Document Detail

Incidental extra-cardiac findings on clinical CMR.
MedLine Citation:
PMID:  22771783     Owner:  NLM     Status:  MEDLINE    
AIMS: Cardiac magnetic resonance (CMR) imaging benefits from a large field of view, but consequently captures incidental extra-cardiac findings (IEFs). There is a relative paucity of data for CMR in this regard. Our objectives were to assess the frequency and significance of IEFs reported from clinically indicated CMR scans, and additionally to ascertain if reporting rates differed between radiologist and cardiologist in a 'real-world' setting.
METHODS AND RESULTS: A total of 714 patients were included for the study. All patients were referred to a single tertiary cardiac unit for clinically indicated scans. The clinical reports were retrospectively reviewed for reported IEF, and classified as 'minor', or 'major' depending on the need of further investigation or clinical correlation. A total of 180 IEFs were reported in 154 (21.6%) patients. Ninety IEFs were considered minor, and 90 major. Of the latter, eight (1.1%) were considered highly significant. Two hundred scans were reported by a consultant radiologist, and 514 by cardiologists. There was no significant difference in the rates of IEF reporting between the two specialties (P = 0.38).
CONCLUSION: IEFs are common, requiring further investigation in a substantial minority. The incidence of highly significant findings in this study was low (∼1%), and similar to the reported incidence in the computed tomography literature. No significant difference was found between the reporting rates of IEFs between different specialties.
Richard Bruce Irwin; Tom Newton; Charles Peebles; Alexander Borg; David Clark; Christopher Miller; Nik Abidin; Melanie Greaves; Matthias Schmitt
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Publication Detail:
Type:  Journal Article     Date:  2012-07-06
Journal Detail:
Title:  European heart journal cardiovascular Imaging     Volume:  14     ISSN:  2047-2412     ISO Abbreviation:  Eur Heart J Cardiovasc Imaging     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-11     Completed Date:  2013-08-01     Revised Date:  2014-03-14    
Medline Journal Info:
Nlm Unique ID:  101573788     Medline TA:  Eur Heart J Cardiovasc Imaging     Country:  England    
Other Details:
Languages:  eng     Pagination:  158-66     Citation Subset:  IM    
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MeSH Terms
Age Distribution
Aged, 80 and over
Cardiovascular Diseases / radiography*
Chi-Square Distribution
Cohort Studies
Follow-Up Studies
Great Britain
Incidental Findings*
Magnetic Resonance Imaging, Cine / methods*
Middle Aged
Retrospective Studies
Risk Assessment
Sex Distribution
Young Adult
Grant Support
DRF-2010-03-98//Department of Health

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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