{"id":"https://openalex.org/W4408727872","doi":"https://doi.org/10.1111/1754-9485.13853","title":"Imaging of Adrenal Incidentalomas: What Actually Happens in Everyday Clinical Practice?","display_name":"Imaging of Adrenal Incidentalomas: What Actually Happens in Everyday Clinical Practice?","publication_year":2025,"publication_date":"2025-03-21","ids":{"openalex":"https://openalex.org/W4408727872","doi":"https://doi.org/10.1111/1754-9485.13853","pmid":"https://pubmed.ncbi.nlm.nih.gov/40116303"},"language":"en","primary_location":{"id":"doi:10.1111/1754-9485.13853","doi":"https://doi.org/10.1111/1754-9485.13853","is_oa":true,"landing_page_url":"https://doi.org/10.1111/1754-9485.13853","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/1754-9485.13853","source":{"id":"https://openalex.org/S202179756","display_name":"Journal of Medical Imaging and Radiation Oncology","issn_l":"1754-9477","issn":["1754-9477","1754-9485"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","jufo-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Imaging and Radiation Oncology","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W4408727872"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/1754-9485.13853","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103752669","display_name":"Brian Ngo","orcid":"https://orcid.org/0000-0002-7670-8051","observed_orcids":["https://orcid.org/0000-0002-7670-8051"]},"institutions":[{"id":"https://openalex.org/I189966903","display_name":"Northern Health","ror":"https://ror.org/009k7c907","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I189966903"]},{"id":"https://openalex.org/I2800453128","display_name":"Austin Hospital","ror":"https://ror.org/010mv7n52","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2800453128","https://openalex.org/I4210163497"]},{"id":"https://openalex.org/I2802814319","display_name":"Northern Hospital","ror":"https://ror.org/05mjmsc11","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I189966903","https://openalex.org/I2802814319"]},{"id":"https://openalex.org/I4210163497","display_name":"Austin Health","ror":"https://ror.org/05dbj6g52","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I4210163497"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Brian Ngo","raw_affiliation_strings":["Department of Radiology, Austin Health, Heidelberg, Victoria, Australia","Northern Imaging Victoria, Northern Health, Epping, Victoria, Australia"],"raw_orcid":"https://orcid.org/0000-0002-7670-8051","affiliations":[{"raw_affiliation_string":"Department of Radiology, Austin Health, Heidelberg, Victoria, Australia","institution_ids":["https://openalex.org/I2800453128","https://openalex.org/I4210163497"]},{"raw_affiliation_string":"Northern Imaging Victoria, Northern Health, Epping, Victoria, Australia","institution_ids":["https://openalex.org/I189966903","https://openalex.org/I2802814319"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014752118","display_name":"Tracy W. B. Liu","orcid":"https://orcid.org/0000-0003-0671-8390","observed_orcids":["https://orcid.org/0000-0003-0671-8390"]},"institutions":[{"id":"https://openalex.org/I4210109437","display_name":"Footscray Hospital","ror":"https://ror.org/0221nva21","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I4210109437","https://openalex.org/I4210116486"]},{"id":"https://openalex.org/I4210116486","display_name":"Western Health","ror":"https://ror.org/02p4mwa83","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I4210116486"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Tracy Liu","raw_affiliation_strings":["Department of Medical Imaging, Western Health, Footscray, Victoria, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Imaging, Western Health, Footscray, Victoria, Australia","institution_ids":["https://openalex.org/I4210109437","https://openalex.org/I4210116486"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5061980509","display_name":"Eddie W. F. Lau","orcid":"https://orcid.org/0000-0002-1261-7775","observed_orcids":["https://orcid.org/0000-0002-1261-7775"]},"institutions":[{"id":"https://openalex.org/I165779595","display_name":"The University of Melbourne","ror":"https://ror.org/01ej9dk98","country_code":"AU","type":"education","lineage":["https://openalex.org/I165779595"]},{"id":"https://openalex.org/I2800453128","display_name":"Austin Hospital","ror":"https://ror.org/010mv7n52","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2800453128","https://openalex.org/I4210163497"]},{"id":"https://openalex.org/I4210163497","display_name":"Austin Health","ror":"https://ror.org/05dbj6g52","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I4210163497"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Eddie Lau","raw_affiliation_strings":["Department of Radiology, Austin Health, Heidelberg, Victoria, Australia","Department of Radiology, University of Melbourne, Parkville, Victoria, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, Austin Health, Heidelberg, Victoria, Australia","institution_ids":["https://openalex.org/I2800453128","https://openalex.org/I4210163497"]},{"raw_affiliation_string":"Department of Radiology, University of Melbourne, Parkville, Victoria, Australia","institution_ids":["https://openalex.org/I165779595"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5014752118","https://openalex.org/A5061980509","https://openalex.org/A5103752669"],"corresponding_institution_ids":["https://openalex.org/I165779595","https://openalex.org/I189966903","https://openalex.org/I2800453128","https://openalex.org/I2802814319","https://openalex.org/I4210109437","https://openalex.org/I4210116486","https://openalex.org/I4210163497"],"apc_list":{"value":3700,"currency":"USD","value_usd":3700},"apc_paid":null,"fwci":3.1891,"has_fulltext":true,"cited_by_count":5,"citation_normalized_percentile":{"value":0.9088367,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":96},"biblio":{"volume":"69","issue":"3","first_page":"328","last_page":"334"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11054","display_name":"Adrenal and Paraganglionic Tumors","score":0.9150000214576721,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11054","display_name":"Adrenal and Paraganglionic Tumors","score":0.9150000214576721,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11894","display_name":"Radiology practices and education","score":0.02850000001490116,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.01810000091791153,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/adrenal-incidentaloma","display_name":"adrenal incidentaloma","score":0.9850000143051147},{"id":"https://openalex.org/keywords/adrenal-ct","display_name":"adrenal CT","score":0.7940000295639038},{"id":"https://openalex.org/keywords/follow-up-imaging","display_name":"follow-up imaging","score":0.5460000038146973},{"id":"https://openalex.org/keywords/benign-adrenal-lesions","display_name":"benign adrenal lesions","score":0.7099999785423279},{"id":"https://openalex.org/keywords/overuse-of-imaging","display_name":"overuse of imaging","score":0.7419999837875366},{"id":"https://openalex.org/keywords/radiology-reporting","display_name":"radiology reporting","score":0.41499999165534973},{"id":"https://openalex.org/keywords/clinical-audit","display_name":"clinical audit","score":0.4790000021457672},{"id":"https://openalex.org/keywords/adrenal-hypersecretion","display_name":"adrenal hypersecretion","score":0.6370000243186951},{"id":"https://openalex.org/keywords/adrenal-malignancy","display_name":"adrenal malignancy","score":0.7919999957084656}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9814888834953308},{"id":"https://openalex.org/C2779399171","wikidata":"https://www.wikidata.org/wiki/Q1483951","display_name":"Malignancy","level":2,"score":0.6985927820205688},{"id":"https://openalex.org/C2777669169","wikidata":"https://www.wikidata.org/wiki/Q1293395","display_name":"Incidentaloma","level":2,"score":0.6732819080352783},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.6647524237632751},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.5667155385017395},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4630911648273468},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.4340786933898926},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4329512417316437},{"id":"https://openalex.org/C2780084366","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demographics","level":2,"score":0.41249457001686096},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.1856880486011505},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1596662998199463},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000310","descriptor_name":"Adrenal Gland Neoplasms","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014057","descriptor_name":"Tomography, X-Ray Computed","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D017410","descriptor_name":"Practice Guidelines as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019983","descriptor_name":"Guideline Adherence","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D033162","descriptor_name":"Incidental Findings","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1111/1754-9485.13853","doi":"https://doi.org/10.1111/1754-9485.13853","is_oa":true,"landing_page_url":"https://doi.org/10.1111/1754-9485.13853","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/1754-9485.13853","source":{"id":"https://openalex.org/S202179756","display_name":"Journal of Medical Imaging and Radiation Oncology","issn_l":"1754-9477","issn":["1754-9477","1754-9485"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","jufo-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Imaging and Radiation Oncology","raw_type":"journal-article"},{"id":"pmid:40116303","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40116303","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of medical imaging and radiation oncology","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1111/1754-9485.13853","doi":"https://doi.org/10.1111/1754-9485.13853","is_oa":true,"landing_page_url":"https://doi.org/10.1111/1754-9485.13853","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/1754-9485.13853","source":{"id":"https://openalex.org/S202179756","display_name":"Journal of Medical Imaging and Radiation Oncology","issn_l":"1754-9477","issn":["1754-9477","1754-9485"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","jufo-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Imaging and Radiation Oncology","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9789000153541565}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4408727872.pdf","grobid_xml":"https://content.openalex.org/works/W4408727872.grobid-xml"},"referenced_works_count":26,"referenced_works":["https://openalex.org/W1782040626","https://openalex.org/W2079550031","https://openalex.org/W2099038667","https://openalex.org/W2131917875","https://openalex.org/W2133448114","https://openalex.org/W2148626383","https://openalex.org/W2149634606","https://openalex.org/W2154508004","https://openalex.org/W2169264535","https://openalex.org/W2171815806","https://openalex.org/W2400243717","https://openalex.org/W2469640494","https://openalex.org/W2632518954","https://openalex.org/W2729598408","https://openalex.org/W2800329785","https://openalex.org/W2892465795","https://openalex.org/W2942926850","https://openalex.org/W2954206106","https://openalex.org/W2955575829","https://openalex.org/W3012604966","https://openalex.org/W3082540505","https://openalex.org/W4206446171","https://openalex.org/W4240657965","https://openalex.org/W4245699850","https://openalex.org/W4380730833","https://openalex.org/W4385693955"],"related_works":["https://openalex.org/W2167953247","https://openalex.org/W1782040626","https://openalex.org/W2540114374","https://openalex.org/W4235354824","https://openalex.org/W2587489033","https://openalex.org/W7160317733","https://openalex.org/W2632518954","https://openalex.org/W4386151514","https://openalex.org/W2096112919","https://openalex.org/W4408096828"],"abstract_inverted_index":{"INTRODUCTION:":[0],"There":[1],"are":[2,191],"numerous":[3],"guidelines":[4],"offering":[5],"varying":[6],"advice":[7],"on":[8],"the":[9,35,41,44,50,125,136,143,181,237],"management":[10],"of":[11,17,43,55,84,115,145,153,160,164,168,188],"adrenal":[12,38,71,85,117,146,189,232],"incidentalomas.":[13],"The":[14,201],"American":[15],"College":[16],"Radiology":[18,91],"(ACR)":[19],"white":[20,203],"paper":[21,204],"recommends":[22,205],"no":[23,228],"follow-up":[24,52,229],"for":[25,37,142,230],"lesions":[26,154,172,196,233],"with":[27,82,95,135,170,236],"benign":[28,156],"appearances.":[29],"Our":[30],"aim":[31],"was":[32,64],"to":[33,48,77,193,226,249],"audit":[34],"indications":[36],"CT":[39,72],"in":[40,121,133,214,234],"context":[42],"ACR":[45,137,182,202,238],"recommendations":[46,239],"and":[47,53,87,110,240,247],"assess":[49],"long-term":[51],"outcome":[54],"these":[56,207],"incidental":[57,195],"lesions.":[58],"METHODS:":[59],"A":[60,113,185],"retrospective":[61],"cohort":[62],"study":[63,126],"performed":[65,120,192],"identifying":[66],"patients":[67,123,169],"who":[68],"had":[69,155,173],"undergone":[70],"from":[73],"1":[74],"January":[75],"2016":[76],"31":[78],"December":[79],"2018.":[80],"Patients":[81],"symptoms":[83],"hypersecretion":[86],"malignancy":[88],"were":[89,93,119,131,141],"excluded.":[90],"reports":[92],"analysed,":[94],"collected":[96],"data":[97],"also":[98],"including":[99],"patient":[100],"demographics,":[101],"referring":[102],"team,":[103],"lesion":[104],"characteristics,":[105],"radiologist":[106],"recommendations,":[107,138],"biochemical":[108],"tests":[109],"histology.":[111],"RESULTS:":[112],"total":[114],"168":[116],"CTs":[118,129,190],"130":[122],"during":[124],"period.":[127],"88":[128],"(52%)":[130],"not":[132,177,209,219],"accordance":[134,235],"as":[139,150,179,199],"they":[140],"evaluation":[144],"incidentalomas":[147],"previously":[148,197],"characterised":[149,198],"benign.":[151,200],"93%":[152],"imaging":[157,175],"appearances,":[158],"none":[159],"which":[161],"demonstrated":[162],"evidence":[163],"malignant":[165],"transformation.":[166],"70%":[167],"benign-appearing":[171,231],"excess":[174],"deemed":[176],"required":[178],"per":[180],"recommendations.":[183],"CONCLUSION:":[184],"large":[186],"proportion":[187],"evaluate":[194],"that":[206,243],"do":[208,250],"require":[210],"further":[211],"imaging;":[212],"however,":[213],"most":[215],"cases,":[216],"this":[217],"is":[218,245],"being":[220],"followed.":[221],"Radiologists":[222],"should":[223],"be":[224],"encouraged":[225],"recommend":[227],"have":[241],"confidence":[242],"it":[244],"reasonable":[246],"safe":[248],"so.":[251]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2025-03-22T00:00:00"}