Skip Navigation LinksHome > May/June 2013 - Volume 37 - Issue 3 > Noncardiac Findings in Clinical Cardiac Magnetic Resonance:...
Journal of Computer Assisted Tomography:
doi: 10.1097/RCT.0b013e3182845bdb
Cardiovascular Imaging

Noncardiac Findings in Clinical Cardiac Magnetic Resonance: Prevalence in 300 Examinations After Blind Reassessment

Secchi, Francesco MD*; Lanza, Ezio MD; Cannaò, Paola Maria MD; Petrini, Marcello MD; Sconfienza, Luca Maria MD, PhD; Sardanelli, Francesco MD

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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.

© 2013 by Lippincott Williams & Wilkins



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