Noncardiac Findings in Clinical Cardiac Magnetic Resonance: Prevalence in 300 Examinations After Blind Reassessment

被引：2

作者：

Secchi, Francesco ^{[1
]}

Lanza, Ezio ^{[2
]}

Cannao, Paola Maria ^{[2
]}

Petrini, Marcello ^{[3
]}

Sconfienza, Luca Maria ^{[1
,4
]}

Sardanelli, Francesco ^{[1
,4
]}

机构：

[1] IRCCS Policlin San Donato, Unita Radiol, I-20097 Milan, Italy

[2] Univ Milan, Scuola Specializzaz Radiodiagnost, Milan, Italy

[3] Univ Milan, Fac Med & Chirurg, Milan, Italy

[4] Univ Milan, Dipartimento Sci Biomed Salute, Milan, Italy

来源：

JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY | 2013年 / 37卷 / 03期

关键词：

cardiac magnetic resonance (CMR); incidental findings; heart; magnetic resonance imaging (MRI); COMPUTED-TOMOGRAPHY; EXTRACARDIAC FINDINGS; MRI; CT; DIAGNOSIS; PATHOLOGY;

D O I：

10.1097/RCT.0b013e3182845bdb

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Purpose: To assess the prevalence of noncardiac findings (NCFs) in a consecutive series of 300 cardiac magnetic resonance (CMR) studies. Methods: We retrospectively evaluated CMRs of 192 males and 108 females (42 +/- 22 years), comparing findings included in reports to those detected after focused reassessment of CMR images. Noncardiac findings were classified as relevant if additional workup was required. Results: We found 19 NCFs, 14 (4.7%) tagged as nonrelevant and 5 (1.7%) as relevant. Images' reassessment presented 45 NCFs, 26 (8.7%) nonrelevant and 16 (5.3%) relevant (P < 0.003). Conclusions: Cardiac magnetic resonance involves the study of areas larger than the heart alone, and NCFs are found in 1 of 7 patients; more than a half of them are not included in the initial CMR report. A small part is relevant, but detection can be unnecessarily stressful and harmful for patients and could increase costs. Risks of overdiagnosis or underreporting are to be taken into account.

引用

页码：382 / 386

页数：5