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Magnetic resonance imaging of cardiac tumors: part 2, malignant tumors and tumor-like conditions.

Randhawa, Kiran and Ganeshan, Arul and Hoey, Edward T D (2011) Magnetic resonance imaging of cardiac tumors: part 2, malignant tumors and tumor-like conditions. Current problems in diagnostic radiology, 40 (4). pp. 169-79. ISSN 1535-6302.

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Official URL: http://www.cpdrjournal.com/article/S0363-0188(10)0...

Abstract

Cardiovascular magnetic resonance imaging (CMRI) is the reference noninvasive imaging technique for assessment and characterization of a suspected cardiac or juxta-cardiac mass. The multiplanar assessment of anatomy, tissue composition, and functional impact afforded by CMRI allows for early differentiation between a nonneoplastic mass and a tumor mass, be it benign or malignant. Malignant cardiac tumors have a poor prognosis; however, early detection and characterization confer some survival advantage, enabling early instigation of chemotherapy and/or consideration of a surgical debulking procedure. Cardiac metastases are far more common than primary tumors and are an important consideration in patients with disseminated disease. Angiosarcoma accounts for the majority of primary malignant lesions. Less common primary malignant cardiac tumors include sarcomas with myofibroblastic differentiation, lymphoma, rhabdomyosarcoma, pericardial mesothelioma, and pericardial synovial sarcoma. A number of benign masses and normal anatomical variants can cause confusion to the inexperienced observer and must be recognized to avoid unnecessary intervention. These include intracardiac thrombus, bronchogenic and pericardial cysts, and anatomical structures, such as the Crista terminalis and moderator band.

Item Type: Article
Subjects: WG Cardiovascular system. Cardiology
WN Medical imaging. Radiology
Divisions: Clinical Support > Radiology
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Depositing User: Mrs Caroline Tranter
Date Deposited: 02 Dec 2014 11:11
Last Modified: 17 Feb 2017 09:47
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/714

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