Prävalenz und klinische Bedeutung inzidenteller Herzbefunde im nicht EKG-getriggerten Thorax-CT

Quentin, Michael; Kröpil, Patric; Steiner, Stefan H.; Lanzman, Rotem S.; Blondin, D.; Miese, Falk; Choy, Garry; Abbara, Suhny; Scherer, A.

doi:10.1007/s00117-010-2071-0

Cited by 15 publications

(2 citation statements)

References 24 publications

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“…[ 18 ] Other studies showed similar results. [ 20 , 21 ] The authors reasoned that the radiologist concentrate on the lungs and not on the heart. Regarding nonreported CRCIFs in our study, there are several reasons to be recognized.…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular findings on computed tomography in patients with unclear finding situation and trauma of unknown origin

Meyer

Schramm²,

Bach³

et al. 2017

Medicine

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Incidental cardiovascular findings are common and can be found in up to 70% of patients. Previously, several reports about incidental findings (IFs) on whole body computed tomography (CT) were published. However, no previous study investigated cardiovascular IFs in patients with unclear finding situation and trauma of unknown origin on whole body CT.The radiological database of 2 university hospitals was screened for patients with trauma of unknown origin and unclear finding situation investigated by whole body CT. The images were retrospectively analyzed by 2 radiologists in consensus. The findings were classified according to their clinical relevance. Clinically nonrelevant findings like valvular sclerosis, aortic sclerosis, or anatomic variants were excluded from this study. Moreover, the radiology reports were analyzed to assess initial reporting by the radiologist.Overall, we identified 60 patients with a mean age of 63 years. A total of 98 clinically relevant cardiovascular IFs (CRCIF) were identified in 60 (75%) patients (1.6 CRCIF per patient). The most prevalent finding was cardiomegaly in 23 patients, followed by coronary sclerosis in 21 patients and aortic ectasia in 11 patients; other findings were rarer. Sixty-one findings were reported (62.2%) and 37 were nonreported (37.8%). Thirty patients (50%) showed no traumatic event on whole body CT.CRCIFs are common in patients with unclear finding situation and trauma of unknown origin. Despite initial indication for trauma detection, the whole body CT should carefully be evaluated for CRCIF because of the high prevalence of clinically relevant findings. Notably, 37.76% of the findings were not reported by the radiologist.

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Section: Discussionmentioning

confidence: 99%

Cardiovascular findings on computed tomography in patients with unclear finding situation and trauma of unknown origin

Meyer

Schramm²,

Bach³

et al. 2017

Medicine

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“…The difference between non-caseous and caseous can be best appreciated on “bone window” setting which in the case of caseous MAC reveals a shell of calcification and an area of central homogenous hyperattenuation. [ 8 10 ] Caseous and non-caseous MAC can also be distinguished on magnetic resonance imaging, in which caseous MAC gives a high T1 signal and a low T2 signal on noncontrast sequences and a unique peripheral enhancement of the mass with late gadolinium enhancement. Non-caseous MAC gives a low T1 signal.…”

Section: Discussionmentioning

confidence: 99%

Caseous mitral annular calcification mimicking a lung tumor on chest X-ray

Dingli

Felice

Mizzi

et al. 2017

J Family Med Prim Care

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Mitral annular calcification (MAC) is a common condition of the mitral valve apparatus. A case involving caseous calcification, a rare variant of MAC is presented. This variant which has a benign course can present as an intracardiac mass and needs to be differentiated from more sinister causes of calcified cardiac masses such as tumor, abscess, and infective vegetation. Often, this requires multimodality imaging with echocardiography, computed tomography, and magnetic resonance imaging. Features of caseous calcification of the mitral valve on these imaging modalities are reviewed as the associations and clinical features.

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Pitfalls in radiation oncology

et al. 2012

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Prävalenz und klinische Bedeutung inzidenteller Herzbefunde im nicht EKG-getriggerten Thorax-CT

Abstract: Incidental cardiac findings are frequent in non-ECG-gated chest CT and may have a high clinical relevance.

Cited by 15 publications

References 24 publications

Cardiovascular findings on computed tomography in patients with unclear finding situation and trauma of unknown origin

Cardiovascular findings on computed tomography in patients with unclear finding situation and trauma of unknown origin

Caseous mitral annular calcification mimicking a lung tumor on chest X-ray

Pitfalls in radiation oncology

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