Cardiac magnetic resonance: Impact on diagnosis and management of patients with congenital cardiovascular disease

F. Secchi, G. Di Leo, G. D E Papini, V. G. Nardella, D. Negura, M. Carminati, F. Sardanelli

Research output: Contribution to journalArticle

Abstract

Aim: To estimate the clinical impact of cardiac magnetic resonance (CMR) in patients with congenital cardiovascular disease (CCD). Materials and methods: Since 2003, 1.5 T CMR was used at our university hospital to evaluate morphology, cardiac kinetics, aortic and pulmonary flow, and vascular anatomy in patients with CCD. The present study considered a consecutive series of these patients from 2003 to 2006. A paediatric cardiologist judged our reports as expected or unexpected and, secondarily, as not reliable (level 0), describing findings already known (level 1), not changing therapy/suggested lifestyle (level 2), changing therapy/suggested lifestyle (level 3) or changing diagnosis (level 4). Results: CMR reports were judged to be expected in 187/214 (87%) and unexpected in 27/214 (13%). Less than 2% of CMRs were judged as levels 0 or 1, 66% as level 2, and 5% as level 4. During 2005-2006 the clinical impact improved toward higher impact levels (p <0.001, chi-square test). Conclusions: In patients with CCD, more than one in 10 CMR reports were unexpected to cardiologists and over seven in 10 prompted a change of diagnosis or therapy.

Original languageEnglish
Pages (from-to)720-725
Number of pages6
JournalClinical Radiology
Volume66
Issue number8
DOIs
Publication statusPublished - Aug 2011

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Cardiovascular Diseases
Magnetic Resonance Spectroscopy
Life Style
Chi-Square Distribution
Blood Vessels
Anatomy
Therapeutics
Pediatrics
Lung
Cardiologists

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Cardiac magnetic resonance : Impact on diagnosis and management of patients with congenital cardiovascular disease. / Secchi, F.; Di Leo, G.; Papini, G. D E; Nardella, V. G.; Negura, D.; Carminati, M.; Sardanelli, F.

In: Clinical Radiology, Vol. 66, No. 8, 08.2011, p. 720-725.

Research output: Contribution to journalArticle

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AU - Negura, D.

AU - Carminati, M.

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