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Klinisch relevante kardiovaskuläre Zufallsbefunde bei CT‑Untersuchungen

Clinically relevant incidental cardiovascular findings in CT examinations

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Zusammenfassung

Hintergrund und Methode

Inzidentelle kardiovaskuläre Befunde sind ein häufiges Phänomen bei CT-Untersuchungen. Mit dieser Arbeit soll nach gezielter PubMed-Recherche ein systematischer Literaturüberblick über die wichtigsten kardiovaskulären Zufallsbefunde sowie deren Häufigkeit und klinische Relevanz gegeben werden.

Ergebnisse

Die Mehrzahl der inzidentellen kardiovaskulären Befunde sind klinisch nur von untergeordneter Bedeutung, allerdings werden immer wieder auch hochgradig relevante Zufallsbefunde wie beispielsweise Aortenaneurysmata oder – gerade bei onkologischen Patienten – Thrombosen und thrombembolische Ereignisse detektiert.

Schlussfolgerung

Jede CT-Untersuchung sollte gezielt nach inzidentellen Befunden durchsucht werden, da diese je nach klinischer Relevanz von entscheidender Bedeutung für das weitere klinische Management des Patienten sein können.

Abstract

Background and method

Incidental cardiovascular findings are a frequent phenomenon in computed tomography (CT) examinations. As the result of a dedicated PubMed search this article gives a systemic overview of the current literature on the most important incidental cardiovascular findings, their prevalence and clinical relevance.

Results

The majority of incidental cardiovascular findings are of only low clinical relevance; however, highly relevant incidental findings, such as aortic aneurysms, thromboses and thromboembolic events can also occasionally be found, especially in oncology patients.

Conclusion

The scans from every CT examination should also be investigated for incidental findings as they can be of decisive importance for the further clinical management of patients, depending on their clinical relevance.

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Authors and Affiliations

  1. Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Leipzig, Liebigstr. 20, 04103, Leipzig, Deutschland

    P. Voigt, J. Fahnert, T. Kahn & A. Surov

  2. Klinik für Radiologie, Universitätsklinikum Halle (Saale), Ernst-Grube-Str. 40, 06097, Halle, Deutschland

    D. Schramm & A. G. Bach

Authors
  1. P. Voigt
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  2. J. Fahnert
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  3. D. Schramm
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  4. A. G. Bach
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  5. T. Kahn
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  6. A. Surov
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Corresponding author

Correspondence to P. Voigt.

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Interessenkonflikt

P. Voigt, J. Fahnert, D. Schramm, A.G. Bach, T. Kahn und A. Surov geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Voigt, P., Fahnert, J., Schramm, D. et al. Klinisch relevante kardiovaskuläre Zufallsbefunde bei CT‑Untersuchungen. Radiologe 57, 296–301 (2017). https://doi.org/10.1007/s00117-017-0226-y

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  • DOI: https://doi.org/10.1007/s00117-017-0226-y

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