Dr Finestone points out in his letter some of the complexity inherent to incidental findings (IFs) in general. We share Dr Finestone's concern for patient safety, and this largely motivated the initial undertaking of our study.1 However, we would like to clarify a few points from our article.
First, our study did not examine IFs discovered as a part of clinical practice or screening examinations, as implied by Dr Finestone. Rather our study consisted of IFs discovered only during imaging used as a part of research in institutional review board–approved studies, eg, new imaging methods or routine imaging methods in a new clinical setting.
Orme NM, Fletcher JG, Siddiki HA, Harmsen WS, O’Byrne MM, Port JD, Tremaine WJ, Pitot HC, McFarland B, Robinson ME, Koenig BA, King BF. Another Point of View—Reply. Arch Intern Med. 2011;171(7):702-710. doi:10.1001/archinternmed.2011.120