Prevalence Of Extracardiac Findings Research Articles

Prevalence of extracardiac findings in patients undergoing coronary computed tomography and additional low-dose whole-body computed tomography.

In patients with suspected coronary artery disease (CAD), coexisting extracardiac abnormalities have a major impact on the patient management. This study aimed to evaluate the image quality of whole-body computed tomography (CT) immediately after the coronary computed tomography angiography (CTA) and investigate the incidence of extracardiac findings in patients with suspected CAD. We enrolled 450 patients undergoing whole-body CT at 100kVp and model-based iterative reconstruction immediately after the coronary CTA (Group A) and retrospectively reviewed 144 control patients who underwent conventional contrast-enhanced CT (120kVp) with filtered back projection (Group B). We compared the signal-to-noise ratio (SNR) of the aorta and liver and radiation dose between the two groups. Then, we evaluated the prevalence of extracardiac findings in Group A. Compared with Group B, Group A demonstrated significantly higher aorta and liver SNR and lower radiation dose. In Group A, whole-body CT revealed 229 coexisting lesions in 165 patients, including 32 and 106 cases of oncologic and vascular diseases, respectively. Additional whole-body CT after coronary CTA may provide adequate image quality. Using additional whole-body CT, 36% of patients with suspected CAD had clinically relevant coexisting findings, including malignancy.

Extracardiac findings at cardiac MR imaging: a single-centre retrospective study over 14years.

To determine the prevalence and significance of extracardiac findings (ECF) in a large set of cardiac magnetic resonance (MR) imaging examinations. The institutional review board (IRB) of the Charité approved this retrospective, single-centre study. A total of 4376 cardiac MR imaging reports of 3553 patients (age 37.4 ± 20years, 60.8 % male) examined from 2000 to 2014 were included. Findings with a recommendation for follow-up were considered "major ECF". To analyse the association of indication, age and gender with ECF, Poisson regression and computed incidence rate ratios (IRR) were evaluated. The overall prevalence of ECF was 34% (95% confidence interval [CI] 32.5-35.6%). Major ECF were present in 3.4% (95% CI 2.9-4.1%) while findings that changed patient management were found in 0.9% (95% CI 0.7-1.3%). In the cases of congenital heart disease, ECF prevalence was higher compared to myocarditis (IRR, 6.0; 95% CI 5.1-7.1%; p < 0.001), while the prevalence of major ECF was lower (IRR, 0.2; 95% CI 0.02-0.51%; p < 0.05). Older patient age was associated with more nonvascular ECF (p < 0.001). Female patients had the same probability of having an ECF as male patients (IRR, 1.04; 95% CI 0.95-1.1%; p = 0.43). ECF in cardiac MR imaging are present in about every third patient while relevant ECF that change patient management can be found in about one out of 100 patients. Our data suggest that it is important to involve well-trained radiologists in reading cardiac MR images, which often reveal ECF if congenital heart disease is the clinical indication. • Extracardiac findings are present in about every third patient. • Relevant ECF changing patient management are found in one out of 100 findings. • Chance of ECF is high in patients with CHD and vascular indications.

Extracardiac Findings on Routine Echocardiographic Examinations

Incidental extracardiac findings (ECFs) have been described and studied in myocardial perfusion imaging, cardiac computed tomography, and cardiac magnetic resonance scanning. The literature is surprisingly limited with regard to ECFs in echocardiography. The aim of this study was to evaluate the prevalence and the clinical significance of ECFs in routine echocardiographic studies. The literature in other cardiovascular modalities was searched to identify and classify ECFs. ECFs in reports of transthoracic and transesophageal echocardiographic studies performed at Temple Health Network between 2009 and 2011 were sought. A sensitivity analysis was performed by reviewing the actual echocardiographic images for a subset of studies (n = 350) to determine the sensitivity and specificity of the results. The electronic medical records of patients with ECFs on echocardiography were then retrospectively reviewed, except for those with pleural effusions and descending aortic atheroma. A total of 41,067 echocardiographic studies performed between September 2008 and September 2011 (39,269 transthoracic and 1,798 transesophageal studies) were screened. Of these studies, 66.5% were performed in the inpatient setting and 33.5% in the outpatient setting. The prevalence of ECFs was 4.4% (1,797 findings) and was constant during the study years. Pleural effusion was the most common ECF on transthoracic echocardiography, while descending aortic atheroma was the most common ECF on transesophageal echocardiography. Detailed chart reviews were performed in all patients with ECFs, except those with pleural effusion and descending aortic atheroma (351 cases). ECFs on echocardiography led to new diagnoses and altered management in the majority of patients with vascular or liver findings. In this large consecutive series, ECFs on echocardiography were relatively uncommon and had variable clinical implications. The majority or ECFs are likely low-risk findings (pleural effusion, ascites, and hiatal hernia) and can be managed conservatively. "Higher risk" findings such as liver abnormalities, inferior vena cava filling defects, mediastinal masses, and descending aortic dilatation frequently lead to significant changes in clinical management. There is a need for uniform reporting, appropriate training, and the establishment of national guidelines for ECFs on echocardiography.

Prevalence of extra-cardiac findings on cardiac MRI

Prevalence of extra-cardiac findings on cardiac MRI

Relevante Nebenbefunde in der Magnetresonanztomographie des Herzens am Beispiel eines Bronchialkarzinoms und eines malignen Lymphoms

Here we consider the prevalence of extracardiac findings in the standard sequences and planning surveys of cardiac MRI. Over a period of 2 years, 363 patients (261 men, 102 women) with different clinical diagnoses were examined by cardiac MRI. The MRI protocol included a planning survey in three planes and standard sequences in long and short axis orientation. A total of 53 extracardiac findings were detected: 1 lymphoma, 1 bronchogenic carcinoma, 1 retroperitoneal hematoma, 1 mediastinal lymphadenopathy, 1 tumor of the adrenal glad, 16 pleural effusions, 14 renal cysts, 12 liver cysts, 2 pulmonary infiltrate, 1 atelectasis, 2 cholecystolithiasis, 1 diaphragmatic elevation, 1 hiatus hernia. Evaluation of the standard sequences and the planning surveys is useful for discovering extracardiac findings in a cardiac MRI and should be carried out routinely.