Universität zu Köln

Sohns, Jan Martin, Schwarz, Alexander, Menke, Jan, Staab, Wieland, Spiro, Judith Eva, Lotz, Joachim and Unterberg-Buchwald, Christina (2014). Prevalence and Clinical Relevance of Extracardiac Findings at Cardiac MRI. J. Magn. Reson. Imaging, 39 (1). S. 68 - 77. HOBOKEN: WILEY-BLACKWELL. ISSN 1522-2586

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Abstract

PurposeTo assess the incidence of extracardiac findings in patients undergoing clinical cardiac magnetic resonance imaging (CMRI) of the heart, and to determine the influence of those findings on patient management. Materials and MethodsDuring 40 months, 854 CMRI were performed at 1.5 T. Extracardiac findings were classified as significant (group A), if recommended for additional diagnostics or therapeutic interventions, and as nonsignificant (group B). ResultsThe most frequent indication for CMRI was evaluation of cardiac stress ischemia. In all, 631 CMRI (74% of 854) showed no extracardiac pathologies. In the remaining 223 CMRI (26% of 854), a total of 286 extracardiac findings were detected. Among these findings, 49 were considered significant (group A) and 237 nonsignificant (group B). In group A, the most common findings were suspicious pulmonary nodules or masses. In group B, the most frequent findings were hepatic cysts or hemangiomas. Eight malignancies were observed with certainty at CMRI. Seven of them had been incidentally diagnosed on CMRI for the first time, and subsequently changed the patients' management. ConclusionExtracardiac findings in clinically indicated CMRI are common (about 26%). Radiologists and cardiologists should be aware of relevant extracardiac findings that might require additional diagnostics or treatment. J. Magn. Reson. Imaging 2014;39:68-76. (c) 2013 Wiley Periodicals, Inc.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Sohns, Jan Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Schwarz, Alexander UNSPECIFIED UNSPECIFIED UNSPECIFIED Menke, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Staab, Wieland UNSPECIFIED UNSPECIFIED UNSPECIFIED Spiro, Judith Eva UNSPECIFIED UNSPECIFIED UNSPECIFIED Lotz, Joachim UNSPECIFIED UNSPECIFIED UNSPECIFIED Unterberg-Buchwald, Christina UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-451619
DOI:	10.1002/jmri.24142
Journal or Publication Title:	J. Magn. Reson. Imaging
Volume:	39
Number:	1
Page Range:	S. 68 - 77
Date:	2014
Publisher:	WILEY-BLACKWELL
Place of Publication:	HOBOKEN
ISSN:	1522-2586
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CARDIOVASCULAR MAGNETIC-RESONANCE; MULTIDETECTOR COMPUTED-TOMOGRAPHY; FIELD-OF-VIEW; INCIDENTAL FINDINGS; NONCARDIAC FINDINGS; ATRIAL-FIBRILLATION; ENHANCEMENT; ANGIOGRAPHY; GUIDELINES; ACCURACY Multiple languages Radiology, Nuclear Medicine & Medical Imaging Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/45161