Open AccessDoes magnetic resonance imaging have a role in diagnosing benign intracardiac lesions?
Author(s) -
Noha H. Behairy,
Sherif Gouda
Publication year - 2013
Publication title -
the egyptian journal of radiology and nuclear medicine /the egyptian journal of radiology and nuclear medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.19
H-Index - 13
eISSN - 2090-4762
pISSN - 0378-603X
DOI - 10.1016/j.ejrnm.2013.02.003
Subject(s) - intracardiac injection , medicine , vascularity , radiology , magnetic resonance imaging , lesion , cardiac tumors , cardiac magnetic resonance , cardiac surgery , cardiology , pathology
ObjectiveIn this study, transthoracic echocardiography and cardiac magnetic resonance were compared in terms of the detection, localization, characterization and extra cardiac association of cardiac lesions to specify the value of adding CMR to TTE in diagnosing benign intracardiac lesions.Materials and methodsTwenty nine patients ranging in age between 7months and 80years were enrolled in the study. Twenty five patients with suspected intracardiac lesions by TTE, in addition four patients with accidentally discovered thrombi on CMR were added to the study.ResultsCMR detected 17 non neoplastic lesions and 11 neoplastic lesions. CMR changed the diagnosis made by TTE in five cases, showed additional findings to TTE in three cases and was superior to TTE in detecting four cases of cardiac thrombi.ConclusionCMR is superior to TTE in characterization of intracardiac lesions, detecting its site, size, vascularity, hemodynamics and multiplicity of the lesion with high tissue contrast. Thus it should be performed in all cases suspicious of cardiac masses as it could aid in patient management and guide for surgery. Moreover it can prevent unneeded cardiac surgery in cases of benign non-neoplastic lesions or in benign tumors with no hemodynamic significance