<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032024000300198</article-id>
<article-id pub-id-type="doi">10.35366/116825</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hallazgos incidentales en resonancia magnética cerebral y sus implicaciones bioéticas, en pacientes estudiados en el Hospital Angeles Acoxpa]]></article-title>
<article-title xml:lang="en"><![CDATA[Incidental findings in brain magnetic resonance imaging and their bioethical implications in patients studied at the Hospital Angeles Acoxpa]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sandoval Balanzario]]></surname>
<given-names><![CDATA[Miguel Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Blanco]]></surname>
<given-names><![CDATA[María del Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sandoval Olivares]]></surname>
<given-names><![CDATA[Lizbeth Itzel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guillen Samaniego]]></surname>
<given-names><![CDATA[Brian Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Angeles Acoxpa  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Angeles Acoxpa  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital 20 de Noviembre Departamento de Neurocirugía ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Anáhuac Hospital Angeles Acoxpa ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2024</year>
</pub-date>
<volume>22</volume>
<numero>3</numero>
<fpage>198</fpage>
<lpage>202</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032024000300198&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032024000300198&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032024000300198&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  Los hallazgos incidentales los encontramos cada vez con mayor frecuencia. En México no se han discutido sus implicaciones clínicas, bioéticas y legales que representan.  Objetivo:  Describir y discutir los hallazgos incidentales en la resonancia magnética cerebral (RMC), tanto clínica como bioéticamente.  Material y métodos:  Fue un estudio observacional, retrospectivo y transversal, se revisaron expedientes radiológicos realizados en el Hospital Angeles Acoxpa, del 02 enero al 03 de mayo de 2020.  Resultados:  Se revisaron un total de 68 expedientes. La edad varió de 1 a 88 años, con un promedio de 46 para las mujeres y 49 para hombres. Encontramos que en 39 casos (57%) representaron un hallazgo incidental, distribuidos de la siguiente manera: categoría I, sin trascendencia clínica, la encontramos en 23 casos (59%), ejemplo: asas vasculares. Categoría II, hallazgo informable, lo encontramos en nueve casos (23%), ejemplo: Fazekas I-III. Categoría III, hallazgo reportable, lo encontramos en siete casos (18%), ejemplo: hematomas subdurales.  Conclusión:  Se discuten las implicaciones médicas y bioéticas de este problema y se propone una metodología a seguir. a) Los hallazgos incidentales son frecuentes en nuestra serie, los encontramos en 57%. b) En 18% ponen en riesgo la vida.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Incidental findings are occurring more frequently. In Mexico, their clinical, bioethical, and legal implications have not been discussed.  Objective:  To describe and discuss the clinical and bioethical implications of incidental findings in magnetic resonance imaging (MRI).  Material and methods:  This was an observational, retrospective, and cross-sectional study reviewing radiological records conducted at the Hospital Angeles Acoxpa from January 2 to May 3, 2020.  Results:  A total of 68 records were reviewed. The age ranged from 1 to 88 years, averaging 46 for women and 49 for men. We found that 39 cases (57%) represented an incidental finding, distributed as follows: category I, without clinical significance, we found it in 23 cases (59%), for example, vascular loops. Category II, reportable finding: we found it in 9 cases (23%), for example, Fazekas I-III. Category III, reportable finding, was found in seven cases (18%), e.g., subdural hematomas.  Conclusion:  We discuss the medical and bioethical implications of this problem and propose a methodology to follow. a) Incidental findings are frequent in our series; we found them in 57%. b) In 18%, they are life-threatening.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hallazgos incidentales]]></kwd>
<kwd lng="es"><![CDATA[resonancia magnética cerebral]]></kwd>
<kwd lng="es"><![CDATA[tumor cerebral]]></kwd>
<kwd lng="es"><![CDATA[hemorragia cerebral]]></kwd>
<kwd lng="es"><![CDATA[bioética]]></kwd>
<kwd lng="en"><![CDATA[incidental findings]]></kwd>
<kwd lng="en"><![CDATA[brain magnetic resonance imaging]]></kwd>
<kwd lng="en"><![CDATA[brain tumor]]></kwd>
<kwd lng="en"><![CDATA[brain hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[bioethics]]></kwd>
</kwd-group>
</article-meta>
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