Aim: To estimate the clinical impact of cardiac magnetic resonance (CMR) in patients with congenital cardiovascular disease (CCD). Materials and methods: Since 2003, 1.5 T CMR was used at our university hospital to evaluate morphology, cardiac kinetics, aortic and pulmonary flow, and vascular anatomy in patients with CCD. The present study considered a consecutive series of these patients from 2003 to 2006. A paediatric cardiologist judged our reports as expected or unexpected and, secondarily, as not reliable (level 0), describing findings already known (level 1), not changing therapy/suggested lifestyle (level 2), changing therapy/suggested lifestyle (level 3) or changing diagnosis (level 4). Results: CMR reports were judged to be expected in 187/214 (87%) and unexpected in 27/214 (13%). Less than 2% of CMRs were judged as levels 0 or 1, 66% as level 2, and 5% as level 4. During 2005-2006 the clinical impact improved toward higher impact levels (p < 0.001, chi-square test). Conclusions: In patients with CCD, more than one in 10 CMR reports were unexpected to cardiologists and over seven in 10 prompted a change of diagnosis or therapy.
Cardiac magnetic resonance : impact on diagnosis and management of patients with congenital cardiovascular disease / F. Secchi, G. Di Leo, G.D. Papini, V.G. Nardella, D. Negura, M. Carminati, F. Sardanelli. - In: CLINICAL RADIOLOGY. - ISSN 0009-9260. - 66:8(2011), pp. 720-750.
|Titolo:||Cardiac magnetic resonance : impact on diagnosis and management of patients with congenital cardiovascular disease|
SECCHI, FRANCESCO (Primo)
SARDANELLI, FRANCESCO (Ultimo)
|Settore Scientifico Disciplinare:||Settore MED/36 - Diagnostica per Immagini e Radioterapia|
|Data di pubblicazione:||2011|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1016/j.crad.2011.03.007|
|Appare nelle tipologie:||01 - Articolo su periodico|