Role of Whole-body MRI in Detection of Incidental Findings and Its Clinical Relevance in Asymptomatic Individuals

Introduction: Whole-body magnetic resonance imaging (WB-MRI) is increasingly used in asymptomatic individuals as part of health checkups due to its comprehensive nature and lack of radiation. It frequently detects incidental findings (IFs), the significance of which can vary from benign to potentially significant conditions. The study aims to evaluate the role of WB-MRI in detecting IFs in asymptomatic individuals and to assess the clinical relevance of these findings. Materials and Methods: A retrospective observational study was conducted on 62 asymptomatic individuals who underwent WB-MRI from November 2023 to April 2024. Findings were categorised by organ system and clinical relevance. Descriptive statistics were performed using Statistical Product and Service Solutions version 28.0 (SPSS v28.0). Results: Among 62 asymptomatic individuals, IFs were identified in multiple organ systems, most commonly in the spine (46.8%), abdomen (41.9%), musculoskeletal system (32.3%) and genitourinary system (24.2%). The majority of IFs were clinically significant: 33.9% required follow-up, 41.9% needed further investigation and 14.5% were potentially significant. Only 9.7% were benign. Conclusion: Our study found that WB-MRI effectively identified a wide range of IFs in asymptomatic individuals, many of which warrant clinical attention. Its role in preventive diagnostics is valuable, though appropriate pathways for follow-up and management are essential.