Spectrum of collateral findings in multislice CT coronary angiography.

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RESEARCH PRODUCT

Spectrum of collateral findings in multislice CT coronary angiography.

Massimo Midiri Massimo Midiri Giuseppe Runza Giuseppe Runza F. Alberghina F. Alberghina A. Palumbo Roberto Malago Roberto Malago Filippo Cademartiri R. Pozzi Mucelli Gabriel P. Krestin Manuel Belgrano Erica Maffei Ludovico La Grutta Ludovico La Grutta N. Mollet

subject

Male Radiography Abdominal Coronary angiography medicine.medical_specialty Time Factors Multislice CT Coronary Angiography Collateral findings Incidental findings Coronary Disease Coronary Angiography Sensitivity and Specificity Coronary artery disease Collateral findings Electrocardiography Risk Factors Image Processing Computer-Assisted medicine Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies Neuroradiology Lung medicine.diagnostic_test Multislice CT Coronary Angiography business.industry Ultrasound Interventional radiology General Medicine Middle Aged medicine.disease Incidental findings Coronary arteries medicine.anatomical_structure Data Interpretation Statistical Radiological weapon Female Radiography Thoracic Radiology Multislice CT Coronary Angiography; Collateral findings; Incidental findings business Tomography Spiral Computed Follow-Up Studies

description

Purpose. The aim of the study was to investigate the prevalence of the noncardiac collateral findings during multislice computed tomography coronary angiography (MSCT-CA). Materials and methods. Six hundred and seventy patients undergoing MSCT-CA with 16-slice and 64-slice CT scanners for suspected atherosclerotic disease of the coronary arteries were retrospectively reviewed. All data sets obtained with a large field of view (FOV) were analysed by two radiologists using standard mediastinal and lung window settings. Collateral findings were divided according to clinical importance into nonsignificant, remarkable and compulsory to be investigated. Results. Eighty-five percent of patients revealed coronary artery disease (CAD). Only 138/670 (20.6%) were without any additional finding. An additional 1,234 findings were recorded: nonsignificant 332 (26.9%), mild 821 (66.53%), compulsory for study 81 (6.56%). A total of 81 patients (12.08%) had significant noncardiac pathology requiring clinical or radiological follow-up. Among these, newly discovered pathologies were revealed in two patients (2.46%). Conclusions. A significant number of noncardiac findings might have been missed in MSCT-CA scans; the appropriate approach should be as a team trained in cardiology and radiology.

year	journal	country	edition	language
2007-01-01

http://europepmc.org/abstract/med/17952684