Noncardiac findings in clinical cardiac magnetic resonance: Prevalence in 300 examinations after blind reassessment

Francesco Secchi, Ezio Lanza, Paola Maria Cannaò, Marcello Petrini, Luca Maria Sconfienza, Francesco Sardanelli

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)382-386
Number of pages5
JournalJournal of Computer Assisted Tomography
Volume37
Issue number3
DOIs
Publication statusPublished - May 2013

Keywords

  • cardiac magnetic resonance (CMR)
  • heart
  • incidental findings
  • magnetic resonance imaging (MRI)

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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