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Cardiac Tumors

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Magnetic Resonance Imaging of Congenital Heart Disease

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Abstract

Cardiovascular magnetic resonance (CMR) imaging has evolved as a reference standard method for the assessment of cardiac mass or tumor and is increasingly being used for confirmation, localization, and tissue characterization of cardiac masses discovered in other types of imaging. Echocardiography is usually the first-line imaging modality used in patients suspected of a cardiac mass or tumor; however, this technique has several limitations as it is highly dependent upon availability of good echocardiographic “windows” and has limited ability to characterize tissue. CMR is a versatile imaging modality that provides two-dimensional or three-dimensional imaging using a variety of pulse sequences for a comprehensive assessment and tissue characterization of cardiac masses. Additionally, CMR imaging readily evaluates 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. Cardiovascular Imaging, Division of Cardiology, Loyola University Medical Center, Maywood, IL, USA

    Mushabbar A. Syed

  2. Cardiovascular Imaging, Royal Brompton and Harefield Hospitals, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

    Raad H. Mohiaddin

  3. National Heart and Lung Institute, Imperial College London, London, UK

    Raad H. Mohiaddin

Authors
  1. Mushabbar A. Syed
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  2. Raad H. Mohiaddin
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Corresponding author

Correspondence to Mushabbar A. Syed .

Editor information

Editors and Affiliations

  1. Rolf & Merian Gunnar Professor of Medicine-Cardiology, Director Cardiovascular Imaging & Program Director, Cardiovascular Disease Fellowship, Loyola University Medical Center, Maywood, IL, USA

    Mushabbar A. Syed

  2. Professor of Cardiovascular Imaging, Royal Brompton and Harefield Hospitals, Guy’s and St Thomas’ NHS Foundation Trust & National Heart and Lung Institute, Imperial College London, London, UK

    Raad H. Mohiaddin

18.1 Electronic Supplementary Material

Movie 18.1

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)

Movie 18.2

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. 18.4 and 18.5 from same patient) (AVI 8445 kb)

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Syed, M.A., Mohiaddin, R.H. (2023). Cardiac Tumors. In: Syed, M.A., Mohiaddin, R.H. (eds) Magnetic Resonance Imaging of Congenital Heart Disease. Springer, Cham. https://doi.org/10.1007/978-3-031-29235-4_18

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  • DOI: https://doi.org/10.1007/978-3-031-29235-4_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-29234-7

  • Online ISBN: 978-3-031-29235-4

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