Noncardiac findings in cardiac imaging with multidetector computed tomography

J Am Coll Cardiol. 2006 Jul 18;48(2):402-6. doi: 10.1016/j.jacc.2006.04.071. Epub 2006 May 24.

Abstract

Objectives: We investigated the frequency of the noncardiac findings in cardiac imaging with multidetector computed tomography (MDCT).

Background: Multidetector computed tomography is an accepted new tool to evaluate the heart. In cardiac MDCT scans, organs other than the heart are also irradiated, but usually not assessed.

Methods: A total of 503 patients underwent cardiac imaging with 16- or 64-slice MDCT. Cardiologists assessed the heart, while radiologists reviewed the other organs.

Results: A total of 346 new, noncardiac findings were identified in 292 patients (58.1%). A total of 114 patients (22.7%) had clinically significant findings including 4 cases of malignancy (0.8%).

Conclusions: There were a significant number of noncardiac findings in cardiac MDCT. To avoid missing clinically important findings, physicians who analyze cardiac MDCT scan--either radiologists or cardiologists--should carefully evaluate all the organs irradiated in the scan.

MeSH terms

  • Aged
  • Coronary Disease / diagnostic imaging*
  • Coronary Disease / epidemiology*
  • Female
  • Gallbladder Diseases / diagnostic imaging
  • Gallbladder Diseases / epidemiology
  • Humans
  • Image Processing, Computer-Assisted
  • Incidental Findings*
  • Liver Diseases / diagnostic imaging
  • Liver Diseases / epidemiology
  • Lung Diseases / diagnostic imaging
  • Lung Diseases / epidemiology
  • Male
  • Middle Aged
  • Prevalence
  • Smoking / epidemiology
  • Tomography, X-Ray Computed / methods*