TY - JOUR
T1 - Noncardiac findings in clinical cardiac magnetic resonance
T2 - Prevalence in 300 examinations after blind reassessment
AU - Secchi, Francesco
AU - Lanza, Ezio
AU - Cannaò, Paola Maria
AU - Petrini, Marcello
AU - Sconfienza, Luca Maria
AU - Sardanelli, Francesco
PY - 2013/5
Y1 - 2013/5
N2 - 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.
AB - 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.
KW - cardiac magnetic resonance (CMR)
KW - heart
KW - incidental findings
KW - magnetic resonance imaging (MRI)
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U2 - 10.1097/RCT.0b013e3182845bdb
DO - 10.1097/RCT.0b013e3182845bdb
M3 - Article
C2 - 23674009
AN - SCOPUS:84878884001
VL - 37
SP - 382
EP - 386
JO - Journal of Computer Assisted Tomography
JF - Journal of Computer Assisted Tomography
SN - 0363-8715
IS - 3
ER -