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.
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
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