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64열 심장 다절편 CT에서 발견되는 비심장 소견: 흉부 CT와의 비교
DC Field | Value | Language |
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dc.contributor.author | 장혁재 | - |
dc.date.accessioned | 2015-05-19T17:38:37Z | - |
dc.date.available | 2015-05-19T17:38:37Z | - |
dc.date.issued | 2008 | - |
dc.identifier.issn | 1738-5520 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/108539 | - |
dc.description.abstract | BACKGROUND AND OBJECTIVES: Multi-detector CT (MDCT) is becoming more commonly used as a diagnostic tool for various cardiac diseases, and this modality can also incidentally detect a significant number of non-cardiac findings during cardiac work-ups. The objectives of this study were to evaluate the incidence of non-cardiac findings during cardiac MDCT and to compare them with chest CT. SUBJECTS AND METHODS: We enrolled 1,007 consecutive subjects (mean age: 49+/-10 years, males: 63%) who underwent both cardiac and chest CT (64-slice MDCT) as a part of a routine health check-up. The subjects were evaluated for the incidence of non-cardiac findings and the therapeutic consequences according to the CT protocols during the mid-term follow-up (average length of mid-term follow-up: 533+/-39 days). RESULTS: Eight hundred sixty incidental non-cardiac findings were identified in 627 patients (62%) with cardiac CT. Forty-three subjects (4%) had clinically significant lesions that required additional diagnostic work-up or radiological follow-up, and these lesions were 23 cases of non-calcified nodule, 2 cases of ground glass opacity, 6 cases of pneumonia, 1 case of active tuberculosis, 2 cases of focal bronchiolitis, 3 cases of arterial lesion, 1 case of liver cirrhosis and 5 cases of extra-pulmonary masses. Five subjects (0.5%), including 2 cases (0.2%) of malignancy, had therapeutic consequences during their follow-up. Compared with chest CT, 68% (40/59) of the significant intrathoracic lesions and 67% (4/6) of the intrathoracic lesions with therapeutic consequences were documented by cardiac CT. CONCLUSION: In the present study, 4% of the asymptomatic patients who underwent cardiac MDCT were found to have significant non-cardiac findings that required further work-up. To avoid missing a number of clinically important findings, physicians who analyze cardiac MDCT scans should carefully evaluate not only the heart, but all the other organs that are within the scan range. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 276~283 | - |
dc.relation.isPartOf | KOREAN CIRCULATION JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 64열 심장 다절편 CT에서 발견되는 비심장 소견: 흉부 CT와의 비교 | - |
dc.title.alternative | Non-cardiac Findings on 64-Slice Cardiac Multi-detector CT | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | 윤연이 | - |
dc.contributor.googleauthor | 전은주 | - |
dc.contributor.googleauthor | 최의근 | - |
dc.contributor.googleauthor | 조영진 | - |
dc.contributor.googleauthor | 이원재 | - |
dc.contributor.googleauthor | 최상일 | - |
dc.contributor.googleauthor | 최동주 | - |
dc.contributor.googleauthor | 장혁재 | - |
dc.identifier.doi | 10.4070/kcj.2008.38.5.276 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03490 | - |
dc.relation.journalcode | J01952 | - |
dc.identifier.eissn | 1738-5555 | - |
dc.identifier.pmid | Tomography, X-ray computed ; Heart; Lung | - |
dc.subject.keyword | Tomography, X-ray computed | - |
dc.subject.keyword | Heart | - |
dc.subject.keyword | Lung | - |
dc.contributor.alternativeName | Chang, Hyuck Jae | - |
dc.contributor.affiliatedAuthor | Chang, Hyuck Jae | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 38 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 276 | - |
dc.citation.endPage | 283 | - |
dc.identifier.bibliographicCitation | KOREAN CIRCULATION JOURNAL, Vol.38(5) : 276-283, 2008 | - |
dc.identifier.rimsid | 37068 | - |
dc.type.rims | ART | - |
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