Prevalence and Clinical Relevance of Extracardiac Findings in Cardiovascular Magnetic Resonance Imaging

Mantini, Cesare; Mastrodicasa, Domenico; Bianco, Francesco; Bucciarelli, Valentina; Scarano, Michele; Mannetta, Gianluca; Gabrielli, Daniela; Gallina, Sabina; Petersen, Steffen E.; Ricci, Fabrizio; Cademartiri, Filippo

doi:10.1097/rti.0000000000000360

Cited by 12 publications

(20 citation statements)

References 23 publications

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“…However, the best management of PE during pregnancy is still being debated (80). Non-contrast CMR using bright blood techniques such as balanced steady-state free precession sequences may be also considered as a viable alternative approach for ruling out PE in selected cases (81)(82)(83).…”

Section: Cardiac Imaging Modalities With Ionizing Radiationmentioning

confidence: 99%

The Role of Multimodality Cardiovascular Imaging in Peripartum Cardiomyopathy

Ricci

Innocentiis

Verrengia

et al. 2020

Front. Cardiovasc. Med.

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Ricci et al. Multimodality Imaging in Peripartum Cardiomyopathy KEY POINTS-Peripartum cardiomyopathy is a rare but potentially fatal disease requiring prompt identification and treatment. -Cardiac imaging plays a pivotal role for the diagnosis, risk stratification, and follow-up of peripartum cardiomyopathy and related complications. -Cardiovascular magnetic resonance is a high-throughput imaging modality providing relevant information for clinical decision-making and understanding of the pathophysiology underlying peripartum cardiomyopathy.

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Section: Cardiac Imaging Modalities With Ionizing Radiationmentioning

confidence: 99%

The Role of Multimodality Cardiovascular Imaging in Peripartum Cardiomyopathy

Ricci

Innocentiis

Verrengia

et al. 2020

Front. Cardiovasc. Med.

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“…Scout images are an integral part of MRI for appropriate localization of regions of interest. Medico-legal and ethical debates continue as to whether scout images should be a standard part of imaging interpretation due to limited image quality [1,[3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

“…Several previous studies have documented incidental findings on MRI scout images of various organs [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. Although most incidental findings are benign and asymptomatic, some may be related to clinically significant diseases including malignant tumors [3,4,6,[9][10][11][12][13][14][15][16]. However, the image sequence, composition, and quality of scout images differ depending on the manufacturer or institutions because they are obtained at the discretion of technologists or with the default setting of MRI without a standard protocol.…”

Section: Introductionmentioning

confidence: 99%

Readability of extraspinal organs on scout images of lumbar spine MRI according to different protocols

You¹,

Lee

Seo

et al. 2021

PLoS ONE

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Background Scout images of lumbar spine MRI often include the extraspinal organs, which are barely included in routine MRI and can be a potential cause of lumbar pain. Purpose To evaluate the readability of scout images for extraspinal organs in lumbar spine MRI according to different protocols. Materials and methods A total of 150 patients who underwent 1.5 T or 3 T lumbar spine MRI from March to September 2015 at three hospitals with different scout image protocols, were selected. Two radiologists independently reviewed the scout images to investigate whether exclusive diagnosis of major diseases involving the femoral head, femoral neck, sacroiliac joint, and kidneys was possible. Readability levels were divided into four categories: definitely, possibly, limited, and non-evaluable. The readability of scout images according to the protocols was compared using Chi-square test. Interobserver agreement for the readability level of scout images was assessed using weighted κ statistics. Results Of 150 patients, “definitely evaluable” cases classified by two readers were 50–62 (33.3–41.3%) for femoral head (κ = 0.63–0.71), 37–66 (24.7–44.0%) for femoral neck (κ = 0.41–0.48), 72–93 (48.0–62.0%) for sacroiliac joint (κ = 0.35–0.37), and 63–73 (42.0–48.7%) for kidneys (κ = 0.45–0.47). More than 50% of femoral heads were classified as readable (definitely or possible evaluable) cases by two readers with excellent interobserver agreement. The readability level of scout images was significantly different according to image protocols including the MRI sequence, number of coronal plane slices, and intersection gap of coronal plane slices (p≤0.015). Conclusion Scout images of lumbar spine MRI may be readable enough to rule out some major diseases of extraspinal organs. Standardization of the protocol will be needed to validate the potential role of scout images for screening extraspinal organs.

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“…CMR has some advantages over PET imaging, as there is no exposure to ionizing radiation, there is no need for patient preparation such as a specific diet prior to the image acquisition, and it also allows the assessment of cardiovascular morphology, ventricular function, valve and flow quantification [ 47 , 48 ] and the identification of several extracardiac collateral findings [ 49 , 50 ]. However, CMR imaging is limited in patients with pacemakers, or other recently implanted metal devices, and gadolinium is contraindicated in patients with advanced renal disease (estimated glomerular filtration rate [eGFR] < 30 mL/min) [ 51 ].…”

Section: Diagnosis Of Cardiac Sarcoidosismentioning

confidence: 99%

Clinical Features and Diagnosis of Cardiac Sarcoidosis

Tana

Mantini

Donatiello

et al. 2021

JCM

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Cardiac sarcoidosis (CS) is an unusual, but potentially harmful, manifestation of systemic sarcoidosis (SA), a chronic disease characterized by organ involvement from noncaseating and nonnecrotizing granulomas. Lungs and intrathoracic lymph nodes are usually the sites that are most frequently affected, but no organ is spared and CS can affect a variable portion of SA patients, up to 25% from post-mortem studies. The cardiovascular involvement is usually associated with a bad prognosis and is responsible for the major cause of death and complications, particularly in African American patients. Furthermore, the diagnosis is often complicated by the occurrence of non-specific clinical manifestations, which can mimic the effect of more common heart disorders, and imaging and biopsies are the most valid approach to avoid misdiagnosis. This narrative review summarizes the main clinical features of CS and imaging findings, particularly of CMR and 18-Fluorodeoxyglucose Positron Emission Tomography (18F-FDG PET) that can give the best cost/benefit ratio in terms of the diagnostic approach. Imaging can be very useful in replacing the endomyocardial biopsy in selected cases, to avoid unnecessary, and potentially dangerous, invasive maneuvers.

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Prevalence and Clinical Relevance of Extracardiac Findings in Cardiovascular Magnetic Resonance Imaging

Abstract: The detection of significant and major ECF is common during CMR reporting. The knowledge and the correct identification of most frequent ECF enable earlier diagnoses and faster treatment initiation of unknown extracardiac pathologies in patients referred to CMR imaging.

Cited by 12 publications

References 23 publications

The Role of Multimodality Cardiovascular Imaging in Peripartum Cardiomyopathy

The Role of Multimodality Cardiovascular Imaging in Peripartum Cardiomyopathy

Readability of extraspinal organs on scout images of lumbar spine MRI according to different protocols

Clinical Features and Diagnosis of Cardiac Sarcoidosis

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