{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T13:42:27Z","timestamp":1769089347416,"version":"3.49.0"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T00:00:00Z","timestamp":1767398400000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002996","name":"Dutch Heart Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002996","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Cardiac CT is increasingly used to screen for cardioembolism in stroke patients. We assessed the frequency and management of non-cardiac incidental findings on prospective ECG-gated cardiac CT in patients with a suspected stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods<\/jats:title>\n                    <jats:p>This was a post-hoc analysis of the Mind the Heart study, a prospective single-centre cohort study including consecutive adult patients with acute ischaemic stroke (AIS), transient ischaemic attack (TIA), or a stroke mimic who underwent cardiac CT as part of an acute stroke imaging protocol. Endpoints were pre-defined non-cardiac incidental findings that were detected on cardiac CT: pulmonary embolism (PE), potential malignant lesions, pulmonary consolidations or ground-glass densities, bone fractures, lymphadenopathy, focal liver lesions, and ascending aortic or pulmonary artery dilatation. Change of management was defined as additional treatment or follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We included 654 patients (57% men, median age 71 [IQR 59\u201380] years) of whom 451 (69%) had AIS, 48 had TIA (7%), and 155 had a stroke mimic (24%). Overall, 58 non-cardiac incidental findings were found in 55 (8%; 95%CI, 6\u201311) patients. The most frequent incidental findings were consolidations or ground-glass densities (n\u00a0=\u00a017, 3%), liver cysts or non-specific hypodensities (n\u00a0=\u00a014, 2%), pulmonary nodules or masses (n\u00a0=\u00a09, 1%), and PEs (n\u00a0=\u00a08, 1%). Incidental findings led to a change of management in 17\/55 (31%) patients of whom 13\/55 (24%) had additional follow-up and 9\/55 (16%) received treatment (anticoagulation n\u00a0=\u00a08, chemotherapy n\u00a0=\u00a01).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion &amp; Conclusion<\/jats:title>\n                    <jats:p>Non-cardiac incidental findings were observed on cardiac CT in 8% of patients with a suspected stroke. These findings changed management in 31% of these patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/esj\/aakaf027","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T11:02:39Z","timestamp":1768906959000},"source":"Crossref","is-referenced-by-count":0,"title":["Frequency and management of non-cardiac incidental findings on cardiac CT in patients with a suspected stroke"],"prefix":"10.1093","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1665-2911","authenticated-orcid":false,"given":"Chiel F P","family":"Beemsterboer","sequence":"first","affiliation":[{"name":"Department of Neurology, Amsterdam UMC, Location University of Amsterdam , Amsterdam ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shan Sui","family":"Nio","sequence":"additional","affiliation":[{"name":"Department of Neurology, Amsterdam UMC, Location University of Amsterdam , Amsterdam ,","place":["The 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