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Cardiac Tumors

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Magnetic Resonance Imaging of Congenital Heart Disease

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Abstract

Evaluation of cardiac mass or tumor has become a routine application for cardiovascular magnetic resonance (CMR) imaging. CMR is a versatile imaging modality that provides 2-dimensional or 3-dimensional imaging using a variety of pulse sequences for a comprehensive assessment of cardiac mass. Echocardiography is usually the first line imaging modality used in patients suspected of a cardiac mass or tumor; however, this technique has several limitations, is highly dependent upon availability of good echocardiographic “window” and even then may not be able to provide a comprehensive answer due to limited field of view and inability to characterize tissue. In this regard, CMR imaging has evolved as a reference standard method for the assessment of suspected cardiac tumor and is also increasingly being used for confirmation, localization, and tissue characterization of cardiac masses discovered on other types of imaging. CMR imaging readily evaluates for the presence of tumor related cardiovascular complications and is helpful in determining prognosis and treatment planning.

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Author information

Authors and Affiliations

  1. Department of Medicine and Radiology, Stritch School of Medicine, Loyola University Chicago, Chicago, IL, USA

    Mushabbar A. Syed M.D., FACC

  2. Cardiovascular Imaging, Heart and Vascular Institute, Loyola University Medical Center, Maywood, IL, USA

    Mushabbar A. Syed M.D., FACC

  3. Cardiovascular Imaging, Cardiovascular Magnetic Resonance Unit, Royal Brompton Hospital and National Heart and Lung Institute, Imperial College London, Sydney Street, London, SW3 6NP, UK

    Raad H. Mohiaddin M.D., Ph.D., FRCR, FRCP, FESC

Authors
  1. Mushabbar A. Syed M.D., FACC
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  2. Raad H. Mohiaddin M.D., Ph.D., FRCR, FRCP, FESC
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Corresponding author

Correspondence to Mushabbar A. Syed M.D., FACC .

Editor information

Editors and Affiliations

  1. , Stritch School of Medicine, Loyola University Chicago, S. First Ave. 2160, Maywood, 60153, Illinois, USA

    Mushabbar A. Syed

  2. Magnetic Resonance Unit, Royal Brompton Hospital, Sydney Street, London, SW3 6NP, United Kingdom

    Raad H. Mohiaddin

16.1 Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Example of volumetric coverage in an axial plane. Images are acquired from the top of the heart to the diaphragm to evaluate the interatrial mass seen on echocardiography. CMR cine with SSFP sequence clearly delineates the mass involving the atrial septum which spares the fossa ovalis (images in second row). This is typical feature of lipomatous hypertrophy of interatrial septum. This was further investigated with black blood imaging with and without fat saturation which confirmed fatty nature of this pseudo-tumor (AVI 13005 kb)

218193_1_En_16_MOESM2_ESM.avi

First pass perfusion of right ventricular mass. Mass shows enhancement on perfusion images which is a feature of tumor. A thrombus doesn’t enhance and stays dark on perfusion images. This tumor was found to be metastatic malignant melanoma (see Figs. 16.4and 16.5from same patient) (AVI 8445 kb)

Movie 16.2

First pass perfusion of right ventricular mass. Mass shows enhancement on perfusion images which is a feature of tumor. A thrombus doesn’t enhance and stays dark on perfusion images. This tumor was found to be metastatic malignant melanoma (see Figs. 16.4and 16.5from same patient) (AVI 8445 kb)

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© 2012 Springer-Verlag London

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Syed, M.A., Mohiaddin, R.H. (2012). Cardiac Tumors. In: Syed, M., Mohiaddin, R. (eds) Magnetic Resonance Imaging of Congenital Heart Disease. Springer, London. https://doi.org/10.1007/978-1-4471-4267-6_16

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  • DOI: https://doi.org/10.1007/978-1-4471-4267-6_16

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4266-9

  • Online ISBN: 978-1-4471-4267-6

  • eBook Packages: MedicineMedicine (R0)

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