Extracardiac Findings on Cardiac Magnetic Resonance: A Children ’s Hospital Experience

AbstractCardiac magnetic resonance (CMR) incorporates a field of view that has the potential to capture clinically relevant extracardiac findings (ECF); however, there has been minimal investigation of ECF prevalence in children ’s hospitals, where the patient population varies in age and diagnosis. We retrospectively reviewed consecutive, clinically indicated, CMR studies performed at a tertiary care children’s hospital during a 1-year period from January 1 to December 31, 2019. ECFs were classified as significant or n on-significant based on whether they were described in the final impression of the CMR report. A total of 851 distinct patients had a CMR study during the 1-year period. Mean age was 19.5 (range 0.2; 74.2) years. A total of 254 ECFs were present in 158 of the 851 studies (18.6%) with 9.8% of all stu dies having significant ECFs. A total of 40.2% of ECFs were previously unknown and 9.1% (23/254) of ECFs included further recommendations (2.1% of all studies). ECFs were most often found in the chest (48%) or abdomen/pelvis (46%). Three patients were incidentally found to have malignancy (renal cel l, thyroid, and hepatocellular carcinoma). Comparing studies with significant ECFs to the group without, CMR indications for biventricular CHD (43% vs 31%,p = 0.036), single ventricle CHD (12% vs 3.9%,p = 0.002), and aortopathy/vasculopathy (16% vs 7.6%,p = 0.020) were more common. The odds of significant ECF increased with increasing age (OR 1.82, 95% C...
Source: Pediatric Cardiology - Category: Cardiology Source Type: research