Incidental extracardiac findings on cardiac MR: Systematic review and meta-analysis.

Détails

ID Serval
serval:BIB_391A2A8BE4DD
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Incidental extracardiac findings on cardiac MR: Systematic review and meta-analysis.
Périodique
Journal of Magnetic Resonance Imaging
Auteur(s)
Dunet V., Schwitter J., Meuli R., Beigelman-Aubry C.
ISSN
1522-2586 (Electronic)
ISSN-L
1053-1807
Statut éditorial
Publié
Date de publication
04/2016
Peer-reviewed
Oui
Volume
43
Numéro
4
Pages
929-939
Langue
anglais
Résumé
PURPOSE: To perform a systematic review and meta-analysis to calculate the pooled prevalence of incidental extracardiac findings (IEFs) on cardiac magnetic resonance (MR) and to determine factors influencing reported prevalences.
MATERIALS AND METHODS: We examined studies published in the literature using the MEDLINE database. Studies reporting IEFs on cardiac MR were included. Meta-analysis provided pooled prevalences of total, minor, major IEFs, and major IEFs with patient management changes using a random-effects model. Heterogeneity and inconsistency (I-squared) between studies as well as publication bias were assessed.
RESULTS: Twelve studies including 7062 patients (mean age: 52 years, range: 0.5-93 years, 4476 male/2586 female) and 7122 cardiac MR examinations were considered in the meta-analysis. Overall, the pooled prevalence of total IEFs was 35% (95% confidence interval [CI]: 23-47%). The pooled prevalence of minor and major IEFs were 17% (95% CI: 9-26%) and 12% (95% CI: 7-18%), respectively. Newly diagnosed major IEFs changed patient management in 1% (95% CI: 1-2%) of the study population. A high heterogeneity and inconsistency (I-squared >74%) between studies without publication bias were observed, notably due to IEFs recording method (P < 0.002) and formal training of cardiac MR readers (P < 0.006).
CONCLUSION: Major IEFs may be found in 12% of patients undergoing cardiac MR examination and change the management in 1% of patients. Readers' training for the evaluation of noncardiac structures increases reported prevalence. J. Magn. Reson. Imaging 2016;43:929-939.
Pubmed
Web of science
Création de la notice
25/09/2015 13:54
Dernière modification de la notice
20/08/2019 14:28
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