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Peer-Reviewed Publication
Lancet Healthy Longev2026;7(2):100823.February 1, 2026Journal Article

Incidental findings and duty-of-care protocols in cardiovascular magnetic resonance among older adults: a prospective population-based study from MyoFit46.

Matthew Webber1, Fiona Chan2, Constantin-Cristian Topriceanu3, Emma Martin4, George Joy1, Jonathan Bennett1, Debbie Falconer2, Franca Morselli1, Hunain Shiwani5, Pablo Gonzalez6, Lee Hamill Howes4, Andrew Wong4, Alicja Rapala4, Steven Bandula5, Rhodri H Davies1, Peter Kellman7, Iain Pierce1, Michele Orini8, Rebecca Hardy9, Nishi Chaturvedi4, James C Moon1, Pier D Lambiase1, Alun D Hughes8, Gabriella Captur10
1Barts Heart Centre, Barts Health NHS Trust, London, UK; Institute of Cardiovascular Science, University College London, London, UK.
2Barts Heart Centre, Barts Health NHS Trust, London, UK; Institute of Cardiovascular Science, University College London, London, UK; Centre for Inherited Heart Muscle Conditions, Department of Cardiology, Royal Free London NHS Foundation Trust, London, UK; Medical Research Council Unit for Lifelong Health and Ageing at UCL, London, UK.
3Barts Heart Centre, Barts Health NHS Trust, London, UK; Institute of Cardiovascular Science, University College London, London, UK; Medical Research Council Unit for Lifelong Health and Ageing at UCL, London, UK.
4Medical Research Council Unit for Lifelong Health and Ageing at UCL, London, UK.
5Institute of Cardiovascular Science, University College London, London, UK.
6ELEM Biotech, Bristol, UK.
7National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
8Institute of Cardiovascular Science, University College London, London, UK; Medical Research Council Unit for Lifelong Health and Ageing at UCL, London, UK.
9CLOSER, London, UK.
10Institute of Cardiovascular Science, University College London, London, UK; Centre for Inherited Heart Muscle Conditions, Department of Cardiology, Royal Free London NHS Foundation Trust, London, UK; Medical Research Council Unit for Lifelong Health and Ageing at UCL, London, UK. Electronic address: gabriella.captur@ucl.ac.uk.

Abstract

BACKGROUND: Incidental findings are often found in imaging research, especially in older people (aged ≥75 years). Understanding their prevalence is essential to inform consent and disclosure protocols as well as anticipate onward investigation balanced against minimising unnecessary anxiety and health-care burden. The aim of this study was to determine the prevalence of incidental findings in a po…

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