Significance of Cardiac Computed Tomography Incidental Findings in Acute Chest Pain

American Journal of Medicine

Volumn 122, Issue 6, 2009, Pages 543-549

  Lehman, Sam J ^a,b   Abbara, Suhny ^a   Cury, Ricardo C ^a   Nagurney, John T ^a   Hsu, Joe ^a   Goela, Aashish ^a   Schlett, Christopher L ^a   Dodd, Jonathan D ^a   Brady, Thomas J ^a   Bamberg, Fabian ^a   Hoffmann, Udo ^a  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b FLINDERS UNIVERSITY   (Australia)

Author keywords

Chest pain; Computed tomography; Incidental findings

Indexed keywords

ADULT; ARTICLE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COMPUTER ASSISTED TOMOGRAPHY; CONTRAST ENHANCEMENT; CONTROLLED STUDY; EMERGENCY WARD; FEMALE; HUMAN; INCIDENTAL FINDING; LIVER CYST; LIVER INJURY; LUNG NODULE; MAJOR CLINICAL STUDY; MALE; MEDICAL PRACTICE; PRIORITY JOURNAL; THORAX PAIN;

ACUTE CORONARY SYNDROME; ADULT; AGED; CHEST PAIN; CORONARY ANGIOGRAPHY; CYSTS; FEMALE; HUMANS; INCIDENTAL FINDINGS; LIVER DISEASES; LUNG NEOPLASMS; MALE; MIDDLE AGED; PREDICTIVE VALUE OF TESTS; RETROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; SOLITARY PULMONARY NODULE; TOMOGRAPHY, X-RAY COMPUTED;

EID: 66149127684     PISSN: 00029343     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.amjmed.2008.10.039     Document Type: Article

References (26)

1. McCaig L.F., and Burt C.W. National Hospital Ambulatory Medical Care Survey 2003. Emergency Department Summary: Advance Data from Vital and Health Statistics, No. 358 (2005), National Center for Health Statistics, Hyattsville, MD
2. Lee T.H., and Goldman L. Evaluation of the patient with acute chest pain. N Engl J Med 342 (2000) 1187-1195
3. Swap C.J., and Nagurney J.T. Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes. JAMA 294 (2005) 2623-2629
4. Fineberg H.V., Scadden D., and Goldman L. Care of patients with a low probability of acute myocardial infarction. Cost effectiveness of alternatives to coronary-care-unit admission. N Engl J Med 310 (1984) 1301-1307
5. Tosteson A.N., Goldman L., Udvarhelyi I.S., and Lee T.H. Cost-effectiveness of a coronary care unit versus an intermediate care unit for emergency department patients with chest pain. Circulation 94 (1996) 143-150
6. Hoffmann U., Nagurney J.T., Moselewski F., et al. Coronary multidetector computed tomography in the assessment of patients with acute chest pain. Circulation 114 (2006) 2251-2260
7. Rubinshtein R., Halon D.A., Gaspar T., et al. Usefulness of 64-slice cardiac computed tomographic angiography for diagnosing acute coronary syndromes and predicting clinical outcome in emergency department patients with chest pain of uncertain origin. Circulation 115 (2007) 1762-1768
8. Goldstein J.A., Gallagher M.J., O'Neill W.W., et al. A randomized controlled trial of multi-slice coronary computed tomography for evaluation of acute chest pain. J Am Coll Cardiol 49 (2007) 863-871
9. Haller S., Kaiser C., Buser P., et al. Coronary artery imaging with contrast-enhanced MDCT: extracardiac findings. AJR Am J Roentgenol 187 (2006) 105-110
10. Illes J., Kirschen M.P., Edwards E., et al. Ethics. Incidental findings in brain imaging research. Science 311 (2006) 783-784
11. Stone J.H. Incidentalomas-clinical correlation and translational science required. N Engl J Med 354 (2006) 2748-2749
12. Horton K.M., Post W.S., Blumenthal R.S., and Fishman E.K. Prevalence of significant noncardiac findings on electron-beam computed tomography coronary artery calcium screening examinations. Circulation 106 (2002) 532-534
13. Onuma Y., Tanabe K., Nakazawa G., et al. Noncardiac findings in cardiac imaging with multidetector computed tomography. J Am Coll Cardiol 48 (2006) 402-406
14. Takakuwa K.M., and Halpern E.J. Evaluation of a "triple rule-out" coronary CT angiography protocol: use of 64-section CT in low-to-moderate risk emergency department patients suspected of having acute coronary syndrome. Radiology 248 (2008) 438-436
15. MacMahon H., Austin J.H., Gamsu G., et al. Guidelines for management of small pulmonary nodules detected on CT scans: a statement from the Fleischner Society. Radiology 237 (2005) 395-400
16. Dewey M., Schnapauff D., Teige F., and Hamm B. Non-cardiac findings on coronary computed tomography and magnetic resonance imaging. Eur Radiol 17 (2007) 2038-2043
17. Hunold P., Schmermund A., Seibel R.M., et al. Prevalence and clinical significance of accidental findings in electron-beam tomographic scans for coronary artery calcification. Eur Heart J 22 (2001) 1748-1758
18. Schragin J.G., Weissfeld J.L., Edmundowicz D., et al. Non-cardiac findings on coronary electron beam computed tomography scanning. J Thorac Imaging 19 (2004) 82-86
19. Burt J.R., Iribarren C., Fair J.M., et al. Incidental findings on cardiac multidetector row computed tomography among healthy older adults. Arch Intern Med 168 (2008) 756-761
20. White C.S., Kuo D., Kelemen M., et al. Chest pain evaluation in the emergency department: can MDCT provide a comprehensive evaluation?. AJR Am J Roentgenol 185 (2005) 533-540
21. Johnson T.R.C., Nikolaou K., Wintersperger B.J., et al. ECG-gated 64-MDCT angiography in the differential diagnosis of acute chest pain. AJR Am J Roentgenol 188 (2007) 76-82
22. Manghat N.E., Morgan-Hughes G.J., and Roobottom C.A. Multi-detector row computed tomography: imaging in acute aortic syndrome. Clin Radiol 60 (2005) 1256-1267
23. Savino G., Herzog C., Costello P., and Schoepf U.J. 64 slice cardiovascular CT in the emergency department: concepts and first experiences. Radiol Med (Torino) 111 (2006) 481-496
24. Henschke C.I., Yankelevitz D.F., Libby D.M., et al., International Early Lung Cancer Action Program Investigators. Survival of patients with stage I lung cancer detected on CT screening. N Engl J Med 355 (2006) 1763-1771
25. Bach P.B., Jett J.R., Pastorino U., et al. Computed tomography screening and lung cancer outcomes. JAMA 297 (2007) 953-961
26. Mueller J., Jeudy J., Poston R., et al. Cardiac CT angiography after coronary bypass surgery: prevalence of incidental findings. AJR Am J Roentgenol 189 (2007) 414-419