ArticleLa Radiologia medica2016
Under-reporting of cardiovascular findings on chest CT.
Article in La Radiologia medica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Prevalence and clinical implications of coronary artery calcium scoring on non-gated thoracic computed tomography: a systematic review and meta-analysis.European radiology · 2024Pooled it
- Automatic detection and measurement system for aortic aneurysms using deep learning-based artificial intelligence.The international journal of cardiovascular imaging · 2026Article
- Domain and Language adaptive pre-training of BERT models for Korean-English bilingual clinical text analysis.BMC medical informatics and decision making · 2025Article
- A missed opportunity: Incidental coronary artery calcification prior to acute coronary syndrome.International journal of cardiology. Heart & vasculature · 2025Article
- Incidental Myocardial Infarction on Routine Non-Gated Thoracic Computed TomographyCurrent medical imaging · 2025Article
- Artificial Intelligence Provides Accurate Quantification of Thoracic Aortic Enlargement and Dissection in Chest CT.Diagnostics (Basel, Switzerland) · 2024Article
- Frequency of myocardial infarcts on conventional, non-gated CT: An often-overlooked entity.Journal of clinical imaging science · 2024Article
- Opportunistic screening at chest computed tomography: literature review of cardiovascular significance of incidental findings.Cardiovascular diagnosis and therapy · 2023Review
- Benign incidental cardiac findings in chest and cardiac CT imaging.The British journal of radiology · 2023Review
- Dental Trauma on whole Body Trauma CT-An underreported finding.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Quantification of the Thoracic Aorta and Detection of Aneurysm at CT: Development and Validation of a Fully Automatic Methodology.Radiology. Artificial intelligence · 2022Article
- Radiologist opinions regarding reporting incidental coronary and cardiac calcification on thoracic CT.BJR open · 2022Article
- Risk assessment of acute pulmonary embolism utilizing coronary artery calcifications in patients that have undergone CT pulmonary angiography and transthoracic echocardiography.European radiology · 2021Article
- Incidental cardiovascular findings on chest CT scans requested for suspected COVID-19.Jornal vascular brasileiro · 2021Article
- Reported and Unreported Potentially Important Incidental Findings in Urgent Nonenhanced Abdominal CT for Renal Colic.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2021Article
- Reporting incidental coronary, aortic valve and cardiac calcification on non-gated thoracic computed tomography, a consensus statement from the BSCI/BSCCT and BSTI.The British journal of radiology · 2021Article
- The undiagnosed potential clinically significant incidental findings of neck CTA: A large retrospective single-center study.Medicine · 2020Article
- The role of standard non-ECG gated chest CT in cardiac assessment: design and rationale of theEuropean radiology experimental · 2018Article
- Cardiovascular findings on computed tomography in patients with unclear finding situation and trauma of unknown origin.Medicine · 2017Article
- Incidental extravascular findings in computed tomographic angiography for planning or monitoring endovascular aortic aneurysm repair: Smoker patients, increased lung cancer prevalence?World journal of radiology · 2017Article
Corrections and comments
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Authors and funding
14 authors at 9 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIt is unclear whether (and, to what extent) radiologists look at and report cardiovascular abnormalities on non-cardio-synchronized standard chest computed tomography (CT). In this study, the frequency and the reporting rate of cardiovascular findings in chest CT examinations were retrospectively assessed. MATERIALS AND
methodsThis study was approved by the institutional review board of each participating center. Four academic centers provided data on 447 subjects who underwent non-ECG-synchronized chest CT examinations for evaluating pulmonary fibrosis (161/447, 36 %), suspected pulmonary embolism (140/447, 31.3 %), or lung cancer staging (146/447, 32.7 %). A total of 220/447 (53.7 %) and 227/447 CT (46.3 %) examinations were evaluated and reported by junior and senior chest radiologists, respectively. Two radiologists with training in cardiac imaging reviewed the same chest CT images looking for the presence of incidental cardiovascular abnormalities using a preformatted score sheet. Inter-observer agreement was assessed using the kappa coefficient of agreement (k).
resultsInter-observer agreement between the study reviewers was moderate to good (0.4-0.73) for most of the incidental cardiovascular findings. At least one incidental cardiovascular finding not documented in the original report was identified by the study reviewers in 225/409 (55 %) of chest CT examinations. A total of 168/266 (63.2 %) potentially clinically significant cardiovascular findings were unreported in the original reports of 177/447 (39.6 %) subjects (p < 0.0001). Senior radiologists tended to more frequently report coronary artery calcification (p = 0.0006), cardiac valves calcification (p = 0.0003), and ascending aorta enlargement (p = 0.01) compared to junior radiologists.
conclusionsSeveral cardiovascular abnormalities can be reliably identified on standard chest CT. Yet, they are often under-reported, even when they might be relevant to the patient's work-up.
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