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Cardiovascular magnetic resonance of cardiac tumors and masses

World Journal of Cardiology 2021年第11期13卷 628-649页

作者： Marco Gatti Tommaso D’Angelo Giuseppe Muscogiuri Serena Dell'aversana Alessandro Andreis Andrea Carisio Fatemeh Darvizeh Davide Tore Gianluca Pontone Riccardo Faletti Radiology Unit Department of Surgical SciencesUniversity of TurinTurin 10126Italy Department of Biomedical Sciences and Morphological and Functional Imaging “G.Martino”University Hospital MessinaMessina 98100Ita Department of Radiology IRCCS Istituto Auxologico ItalianoSan Luca HospitalMilan 20149Italy Department of Radiology S.Maria Delle Grazie HospitalPozzuoli 80078Italy Department of Medical Sciences University of TurinTurin 10126Italy School of Medicine Vita-Salute San Raffaele UniversityMilan 20121Italy Department of Cardiovascular Imaging Centro Cardiologico MonzinoIRCCSMilan 20138Italy

Cardiac masses diagnosis and treatment are a true challenge,although they are infrequently encountered in clinical *** encompass a broad set of lesions that include neoplastic(primary and secondary),non-neoplastic masses and *** clinical presentation of cardiac tumors is highly variable and depends on several factors such as size,location,relation with other structures and *** presumptive diagnosis is made based on a preliminary non-invasive diagnostic work-up due to technical difficulties and risks associated with biopsy,which is still the diagnostic gold *** findings should always be interpreted in the clinical context to avoid misdiagnosis,particularly in specific conditions(e.g.,infective endocarditis or thrombi).The modern multi-modality imaging techniques has a key role not only for the initial assessment and differential diagnosis but also for management and surveillance of the cardiac *** magnetic resonance(CMR)allows an optimal non-invasive localization of the lesion,providing multiplanar information on its relation to surrounding ***,with the additional feature of tissue characterization,CMR can be highly effective to distinguish pseudomasses from masses,as well as benign from malignant lesions,with further differential diagnosis of the *** histopathological assessment is important to make a definitive diagnosis,CMR plays a key role in the diagnosis of suspected cardiac masses with a great impact on patient *** literature review aims to provide a comprehensive overview of cardiac masses,from clinical and imaging protocol to pathological findings.

关键词： Cine magnetic resonance imaging Multiparametric magnetic resonance imaging Heart neoplasm Multimodal imaging Late-gadolinium enhancement early gadolinium enhancement

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