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Clinically Relevant Extracardiac Findings at Cardiac Imaging: Insights from the European MR/CT Registry
Lukas J Moser1, Matthias Gutberlet1, Rozemarijn Vliegenthart1
1From Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Raemistrasse 100, CH-8091 Zurich, Switzerland (L.J.M., M.E., H.A.); Department of Diagnostic and Interventional Radiology, Herzzentrum Leipzig Universitatsklinik, Leipzig, Germany (M.G., R.F.G., C. Lücke); Department of Radiology, University Medical Center Groningen, Groningen, the Netherlands (R.V.); Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Humanitas Research Hospital, Rozzano, Italy (M.F.); IRCCS Humanitas Research Hospital, Milan, Italy (M.F.); Department of Radiology and Nuclear Medicine, Erasmus Medical Center, Rotterdam, the Netherlands (R.P.J.B.); Department of Radiology, Antwerp University Hospital and Antwerp University, Antwerp, Belgium (R.S.); Department of Diagnostic and Interventional Radiology, University Hospital Centre Zagreb, Zagreb, Croatia (M.H.P.); Department of Radiology, University Medical Centre Maribor, Maribor, Slovenia (M.P.); Department of Biomedical Imaging and Image-Guided Therapy, Division of Cardiovascular and Interventional Radiology, Medical University of Vienna, Vienna, Austria (C. Loewe); Department of Diagnostic and Interventional Radiology, University Hospital Tübingen, Tübingen, Germany (K.N.); British Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom (M.C.W.); School of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy (G.M.); Department of Radiology, IRCCS Istituto Auxologico Italiano, San Luca Hospital, Milan, Italy (G.M.); and Department of Radiological Sciences-Institute of Radiology, Catholic University of Rome, A. Gemelli University Hospital, Rome, Italy (L.N.).
None:
Purpose To determine the prevalence of clinically relevant extracardiac findings at cardiac CT and MRI examinations from a multicenter, multinational MR/CT registry and the relationship of prevalence with examination indications and patient characteristics. Materials and Methods This was a retrospective analysis of data from the European Society of Cardiovascular Radiology MR/CT Registry. Data from 208 506 cardiac CT examinations (median patient age, 66 years [IQR, 55-77]; 121 617 [58.33%] male patients) and 228 462 cardiac MRI examinations (median patient age, 57 years [IQR, 42-69]; 145 792 [63.81%] male patients) entered into the registry between January 2011 and November 2023 were analyzed. Clinically relevant extracardiac findings were defined as findings requiring follow-up examinations or influencing clinical management. The association of examination indication and patient characteristics, including age, with prevalence of extracardiac findings was evaluated using incidence rate ratios (IRRs) derived from multivariable Poisson regression models. Results The prevalence of clinically relevant extracardiac findings was 3.28% (6832 of 208 506) at cardiac CT and 1.50% (3421 of 228 462) at cardiac MRI examinations. Extracardiac findings were more common at CT examinations performed for transcatheter aortic valve replacement (IRR, 2.07; P < .001) and structural heart disease (IRR, 1.44; P < .001) compared with CT performed for coronary artery disease (IRR, 1; reference). Extracardiac findings were more common at MRI examinations performed for myocarditis (IRR, 1.36; P < .001) and structural heart disease (IRR, 1.16; P < .001) than for coronary artery disease. Older patient age was also significantly associated with higher prevalence of extracardiac findings, with an IRR for both CT and MRI examinations of 1.02 (P < .001). Conclusion Data from the multicenter, multinational MR/CT registry indicate that clinically relevant extracardiac findings are present at cardiovascular CT and MRI examinations, and the prevalence of these findings is associated with examination indication and patient age. Keywords: Cardiac Imaging Techniques, Incidental Findings, MRI, CT Angiography, CT, Heart Disease Supplemental material is available for this article. © RSNA, 2024.
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