Impact of extracardiac findings during cardiac MR on patient management and outcome.

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Date

6 mai 2015

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Périmètre
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Serveur académique Lausannois

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Ce document est lié à :
info:eu-repo/semantics/altIdentifier/doi/10.12659/MSM.893599

Ce document est lié à :
info:eu-repo/semantics/altIdentifier/pmid/25943552

Ce document est lié à :
info:eu-repo/semantics/altIdentifier/eissn/1643-3750

Ce document est lié à :
info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_8800769D9DFE5

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Serveur Académique Lausannois

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Université de Lausanne et CHUV

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info:eu-repo/semantics/openAccess , CC BY-NC-ND 4.0 , https://creativecommons.org/licenses/by-nc-nd/4.0/

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Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; Disease Management; Female; Hospitalization; Humans; Incidental Findings; Infant; Kidney Diseases/diagnosis; Kidney Diseases/pathology; Liver Diseases/diagnosis; Liver Diseases/pathology; Lung Diseases/diagnosis; Lung Diseases/pathology; Magnetic Resonance Imaging; Male; Middle Aged; Myocardium/pathology; Prospective Studies; Single-Blind Method; Spinal Diseases/diagnosis; Spinal Diseases/pathology; Survival Analysis; Treatment Outcome; Young Adult

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Therapy

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V. Dunet et al., « Impact of extracardiac findings during cardiac MR on patient management and outcome. », Serveur académique Lausannois, ID : 10.12659/MSM.893599

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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. 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. 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

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