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Table 1 Population characteristics

From: Risk stratification of cardiac metastases using late gadolinium enhancement cardiovascular magnetic resonance: prognostic impact of hypo-enhancement evidenced tumor avascularity

 

Overall

(n = 224)

CMET+

(n = 112)

CMET- Controls

(n = 112)

pb

Clinical characteristics

 Age (years)

58 ± 17

57 ± 16

58 ± 18

0.68

 Gender (male)

59% (133)

63% (71)

55% (62)

0.23

 Body surface area (kg/m2)a

1.9 ± 0.3

1.9 ± 0.3

1.9 ± 0.3

0.55

 Cancer etiologiesb

    

  Sarcoma

20% (44)

20% (22)

20% (22)

–

  Lung

16% (36)

16% (18)

16% (18)

–

  Genitourinary

15% (34)

15% (17)

15% (17)

–

  Gastrointestinal

13% (28)

13% (14)

14% (14)

–

  Skin/melanoma

13% (28)

13% (14)

13% (14)

–

  Lymphoma

8% (18)

8% (9)

8% (9)

–

  Endocrine

8% (18)

8% (9)

8% (9)

–

Anti-cancer regimen

    

 Chemotherapy

    

  Alkylating agent

44% (99)

46% (52)

41% (46)

0.47

  Plant alkaloid

31% (70)

32% (36)

30% (34)

0.88

  Antitumor antibiotics

21% (48)

21% (23)

23% (26)

0.69

  Antimetabolites

31% (70)

35% (39)

27% (30)

0.19

  Topoisomerase inhibitors

8% (17)

7% (8)

8% (9)

1.00

  Anthracycline

21% (46)

19% (21)

23% (26)

0.41

 Monoclonal antibodies

    

  Tyrosine kinase inhibitors

23% (51)

20% (22)

28% (31)

0.21

  Other kinase inhibitors

4% (8)

2% (2)

6% (7)

0.18

  Immunotherapy

21% (47)

21% (24)

20% (22)

0.84

 Radiation therapy

    

  Mediastinal radiation

13% (28)

18% (20)

7% (8)

0.01

  Other radiation

38% (84)

40% (45)

35% (39)

0.49

Anticoagulation therapy

    

 Overall

22% (50)

28% (31)

17% (19)

0.07

  Low molecular weight heparin

24% (53)

32% (36)

16% (18)

0.01

  Warfarin

3% (6)

4% (4)

2% (2)

0.69

  Direct Oral Anticoagulant

15% (34)

18% (20)

13% (14)

0.26

Cardiovascular disease risk factors

    

 Hypertension

43% (97)

41% (46)

45% (51)

0.59

 Hyperlipidemia

31% (69)

28% (31)

34% (38)

0.35

 Diabetes mellitus

14% (31)

11% (12)

17% (19)

0.23

 Smoking

38% (79)

31% (35)

39% (44)

0.26

Cardiopulmonary disease

    

 Coronary artery disease

11% (24)

11% (12)

11% (12)

1.00

 Atrial fibrillation/flutter

16% (35)

13% (14)

19% (21)

0.27

 Pulmonary disease

6% (13)

3% (3)

9% (10)

0.09

 Pulmonary hypertension

16% (36)

13% (14)

20% (22)

0.17

Cardiac morphology and function

 Left ventricle

    

  Ejection fraction (%)

61 ± 11

63 ± 8

59 ± 12

0.004

  End-diastolic volume (mL)

124 ± 41

114 ± 34

131 ± 43

0.002

  End-systolic volume (mL)

51 ± 29

42 ± 17

57 ± 32

 < 0.001

  Stroke volume (mL)

73 ± 21

72 ± 22

75 ± 21

0.38

  Myocardial mass (gm)

118 ± 49

117 ± 55

116 ± 37

0.83

 Right ventricle

    

  Ejection fraction (%)

54 ± 9

54 ± 9

53 ± 8

0.30

  End-diastolic volume (mL)

135 ± 44

130 ± 37

141 ± 50

0.08

  End-systolic volume (mL)

64 ± 29

60 ± 24

69 ± 32

0.03

  Stroke volume (mL)

70 ± 23

70 ± 23

72 ± 23

0.44

 Atria

    

  Left atrial area (cm2)

20 ± 6

19 ± 5

21 ± 7

0.02

  Right atrial area (cm2)

19 ± 6

19 ± 6

19 ± 6

0.98

 Pericardial effusion

24% (53)

30% (33)

19% (21)

0.07

  1. Comparisons between cancer patients with late gadolinium enhancement (LGE) CMR-evidenced cardiac metastases and cancer-matched controls
  2. §Among patients with cardiac metastases, 26% had multiple lesions (median lesion # 2.4 ± 1.0); lesion size: 3.8 ± 2.2 cm
  3. CMET+, cardiac metastasis; CMET-, no cardiac metastasis
  4. aBody surface area
  5. b Additional cancer diagnoses: breast (4%), head/neck (3%), mesothelioma (1%), multiple myeloma with extramedullary involvement (1% [stage IV via Southwest Oncology Group criteria [22]])