Universität zu Köln

Sohns, Jan M., Staab, Wieland, Menke, Jan, Bergau, Leonard, Dabir, Darius, Schwarz, Alexander, Spiro, Judith E., Dorenkamp, Marc, Harrison, James L., Steinmetz, Michael, Lotz, Joachim and Sohns, Christian (2014). Vascular and Extravascular Findings on Magnetic Resonance Angiography of the Thoracic Aorta and the Origin of the Great Vessels. J. Magn. Reson. Imaging, 40 (4). S. 988 - 996. HOBOKEN: WILEY. ISSN 1522-2586

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Abstract

Purpose: To investigate the presence of relevant vascular and incidental extravascular findings in patients undergoing magnetic resonance angiography (MRA) of the thoracic aorta and origin of the great vessels. Materials and Methods: In all, 165 consecutive patients (mean age 61612 years) underwent 1.5 T MRA of the thorax. Two researchers identified vascular and incidental extravascular findings. Clinically relevant vascular findings were defined. Extravascular findings were categorized as minor (Group A, without change in patient treatment), intermediate (Group B, unclear clinical relevance, requiring additional investigations), and major (Group C, causing a change in patient treatment). Results: A total of 306 relevant vascular findings were found in our cohort. A total of 397 extravascular findings were observed among the patients and were classified as Group A findings in 81.9% (325/397 findings, observed in 146 of 165 patients), as Group B findings in 15.4% (61/397 findings, observed in 52 of 165 patients), and as Group C in 2.8% of findings (11/397). The clinically relevant Group C findings were observed in 6.7% of patients (11/165), comprising eight previously unknown neoplasms (4.8% of 165), two patients with hemodynamically relevant pericardial effusion (1.2% of 165), and one patient with spondylodiscitis (0.6% of 165) detected by MRA. Conclusion: Relevant vascular and extravascular findings were found in patients referred for thoracic MRA. Most extravascular findings can be categorized by MRA as minor, while others required further diagnostics since they may be malignant or otherwise clinically relevant. (C) 2013 Wiley Periodicals, Inc.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Sohns, Jan M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Staab, Wieland UNSPECIFIED UNSPECIFIED UNSPECIFIED Menke, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Bergau, Leonard UNSPECIFIED UNSPECIFIED UNSPECIFIED Dabir, Darius UNSPECIFIED UNSPECIFIED UNSPECIFIED Schwarz, Alexander UNSPECIFIED UNSPECIFIED UNSPECIFIED Spiro, Judith E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Dorenkamp, Marc UNSPECIFIED UNSPECIFIED UNSPECIFIED Harrison, James L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Steinmetz, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Lotz, Joachim UNSPECIFIED UNSPECIFIED UNSPECIFIED Sohns, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-427623
DOI:	10.1002/jmri.24442
Journal or Publication Title:	J. Magn. Reson. Imaging
Volume:	40
Number:	4
Page Range:	S. 988 - 996
Date:	2014
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1522-2586
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ENHANCED MR-ANGIOGRAPHY; NONCARDIAC FINDINGS; COMPUTED-TOMOGRAPHY; EXTRACARDIAC FINDINGS; CLINICAL-SIGNIFICANCE; INCIDENTAL FINDINGS; CARDIAC CT; PREVALENCE; RESOLUTION; GUIDELINES Multiple languages Radiology, Nuclear Medicine & Medical Imaging Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/42762