A major teaching hospital of Harvard Medical School. Non-Cardiovascular Findings on CMR. Marty Smith M.D. Instructor in Radiology Beth Israel Deaconess Medical Center Harvard Medical School Boston, MA. Objectives.
Marty Smith M.D.
Instructor in Radiology
Beth Israel Deaconess Medical Center
Harvard Medical School
Imaged volume – Base of Neck → Kidneys
Base of Neck - Thyroid, parathyroid, trachea, esophagus, muscles, vertebral bodies, lymph nodes, nerves, fat
Dewey M, et al. Non-cardiac findings on coronary computed tomography and magnetic resonance imaging.Eur Radiol 2007 Feb 1; [Epub ahead of print].
Of 108 pts.
Dewey at al. Eur Radiol 2007
Conclusion: Incidental NCF are common; images should be analyzed by radiologists to ensure findings not missed & unnecessary follow-up avoided.
1 Onuma Y, et al. J Am Coll Cardiol 2006 2 Haller S, et al. AJR Am J Roentgenol; 2006
3 Horton KM, et al. Circulation 2002 4 Hunold P, et al. Eur Heart J 2001
1 Chan PG, etal. JACC 2009
Benign: Gynecomastia (41), HH (22), Renal Cyst (17), Liver cyst/hemangioma (16), Scoliosis (11), Mediastinal LAN <1.5 cm (10), Other (27)
Indeterminate:Pleural effusion (29), Renal lesion (27), Atelectasis (11), Mediastinal LAN >1.5 cm (11), Lung consolidation (7), Big HH (6), Liver lesion (6), Other (40)
Worrisome:Lung nodules (11), Aortic dissection (1), Aortic ulcer (1), Mediastinal mass (1)
* No online medical record information currently available for pts with 16 findings
** No online medical record information currently available for pts with 7 findings
Management changing findings in 11 pts:
Chan PG, Rofsky NM, Yeon SB, Hauser TH, Appelbaum E, Smith MP, Manning WJ. Non-cardiac pathology on clinical cardiac magnetic resonance imaging. Accepted for publication in JACC Cardiovascular Imaging 2009.
Dewey M, Schnapauff D, Teige F, Hamm B. Non-cardiac findings on coronary computed tomography and magnetic resonance imaging. Eur Radiol 2007 Feb 1; [Epub ahead of print].
Onuma Y, Tanabe K, Nakazawa G et al. Noncardiac findings in cardiac imaging with multidetector computed tomography. J Am Coll Cardiol 2006; 48:402–406.
Haller S, Kaiser C, Buser P, Bongartz G, Bremerich J. Coronary artery imaging with contrast-enhanced MDCT: extracardiac findings. AJR Am J Roentgenol; 2006; 187:105–110
Horton KM, Post WS, Blumenthal RS, Fishman EK. Prevalence of significant noncardiac findings on electron-beam computed tomography coronary artery calcium screening examinations. Circulation 2002; 106:532–534
Hunold P, Schmermund A, Seibel RM, Gronemeyer DH, Erbel R. Prevalence and clinical significance of accidental findings in electron-beam tomographic scans for coronary artery calcification. Eur Heart J 2001; 22:1748–1758