Blaes, Anne

Brout, Dustin

Chang, Ian C

Schelbert, Erik B

Valeti, Uma

Journal of Cardiovascular Magnetic Resonance

PubMed

Name not available

Impact of cardiovascular imaging on the management of patients with cardiac masses

D-Scholarship@Pitt

POSTER PRESENTATION Open AccessImpact of cardiovascular imaging on themanagement of patients with cardiac massesIan C Chang1*, Dustin Brout2, Anne Blaes1, Erik B Schelbert2, Uma Valeti1From 19th Annual SCMR Scientific SessionsLos Angeles, CA, USA. 27-30 January 2016BackgroundThe anatomical and functional information of a cardiacmass collected by cardiovascular magnetic resonance(CMR) imaging could be clinically important by affect-ing diagnosis, management and prognosis. WhetherCMR impacts clinical care in those with known or sus-pected cardiac masses is not entirely clear.MethodsWe identified consecutive patients referred to the Uni-versity of Minnesota Medical Center ("Minnesota”cohort) between January 1, 2007 and December 31, 2013,and the University of Pittsburgh Medical Center betweenOctober1, 2009 and May 30, 2014 ("Pittsburgh” cohort)who were diagnosed with a potential cardiac mass beforeor after CMR. Final diagnoses were defined by clinician’sopinion of histopathology or clinical evidence. Significantclinical impact was defined as CMR establishing a newdiagnosis, affecting surgical procedures, or causing medi-cation change as documented in the medical record.ResultsWe identified 34 patients (mean age 56 years, 38% male)with masses in the Minnesota cohort (n = 1621) and 58patients (mean age 57 years, 48% male) in the Pittsburghcohort (n = 3358). Overall, CMR resulted in significantimpact in 71% (24/34) of the patients in the Minnesotacohort and 72% (42/58) in the Pittsburgh cohort (Table 1).In the Minnesota cohort, CMR established a new diagno-sis in 21% (7/34), affected surgical planning in 68%(23/34), and caused medication change in 24% (8/34) ofpatients. The Pittsburgh cohort yielded similar data.ConclusionsCMR of cardiac masses significantly impacts clinicalmanagement by facilitating accurate diagnosis anddirecting clinical management in a substantial percentof patients who had undergone prior evaluations withtraditional imaging such as echocardiography. In addi-tion, it also led to avoidance of surgical interventions inmasses deemed to be benign or identified as thrombus.CMR is an essential step in the evaluation of majority ofpatients with cardiac masses or those suspected to be athigh risk for developing cardiac masses.Authors’ details1University of Minnesota, Eagan, MN, USA. 2University of Pittsburgh,Pittsburgh, PA, USA.1University of Minnesota, Eagan, MN, USAFull list of author information is available at the end of the articleTable 1 Statistics of CMR imaging with significant clinical impactCategory of Clinical Impact Minnesota Cohort: n (%) 95% CI Pittsburgh Cohort: n (%) 95% CICMR with significant clinical impact 24 (70.6) 0.54-0.83 42 (72.4) 0.60-0.82Establishing a new diagnosis 7 (20.6) 0.10-0.37 39 (67.2) 0.54-0.78Affecting invasive or surgical procedures 23 (67.6) 0.51-0.81 23 (39.7) 0.28-0.53Affecting medication change 8 (23.5) 0.12-0.40 18 (31.0) 0.21-0.44Values are presented as n (%). CI, confidence interval; CMR, cardiac magnetic resonance imaging.Chang et al. Journal of Cardiovascular MagneticResonance 2016, 18(Suppl 1):P133http://www.jcmr-online.com/content/18/S1/P133© 2016 Chang et al. 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 theoriginal 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.Published: 27 January 2016doi:10.1186/1532-429X-18-S1-P133Cite this article as: Chang et al.: Impact of cardiovascular imaging onthe management of patients with cardiac masses. Journal ofCardiovascular Magnetic Resonance 2016 18(Suppl 1):P133.Submit your next manuscript to BioMed Centraland take full advantage of: • Convenient online submission• Thorough peer review• No space constraints or color figure charges• Immediate publication on acceptance• Inclusion in PubMed, CAS, Scopus and Google Scholar• Research which is freely available for redistributionSubmit your manuscript at www.biomedcentral.com/submitChang et al. Journal of Cardiovascular MagneticResonance 2016, 18(Suppl 1):P133http://www.jcmr-online.com/content/18/S1/P133Page 2 of 2

Impact of cardiovascular imaging on the management of patients with cardiac masses

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