{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T02:01:10Z","timestamp":1760234470009,"version":"build-2065373602"},"reference-count":16,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2021,5,19]],"date-time":"2021-05-19T00:00:00Z","timestamp":1621382400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tomography"],"abstract":"<jats:p>Objective: To ascertain non-cardiac abnormality (NCA) incidence in patients undergoing clinical cardiovascular magnetic resonance imaging (CMR) and determine such patients\u2019 clinical importance. Methods: Consecutive patients undertaking CMR study from January 2012 to June 2017 for various cardiovascular diseases were enrolled. To assess NCA\u2019s therapeutic importance, all incidental findings that were not expected from the patient\u2019s history were analyzed. A careful review of medical history determines the information on mortality. Results: Three hundred and eighty-two consecutive patients (mean age 58 \u00b1 11 years) who underwent CMR for different clinical indications were enrolled in the present study. Potentially significant results have been identified as abnormalities that require further clinical or radiological follow-up or therapy. On CMR, 118 NCA (30.9%) were found. In 25 patients, potential clinically significant NCAs, such as aortic aneurysm (n = 3), aortic dissection (n = 2), pulmonary thromboembolism (n = 2), and malignancy (n = 18), were identified (6.54%). In terms of one-year mortality data, in a patient without NCA, we observed a significantly higher survival rate than those with NCA (p = 0.0085) and a higher mortality rate in a patient with clinically significant NCA than a patient with irrelevant NCA (p = 0.02). Survival, as assessed via Kaplan\u2012Meier analysis, disclosed significantly higher mortality in the patients with clinically significant NCA than patients with irrelevant NCA (HR = 11.20, CI = 4.71\u201326.60, p &lt; 0.001). Conclusions: We concluded that it is vital for the CMR study to determine the relevance of NCA, especially in the cholangiocarcinoma endemic region such as northeastern Thailand. Eventually, to reorganize the patients according to appropriate management, clinical correlation and prognosis must be summarily established.<\/jats:p>","DOI":"10.3390\/tomography7020018","type":"journal-article","created":{"date-parts":[[2021,5,19]],"date-time":"2021-05-19T21:49:21Z","timestamp":1621460961000},"page":"202-209","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Incidence and Outcome of Unexpected Non-Cardiac Abnormality on Cardiac Magnetic Resonance Imaging: A Report from Northeastern Thailand"],"prefix":"10.3390","volume":"7","author":[{"given":"Narumol","family":"Chaosuwannakit","sequence":"first","affiliation":[{"name":"Radiology Department, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pattarapong","family":"Makarawate","sequence":"additional","affiliation":[{"name":"Cardiology Unit, Internal Medicine Department, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,5,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1186\/s12968-020-00682-4","article-title":"SCMR Position Paper (2020) on clinical indications for cardiovascular magnetic resonance","volume":"22","author":"Leiner","year":"2020","journal-title":"J. Cardiovasc. Magn. Reson."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1186\/1532-429X-15-91","article-title":"Society for cardiovascular magnetic resonance board of trustee\u2019s task force on standardized protocols. Standardized cardiovascular magnetic resonance (CMR) protocols 2013 update","volume":"15","author":"Kramer","year":"2013","journal-title":"J. Cardiovasc. Magn. Reson."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/s12968-016-0246-1","article-title":"Extracardiac findings in cardiovascular magnetic resonance: What the imaging cardiologist needs to know","volume":"18","author":"Rodrigues","year":"2016","journal-title":"J. Cardiovasc. Magn. Reson."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1186\/1532-429X-15-35","article-title":"Standardized image interpretation and post-processing in cardiovascular magnetic resonance: Society of Cardiovascular Magnetic Resonance (SCMR) Board of trustees task force on standardized post procession","volume":"15","author":"Bluemke","year":"2013","journal-title":"J. Cardiovasc. Magn. Reson."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1161\/01.CIR.0000027136.56615.DE","article-title":"Prevalence of significant non-cardiac findings on electron-beam computed tomography coronary artery calcium screening examinations","volume":"106","author":"Horton","year":"2002","journal-title":"Circulation"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1259\/bjr.20150723","article-title":"The prevalence and significance of thoracic findings in patients undergoing extended coverage computed tomography for assessment of abdominal aortic aneurysms","volume":"89","author":"Karkhanis","year":"2016","journal-title":"Br. J. Radiol."},{"key":"ref_7","first-page":"171","article-title":"Prevalence and significance of extracardiac findings in cardiac magnetic resonance imaging","volume":"80","author":"Martin","year":"2016","journal-title":"Rev. Argen. 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PLoS Med., 4.","DOI":"10.1371\/journal.pmed.0040201"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1007\/s005340050095","article-title":"Intrahepatic cholangiocarcinoma in Thailand","volume":"6","author":"Uttaravichien","year":"1999","journal-title":"J. Hepatobiliary Pancreat. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1007\/s10554-014-0368-1","article-title":"Extracardiac findings in cardiovascular MR: Why cardiologists and radiologists should read together","volume":"30","author":"Greulich","year":"2014","journal-title":"Int. J. Cardiovasc. Imaging"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1002\/jmri.25053","article-title":"Incidental extracardiac findings on cardiac MR: Systematic review and meta-analysis","volume":"43","author":"Dunet","year":"2016","journal-title":"J. Magn. Reson. 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Monit."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"4102","DOI":"10.1007\/s00330-018-5432-0","article-title":"Extracardiac findings at cardiac MR imaging: a single-centre retrospective study over 14 years","volume":"28","author":"Sokolowski","year":"2018","journal-title":"Eur Radiol."}],"container-title":["Tomography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2379-139X\/7\/2\/18\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:04:00Z","timestamp":1760162640000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2379-139X\/7\/2\/18"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,19]]},"references-count":16,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,6]]}},"alternative-id":["tomography7020018"],"URL":"https:\/\/doi.org\/10.3390\/tomography7020018","relation":{},"ISSN":["2379-139X"],"issn-type":[{"type":"electronic","value":"2379-139X"}],"subject":[],"published":{"date-parts":[[2021,5,19]]}}}