Dr. Qasim Yousaf
Consultant Radiologist, Amina Anayat Medical College, Lahore - Pakistan
Sahar Ashraf
Woman Medical Officer, Gujranwala Medical College Teaching Hospital Gujranwala - Pakistan
Dr Amjad Ali Shah
Assistant Professor of Surgery, Northwest General Hospital and School of Medicine Peshawar - Pakistan
Abdul Wadood
Clinical Technologist Radiology, Hayatabad Medical Complex (HMC) Peshawar – Pakistan
Nazifa Tahseen
Department of Biochemistry and Molecular Biology, Tianjin Medical University, Tianjin - China
Kazim Ali
THz Technical Research Center of Shenzhen University, Key Laboratory of Optoelectronic
Kinza Fatima
MS(Candidate), National Center for Nanoscience and Technology, Chinese Academy of Sciences, Beijing - China
Md Ariful Haque
Department of Orthopaedic Surgery, Yan’an Hospital Affiliated to Kunming Medical University, Kunming, Yunnan - China.
Ayesha Malik
Lecturer Department of Radiology, Pakistan Institute of Medical and Management Sciences, Peshawar - Pakistan
Muhammad Hashim Khan
Department of Cardiology, College of Medical Technology, Bacha Khan Medical College (BKMC), Mardan - Pakistan