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Abstract

Background: Cardiac magnetic resonance imaging (cMRI) is recently a pivotal noninvasive technique for comprehensive cardiac assessment, providing detailed cardiac anatomy and motility insights. Given its expansive field of view, cMRI facilitates the identification of incidental extracardiac findings (IEFs), that may have clinical significance beyond the primary cardiac evaluation.

Objective: This study aims to assess the prevalence of incidental extracardiac findings noted in cMRI and to address the most frequent detected lesions.

Methods: A retrospective study was conducted on patients who have done cMRI in the period between July 2021 and July 2023. The study cohort consisted of 219 individuals referred to the Radiology Department at Ain shams university hospitals to perform cMRI due to various cardiac related indications.

Results: A total of 219 cMRI scan were analyzed, where the mean patient age was of 38.2 years (SD ±18.2, range 1–75 years). The study population was formed of 62% male and 38% female patients. Among the scanned cases, 162 (74%) exhibited no extracardiac findings, while 57 (26%) had identifiable extracardiac abnormalities, including 35 cases (16%) with findings indicative of major pathology.

Conclusion: Cardiac MR scan is strong modality than can assess the heart and also detect any incidental extracardiac abnormalities. A considerable number of lesions can be detected incidentally in cMRI study, hence it’s important to encourage radiologists not to overlook the scanned extracardiac structures during interpretation of cMRI. Obviously, identifying any incidental lesion in cMRI is mandatory, as these lesions can alter patients` further management and therapy plans.

Article Type

Original Study

Subject Area

Radiology

IRB Number

MS352/2023.

Creative Commons License

Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License
This work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 International License.

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