Impact of Extracardiac Findings during Cardiac MR on Patient Management and Outcome
| Autor: | Xavier Boulanger, Reto Meuli, Pierre Monney, Heloise Barras, Juerg Schwitter, Salah D. Qanadli, Vincent Dunet, Catherine Beigelman-Aubry |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Lung Diseases Male medicine.medical_specialty Adolescent Population Young Adult Clinical Research Internal medicine Humans Medicine Single-Blind Method Prospective Studies Young adult Child education Prospective cohort study Survival analysis Aged Aged 80 and over Incidental Findings education.field_of_study medicine.diagnostic_test business.industry Liver Diseases Myocardium Disease Management Infant Magnetic resonance imaging Imaging study General Medicine Middle Aged Magnetic Resonance Imaging Survival Analysis Patient management Surgery Hospitalization Cardiac Imaging Techniques Treatment Outcome Child Preschool Female Kidney Diseases/diagnosis Kidney Diseases/pathology Liver Diseases/diagnosis Liver Diseases/pathology Lung Diseases/diagnosis Lung Diseases/pathology Myocardium/pathology Spinal Diseases/diagnosis Spinal Diseases/pathology cardiovascular system Population study Kidney Diseases Spinal Diseases business |
| Zdroj: | Medical Science Monitor : International Medical Journal of Experimental and Clinical Research Medical science monitor, vol. 21, pp. 1288-1296 |
| ISSN: | 1643-3750 |
| DOI: | 10.12659/msm.893599 |
| Popis: | Background Cardiac magnetic resonance (CMR) is increasingly used to assess heart diseases. Relevant non-cardiac diseases may also be incidentally found on CMR images. The aim of this study was to determine the prevalence and nature of incidental extra-cardiac findings (IEF) and their clinical impact in non-selected patients referred for CMR. Material/Methods MR images of 762 consecutive patients (515 men, age: 56±18 years) referred for CMR were prospectively interpreted by 2 radiologists blinded for any previous imaging study. IEFs were classified as major when requiring treatment, follow-up, or further investigation. Clinical follow-up was performed by checking hospital information records and by calling referring physicians. The 2 endpoints were: 1) non-cardiac death and new treatment related to major IEFs, and 2) hospitalization related to major IEFs during follow-up. Results Major IEFs were proven in 129 patients (18.6% of the study population), 14% of those being unknown before CMR. During 15±6 month follow-up, treatment of confirmed major IEFs was initiated in 1.4%, and no non-cardiac deaths occurred. Hospitalization occurred in 8 patients (1.0% of the study population) with confirmed major IEFs and none occurred in the remaining 110 patients with unconfirmed/unexplored major IEFs (p |
| Databáze: | OpenAIRE |
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