Cardiac MRI for the evaluation of cardiac neoplasms

Kumar, Prashant; Singh, Anirudh; Deshmukh, Ashwin; Kumar, Sanjeev

doi:10.1016/j.crad.2019.11.014

Cited by 15 publications

(15 citation statements)

References 23 publications

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“… 14 An MRI can also differentiate between thrombus and metastasis: whereas thrombus is avascular and does not show contrast enhancement, metastasis will show enhancement in both first-pass perfusion imaging and late gadolinium enhanced T1-weighted images. 14 …”

Section: Discussionmentioning

confidence: 99%

“…13 On cardiovascular MRI, metastases are typically T1 hypointense and heterogeneously T2 hyperintense; however, melanoma is an exception and is typically T1 hyperintense due to the presence of melanin. 14 An MRI can also differentiate between thrombus and metastasis: whereas thrombus is avascular and does not show contrast enhancement, metastasis will show enhancement in both first-pass perfusion imaging and late gadolinium enhanced T1-weighted images. 14 Prognosis of metastatic melanoma used to be extremely poor, with a 5-year overall survival of 10%.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Metastatic Melanoma Extending along the Pulmonary Vein into the Left Atrium: A Rare Route of Metastasis Characterized by Transesophageal Echocardiography

Jiang

Kushneriuk

Chiu

2022

CASE

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Metastatic Melanoma Extending along the Pulmonary Vein into the Left Atrium: A Rare Route of Metastasis Characterized by Transesophageal Echocardiography

Jiang

Kushneriuk

Chiu

2022

CASE

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“…Las secuencias de perfusión permiten evaluar la vascularización tumoral. Finalmente, con el realce tardío se completa la caracte rización tisular, que dado la heterogeneidad en este contexto, nos marca la malignidad lesional (4) .…”

Section: Discussionunclassified

Supradesnivel del segmento st como forma de presentación de un tumor cardiaco. Rol de la resonancia magnética para su diagnóstico

2021

Rev.Urug.Cardiol.

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Supradesnivel del segmento ST como forma de presentación atípica de un tumor cardíaco. Rol diagnóstico de la multimodalidad de imagen ResumenLos tumores cardíacos malignos son neoplasias poco frecuentes que pueden presentarse de diversas formas, lo que dificulta su diagnóstico. La ecocardiografía y la resonancia magnética cardíaca son técnicas fundamentales para el diagnóstico, la caracterización y la evaluación de su extensión tumoral. La identificación de la línea tumoral es esencial al iniciar un tratamiento oncológico dirigido. Si bien el "estándar de oro" para este fin es el estudio anatomopatológico (obtenido por biopsia o resección quirúrgica), en los casos en que esto no es posible, la resonancia magnética cardíaca es la técnica no invasiva que proporciona un mejor abordaje diagnóstico. El tratamiento de elección es la resección quirúrgica y el pronóstico, en general, es malo. Presentamos el caso de una paciente con un tumor cardíaco de presentación clínica atípica, en la que un abordaje imagenológico multimodal aporta información clave y complementaria para el diagnóstico y la caracterización tisular. Palabras clave:Tumor cardíaco maligno Sarcoma indiferenciado Multimodalidad Resonancia magnética cardíaca ST segment elevation as an atypical presentation of a cardiac tumor. Diagnostic role of a multimodal imaging approach SummaryMalignant cardiac tumors are rare neoplasms that can present in various forms, making their diagnosis difficult. Echocardiography and cardiac magnetic resonance imaging are fundamental techniques for the diagnosis, characterization, and evaluation of tumor extension. Identification of the tumor line is essential when initiating targeted cancer therapy. Although the "gold standard" for this purpose is the pathological study (obtained by biopsy or surgical resection), in cases where this is not possible, cardiac resonance is the non-invasive technique that provides a better diagnostic approach. The treatment of choice is surgical resection and the prognosis is generally poor. We present the case of a patient with an atypical clinical presentation, in which a multimodal approach provides key and complementary information for tumor diagnosis and tissue characterization.

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“…CMR can be considered the gold standard for assessment of non-thrombotic masses (82). In stroke patients particularly, CMR is useful for differentiating tumors from thrombi (83).…”

Section: Yield Of Cmr and Echocardiography For Specific Pathologiesmentioning

confidence: 99%

Cardiovascular MRI Compared to Echocardiography to Identify Cardioaortic Sources of Ischemic Stroke: A Systematic Review and Meta-Analysis

et al. 2021

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Background: To compare the diagnostic yield of echocardiography and cardiovascular MRI (CMR) to detect structural sources of embolism, in patients with ischemic stroke with a secondary analysis of non-stroke populations.Methods and Results: We searched MEDLINE/Embase (from 01.01.2000 to 24.04.2021) for studies including CMR to assess prespecified sources of embolism. Comparison included transthoracic and/or transesophageal echocardiography. Two authors independently screened studies, extracted data and assessed bias using the QUADAS-2 tool. Estimates of diagnostic yield were reported and pooled. Twenty-seven studies with 2,525 patients were included in a study-level analysis. Most studies had moderate to high risk of bias. Persistent foramen ovale, complex aortic plaques, left ventricular and left atrial thrombus were the most common pathologies. There was no difference in the yield of left ventricular thrombus detection between both modalities for stroke populations (4 studies), but an increased yield of CMR in non-stroke populations (28.1 vs. 16.0%, P < 0.001, 10 studies). The diagnostic yield in stroke patients for detection of persistent foramen ovale was lower in CMR compared to transoesophageal echocardiography (29.3 vs. 53.7%, P < 0.001, 5 studies). For both echocardiography and CMR the clinical impact of the management consequences derived from many of the diagnostic findings remained undetermined in the identified studies.Conclusions: Echocardiography and CMR seem to have similar diagnostic yield for most cardioaortic sources of embolism except persistent foramen ovale and left ventricular thrombus. Randomized controlled diagnostic trials are necessary to understand the impact on the management and potential clinical benefits of the assessment of structural cardioaortic stroke sources.Registration: PROSPERO: CRD42020158787.

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Cardiac MRI for the evaluation of cardiac neoplasms

Cited by 15 publications

References 23 publications

Metastatic Melanoma Extending along the Pulmonary Vein into the Left Atrium: A Rare Route of Metastasis Characterized by Transesophageal Echocardiography

Metastatic Melanoma Extending along the Pulmonary Vein into the Left Atrium: A Rare Route of Metastasis Characterized by Transesophageal Echocardiography

Supradesnivel del segmento st como forma de presentación de un tumor cardiaco. Rol de la resonancia magnética para su diagnóstico

Cardiovascular MRI Compared to Echocardiography to Identify Cardioaortic Sources of Ischemic Stroke: A Systematic Review and Meta-Analysis

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