Macmillan Mark T, Williams Michelle C
Department of Radiology, Royal Infirmary of Edinburgh, Edinburgh, UK.
University of Edinburgh/BHF Centre for Cardiovascular Science, Chancellor's Building, SU305, 49 Little France Crescent, Edinburgh, EH16SUF, UK.
Curr Treat Options Cardiovasc Med. 2018 Oct 23;20(12):93. doi: 10.1007/s11936-018-0700-5.
Improvements in imaging techniques have led to an expansion in the number of cross-sectional cardiac studies being performed. This means that incidental non-cardiac findings (INCF) identified on cardiac imaging have become an important clinical concern. The majority of INCF are not clinically significant. However, some INCF will require follow-up or changes in management. Differentiating clinically significant from non-significant INCF can be challenging, particularly given the breadth of potential findings and the range of organ systems involved. Following up INCF also has economic implications. Recent changes to the lung nodule follow-up guidelines will reduce the cost of following up incidental lung nodules. In this manuscript, we discuss the common and important INCF which may be identified in cardiovascular imaging and explore potential implications of these findings.
成像技术的进步导致了正在进行的横断面心脏研究数量的增加。这意味着在心脏成像中发现的偶然非心脏发现(INCF)已成为一个重要的临床问题。大多数INCF在临床上并不重要。然而,一些INCF将需要随访或改变治疗方案。区分具有临床意义和无临床意义的INCF可能具有挑战性,特别是考虑到潜在发现的广度和所涉及的器官系统范围。对INCF进行随访也有经济影响。最近肺结节随访指南的变化将降低随访偶然发现的肺结节的成本。在本手稿中,我们讨论了在心血管成像中可能发现的常见且重要的INCF,并探讨了这些发现的潜在影响。