Visualization of Cardiac Myxoma Mobility With Real-Time Spiral Magnetic Resonance Imaging

Spuentrup, Elmar; Kuehl, Harald P; Wall, Alexander; Heer, Christopher; Buecker, Arno

doi:10.1161/hc4401.098012

Cited by 15 publications

(12 citation statements)

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“…The usefulness of cine MRI must be mentioned for providing moving pictures. As reported previously [26,59], it can depict tumor movement and can increase detectability of tumors. The role of Gd enhancement is summarized as follows: differential diagnosis from organized thrombus in myxoma cases; depiction of the tumor and its contour in rhabdomyoma cases; delineation of the tumor margin in angiosarcoma cases; and clarifying tumor contour against myocardium and tissue characterization in mesothelioma cases.…”

Section: Fibromamentioning

confidence: 71%

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Role of magnetic resonance imaging for evaluation of tumors in the cardiac region

2003

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The aim of this study was to review the role of MRI in the assessment of heart neoplasm, 25 cases with heart neoplasm (10 myxoma, 6 rhabdomyoma, 5 angiosarcoma, 2 mesothelioma, 1 lymphoma, and 1 fibroma) were examined with MRI and echocardiography. Multislice T1- and T2-weighted spin-echo images and static gradient-echo images were taken in appropriate directions with electrocardiogram gating. Gadolinium enhancement was performed in 21 cases. Transthoracic echocardiography was performed in all cases. Except for the 5 patients with rhabdomyoma, the pathological diagnosis was obtained. MRI proved to be useful for tissue characterization of myxoma, angiosarcoma, mesothelioma, and fibroma in cases with tuberous sclerosis. MRI also proved to be useful for detection of the tumor, depiction of contour, relation with other cardiac structures, in cases with myxoma, angiosarcoma, mesothelioma, lymphoma, and fibroma. In the differential diagnosis, MRI provided important information in cases with myxoma, rhabdomyoma, angiosarcoma, and fibroma. In cases with tumors expanding into the mediastinum, such as mesothelioma and fibroma in this report, MRI was useful in determining the location and border. In cases with tumors adjacent to pericardium, MRI was useful in detecting pericardial invasion. Gadolinium enhancement added useful information in cases with myxoma, rhabdomyoma, angiosarcoma, and mesothelioma. The role of MRI with and without Gd enhancement differs somewhat in individual types of heart neoplasm, and adaptation must be considered in each kind of neoplasm. On the other hand, MRI is an essential examination in all cases with a cardiac mass, which has not been diagnosed, since it may provide useful information for the differential diagnosis.

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Section: Fibromamentioning

confidence: 71%

“…The main role of MRI is tissue characterization [13,20]. Gadolinium enhancement is not essential for detection of myxoma, since this tumor can easily be depicted on plain T1 and T2 SE, GRE, and especially cine-mode MRI [26].…”

Section: Myxomamentioning

confidence: 99%

Role of magnetic resonance imaging for evaluation of tumors in the cardiac region

2003

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“…Cardiac myxomas are described in multiple CMR case reports (85,100,(103)(104)(105)(106)(107)(108)(109)(110)(111)(112)(113)(114)(115)(116)(117)(118)(119). Also reported are other less commonly encountered tumors, including: rhabdomyoma, (50,(120)(121)(122)(123)(124)(125)(126)(127).…”

Section: Cmr Diagnosis Of Cardiac Tumorsmentioning

confidence: 99%

Cardiovascular Magnetic Resonance of Primary Tumors of the Heart: A Review

Fieno¹,

Saouaf²,

Thomson³

et al. 2006

Journal of Cardiovascular Magnetic Resonance

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Overall, the prevalence of primary cardiac neoplasms is approximately 0.3% and these masses should be distinguished from the myriad of other primary and secondary processes that can occur in the heart. Tumors within, attached to, or near the heart can cause direct cardiac damage, can result in thrombus formation, can compromise blood flow and can embolize distally. Hence, proper diagnosis is clinically important. It has been suggested that cardiovascular magnetic resonance (CMR) imaging is a useful tool for diagnosing and characterizing cardiac tumors. In this report, we present a case example of a patient with a large, mobile right atrial myxoma imaged by CMR with results of histopathologic analysis after excision. We also demonstrate the utilization of CMR for characterization of cardiac lesions, review the basic characteristics of primary cardiac neoplasms, provide an overview of published cases describing use of CMR, and give suggested guidelines for imaging of cardiac masses with emphasis on diagnosis of cardiac tumors. CMR is an important technique for diagnosing and characterizing cardiac tumors.

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“…1,2,4 However, many patients cannot sustain the required breathholds or suffer from arrhythmia, resulting in reduced image quality or prolonged measurement times. 6,7 Recently, realtime sequences with ultra-fast data sampling and without k-space segmentation were implemented, offering the potential for data acquisition during free-breathing and without cardiac triggering. In conjunction with real-time data reconstruction and interactive scanning, it may enable a 'flythrough the heart' as known from echocardiography.…”

mentioning

confidence: 99%

“…This novel technique may also allow for a very fast MR-examination of the entire heart without breath-holding and cardiac triggering. [7][8][9][10][11] We therefore sought to study the potential of interactive real-time cardiac MR-imaging for the detection and localization of suspected cardiac masses. Both interactive real-time spiral gradient echo (spiralGE) and interactive realtime steady-state-free-precession (radialSSFP) MR-imaging were investigated.…”

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confidence: 99%

Fast Interactive Real-Time Magnetic Resonance Imaging of Cardiac Masses Using Spiral Gradient Echo and Radial Steady-State Free Precession Sequences

Spuentrup¹,

Mahnken²,

Kühl³

et al. 2003

Investigative Radiology

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Visualization of Cardiac Myxoma Mobility With Real-Time Spiral Magnetic Resonance Imaging

Cited by 15 publications

References 0 publications

Role of magnetic resonance imaging for evaluation of tumors in the cardiac region

Role of magnetic resonance imaging for evaluation of tumors in the cardiac region

Cardiovascular Magnetic Resonance of Primary Tumors of the Heart: A Review

Fast Interactive Real-Time Magnetic Resonance Imaging of Cardiac Masses Using Spiral Gradient Echo and Radial Steady-State Free Precession Sequences

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