- Poster presentation
- Open Access
Impact of cardiovascular imaging on the management of patients with cardiac masses
© Chang et al. 2016
- Published: 27 January 2016
- Cardiovascular Magnetic Resonance
- Clinical Care
- Clinical Management
- Final Diagnosis
- Accurate Diagnosis
The anatomical and functional information of a cardiac mass collected by cardiovascular magnetic resonance (CMR) imaging could be clinically important by affecting diagnosis, management and prognosis. Whether CMR impacts clinical care in those with known or suspected cardiac masses is not entirely clear.
We identified consecutive patients referred to the University of Minnesota Medical Center ("Minnesota" cohort) between January 1, 2007 and December 31, 2013, and the University of Pittsburgh Medical Center between October1, 2009 and May 30, 2014 ("Pittsburgh" cohort) who were diagnosed with a potential cardiac mass before or after CMR. Final diagnoses were defined by clinician's opinion of histopathology or clinical evidence. Significant clinical impact was defined as CMR establishing a new diagnosis, affecting surgical procedures, or causing medication change as documented in the medical record.
Statistics of CMR imaging with significant clinical impact
Category of Clinical Impact
Minnesota Cohort: n (%)
Pittsburgh Cohort: n (%)
CMR with significant clinical impact
Establishing a new diagnosis
Affecting invasive or surgical procedures
Affecting medication change
CMR of cardiac masses significantly impacts clinical management by facilitating accurate diagnosis and directing clinical management in a substantial percent of patients who had undergone prior evaluations with traditional imaging such as echocardiography. In addition, it also led to avoidance of surgical interventions in masses deemed to be benign or identified as thrombus. CMR is an essential step in the evaluation of majority of patients with cardiac masses or those suspected to be at high risk for developing cardiac masses.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.