{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T13:32:19Z","timestamp":1782826339182,"version":"3.54.5"},"reference-count":31,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T00:00:00Z","timestamp":1670976000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215122002596_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>Magnetic resonance imaging of the internal auditory meatus is a highly sensitive and specific way to diagnose vestibular schwannoma. However, the rate of incidental findings with this method is believed to be high and can lead to increased patient anxiety and health interventions with unclear benefit.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122002596_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>A systematic review of the literature was performed using the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines to identify incidental findings from magnetic resonance imaging of the internal auditory meatus; 12 studies were identified for inclusion within this review.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122002596_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>A total of 10 666 patients were included within the review. The overall rate of diagnosis of vestibular schwannoma was 0.87 per cent; 21 per cent of the study population had incidental findings on magnetic resonance imaging of the internal auditory meatus, and 9.56 per cent had clinically significant incidental findings.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122002596_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Standardised pre-scan counselling may mitigate the risks of overdiagnosis, but future work should be undertaken to assess the benefits of such a strategy as well as the exact significance of some incidental findings.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215122002596","type":"journal-article","created":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T07:21:29Z","timestamp":1671002489000},"page":"1215-1221","source":"Crossref","is-referenced-by-count":2,"title":["Incidental findings on magnetic resonance imaging of the internal auditory meatus for vestibular schwannoma: a systematic review"],"prefix":"10.1017","volume":"137","author":[{"given":"P","family":"Sooby","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"X","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1637-1661","authenticated-orcid":false,"given":"G","family":"Kontorinis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,12,14]]},"reference":[{"key":"S0022215122002596_ref14","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h5190"},{"key":"S0022215122002596_ref16","doi-asserted-by":"publisher","DOI":"10.1186\/s40779-020-00238-8"},{"key":"S0022215122002596_ref3","doi-asserted-by":"publisher","DOI":"10.1017\/S002221512100150X"},{"key":"S0022215122002596_ref12","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa070972"},{"key":"S0022215122002596_ref21","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2015.142"},{"key":"S0022215122002596_ref10","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6815-10-6"},{"key":"S0022215122002596_ref23","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215121001845"},{"key":"S0022215122002596_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/cjn.2020.87"},{"key":"S0022215122002596_ref25","first-page":"1625","article-title":"A method for using MR to evaluate the effects of cardiovascular disease on the brain: the cardiovascular health study","volume":"15","author":"Bryan","year":"1994","journal-title":"ANJR Am J Neuroradiol"},{"key":"S0022215122002596_ref27","first-page":"33","article-title":"The prevalence and significance of incidental paranasal sinus abnormalities on MRI","volume":"38","author":"Tarp","year":"2000","journal-title":"Rhinology"},{"key":"S0022215122002596_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215121002243"},{"key":"S0022215122002596_ref13","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.202.1.8988190"},{"key":"S0022215122002596_ref30","doi-asserted-by":"publisher","DOI":"10.1016\/S1081-1206(10)62000-5"},{"key":"S0022215122002596_ref31","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215106003367"},{"key":"S0022215122002596_ref11","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.1.36"},{"key":"S0022215122002596_ref22","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k4577"},{"key":"S0022215122002596_ref24","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-198702000-00004"},{"key":"S0022215122002596_ref26","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.70.1.9"},{"key":"S0022215122002596_ref4","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2005.103.1.0059"},{"key":"S0022215122002596_ref15","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"S0022215122002596_ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-010-1237-8"},{"key":"S0022215122002596_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13199"},{"key":"S0022215122002596_ref7","unstructured":"7 NICE. Recommendations. Hearing loss in adults: assessment and management. In: https:\/\/www.nice.org.uk\/guidance\/ng98\/chapter\/recommendations [23 May 2023]"},{"key":"S0022215122002596_ref17","doi-asserted-by":"crossref","first-page":"41","DOI":"10.4103\/0971-7749.152861","article-title":"Incidental findings on magnetic resonance imaging in patients with tinnitus","volume":"21","author":"Kalsotra","year":"2015","journal-title":"Indian J Otol"},{"key":"S0022215122002596_ref28","doi-asserted-by":"publisher","DOI":"10.3126\/ajms.v5i3.9929"},{"key":"S0022215122002596_ref29","doi-asserted-by":"crossref","first-page":"165","DOI":"10.4103\/smj.smj_59_20","article-title":"Incidental sinus findings in brain MRI for suspected intracranial disease","volume":"24","author":"Ikubor","year":"2021","journal-title":"Sahel Med J"},{"key":"S0022215122002596_ref9","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000279"},{"key":"S0022215122002596_ref5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1994.tb01137.x"},{"key":"S0022215122002596_ref18","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215116009579"},{"key":"S0022215122002596_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.joto.2017.08.002"},{"key":"S0022215122002596_ref20","doi-asserted-by":"publisher","DOI":"10.1258\/0022215001904077"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215122002596","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T09:42:18Z","timestamp":1728553338000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215122002596\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,14]]},"references-count":31,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["S0022215122002596"],"URL":"https:\/\/doi.org\/10.1017\/s0022215122002596","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,14]]}}}