Cardiac masses: Assessment by MR imaging

J. T. Lund, R. L. Ehman, P. R. Julsrud, L. J. Sinak, A. J. Tajik

Research output: Contribution to journalArticle

148 Scopus citations

Abstract

The purpose of this study was to assess the role of MR imaging for evaluating suspected cardiac tumors or pericardiac masses involving the heart. Sixty-one patients with clinical or radiologic evidence of cardiac masses were imaged with ECG-gated MR at 1.5 T (22 patients) or 0.15 T (39 patients). Fifty-one patients had echocardiography previously. Among the tissue diagnoses were myxoma (6); fibroma, rhabdomyoma, plasma cell granulosa, lipomatous hypertrophy of the atrial septum, mesothelioma, and thymoma (2 each); and leiomyosarcoma, lymphoma, metastatic carcinoid, melanoma, malignant fibrous histiocytoma, hemangiopericytoma, and lung spindle cell sarcoma (one each). MR imaging demonstrated masses in 50 patients (82%); they were centered in the heart in 32, pericardial in 9, and juxtacardiac in 9. MR imaging provided diagnostic information that affected clinical management or surgical planning in 53 patients (87%), including 11 (18%) in whom cardiac mass was excluded by MR. The ability to provide a global view of cardiac anatomy and other unique capabilities of MR imaging give the procedure an important role in the diagnosis and preoperative assessment of cardiac masses.

Original languageEnglish (US)
Pages (from-to)469-473
Number of pages5
JournalAmerican Journal of Roentgenology
Volume152
Issue number3
DOIs
StatePublished - Jan 1 1989

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Lund, J. T., Ehman, R. L., Julsrud, P. R., Sinak, L. J., & Tajik, A. J. (1989). Cardiac masses: Assessment by MR imaging. American Journal of Roentgenology, 152(3), 469-473. https://doi.org/10.2214/ajr.152.3.469