Published February 22, 2021 | Version v1
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Dataset from Alì M, Monti CB, Secchi F, Spairani R, Speciani M, Di Leo G, Sardanelli F. Fast thoracic MRI as an alternative to chest x-ray: A retrospective evaluation of 287 patients. Clin Imaging. 2020 Apr;60(2):244-248. doi: 10.1016/j.clinimag.2019.12.016. Epub 2019 Dec 23. PMID: 31968283.

  • 1. Unit of Diagnostic Imaging and Stereotactic Radiosurgery, Centro Diagnostico Italiano, Via Saint Bon 20, 20147 Milan, Italy. Electronic address: marco.ali90@gmail.com.
  • 2. Department of Biomedical Sciences for Health, Università degli Studi di Milano, Via Mangiagalli 31, 20133 Milan, Italy. Electronic address: caterina.monti@unimi.it.
  • 3. Radiology Unit, IRCCS Policlinico San Donato, Via Morandi 30, 20097 San Donato Milanese, Italy; Department of Biomedical Sciences for Health, Università degli Studi di Milano, Via Morandi 30, 20097 San Donato Milanese, Italy. Electronic address: francesco.secchi@grupposandonato.it.
  • 4. Radiology Unit, IRCCS Policlinico San Donato, Via Morandi 30, 20097 San Donato Milanese, Italy. Electronic address: riccardo.spairani@unimi.it.
  • 5. Corso di Laurea in Medicina e Chirurgia, Università degli Studi di Milano, Via Festa del Perdono 7, 20122 Milan, Italy.
  • 6. Radiology Unit, IRCCS Policlinico San Donato, Via Morandi 30, 20097 San Donato Milanese, Italy.
  • 7. Radiology Unit, IRCCS Policlinico San Donato, Via Morandi 30, 20097 San Donato Milanese, Italy; Department of Biomedical Sciences for Health, Università degli Studi di Milano, Via Morandi 30, 20097 San Donato Milanese, Italy. Electronic address: francesco.sardanelli@unimi.it.

Description

Dataset from the article Alì M, Monti CB, Secchi F, Spairani R, Speciani M, Di Leo G, Sardanelli F. Fast thoracic MRI as an alternative to chest x-ray: A retrospective evaluation of 287 patients. Clin Imaging. 2020 Apr;60(2):244-248. doi: 10.1016/j.clinimag.2019.12.016. Epub 2019 Dec 23. PMID: 31968283.

Abstract

Purpose: To compare half-Fourier acquisition single-shot turbo spin-echo thoracic MRI (HASTE-MRI) with chest x-ray (CXR).

Methods: A total of 287 patients (median age 53 years) undergoing both axial HASTE-MRI and CXR (<7 days apart) were retrospectively analyzed. Pulmonary nodules and consolidations, pleural effusion, and cardiac or aortic enlargement were considered. Detection rate (DR) and intra- and inter-technique agreement for both HASTE-MRI and CXR, were assessed.

Results: Pulmonary nodule DR was 1.7% (5/287) at both techniques (perfect inter-technique agreement); inter-reader agreement was perfect for HASTE-MRI (κ = 1.000) and modest for CXR (κ = 0.393). Pleural effusion DR at HASTE-MRI (19.1%, 55/287) was higher (p < 0.001) than at CXR (13.9%, 40/287), but their agreement was almost perfect (κ = 0.812); inter-reader agreement was almost perfect for HASTE-MRI (κ = 0.902) and substantial for CXR (κ = 0.773). Pulmonary consolidation DR at HASTE-MRI (8.4%, 24/287) was similar (p = 0.625) to that at CXR (7.7%, 22/287), with an almost perfect inter-technique agreement (κ = 0.905); inter-reader agreement was moderate for both HASTE-MRI (κ = 0.639) and CXR (κ = 0.554). Cardiac enlargement DR at HASTE-MRI (45.3%, 130/287) was borderline significantly lower (p = 0.057) than that at CXR (48.1%, 138/287), with an almost perfect inter-technique agreement (κ = 0.902); inter-reader agreement was substantial for both HASTE-MRI (κ = 0.798) and CXR (κ = 0.744). Aortic dilation DR at HASTE-MRI (17.7%, 51/287) was significantly higher (p < 0.001) than that at CXR (9.7%, 28/287), with a substantial inter-technique agreement (κ = 0.648); inter-reader agreement was moderate for both HASTE-MRI (κ = 0.724) and CXR (κ = 0.346).

Conclusion: HASTE-MRI and CXR showed at least a comparable DR for thoracic cardiac and non-cardiac findings.

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These data are available upon duly motivated request to Prof. Francesco Sardanelli: francesco.sardanelli@grupposandonato.it 

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