MR imaging findings in 76 consecutive surgically proven cases of pericardial disease with CT and pathologic correlation

Phillip M. Young, James Glockner, Eric E. Williamson, Michael F. Morris, Philip A Araoz, Paul R. Julsrud, Hartzell V Schaff, William D. Edwards, Jae Kuen Oh, Jerome F. Breen

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

To describe findings of patients with surgically confirmed pericardial disease on state of the art MR sequences. Retrospective review was performed for patients who underwent pericardiectomy and preoperative MR over a 5 year period ending in 2009. Patients' records were reviewed to confirm the diagnosis of chronic recurrent pericarditis, constrictive pericarditis, or pericardial tumor. MR imaging findings of pericardial thickness, IVC diameter, presence or absence of pericardial or pleural effusion, pericardial edema, pericardial enhancement, and septal "bounce" were recorded. Patients with constriction had a larger IVC diameter (3.1 ± 0.4 cm) than patients with recurrent pain and no constriction (2.0 ± 0.4 cm). Mean pericardial thickness for the 16 patients with chronic recurrent pericarditis but no evidence of constriction was 4.8 ± 2.9 mm. Mean pericardial thickness for patients with constriction was 9.2 ± 7.0 cm with calcification, and 4.6 ± 2.1 cm without calcification. 94% of patients with chronic recurrent pericarditis had gadolinium enhancement of the pericardium, while 76% of patients with constriction had pericardial enhancement. Septal "bounce" was present in 19% of chronic recurrent pericarditis cases and 86% of constriction cases. 5 patients had a pericardial neoplasm, 1 of which was not identified preoperatively. State of the art MR techniques can identify significant and distinct findings in patients with chronic recurrent pericarditis, constrictive pericarditis, and pericardial tumors.

Original languageEnglish (US)
Pages (from-to)1099-1109
Number of pages11
JournalInternational Journal of Cardiovascular Imaging
Volume28
Issue number5
DOIs
StatePublished - Jun 2012

Fingerprint

Pericarditis
Constriction
Constrictive Pericarditis
Pericardiectomy
Neoplasms
Pericardial Effusion
Pericardium
Gadolinium
Pleural Effusion
Edema
Pain

Keywords

  • Constriction
  • MRI
  • Pericardiectomy
  • Pericarditis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

MR imaging findings in 76 consecutive surgically proven cases of pericardial disease with CT and pathologic correlation. / Young, Phillip M.; Glockner, James; Williamson, Eric E.; Morris, Michael F.; Araoz, Philip A; Julsrud, Paul R.; Schaff, Hartzell V; Edwards, William D.; Oh, Jae Kuen; Breen, Jerome F.

In: International Journal of Cardiovascular Imaging, Vol. 28, No. 5, 06.2012, p. 1099-1109.

Research output: Contribution to journalArticle

Young, Phillip M. ; Glockner, James ; Williamson, Eric E. ; Morris, Michael F. ; Araoz, Philip A ; Julsrud, Paul R. ; Schaff, Hartzell V ; Edwards, William D. ; Oh, Jae Kuen ; Breen, Jerome F. / MR imaging findings in 76 consecutive surgically proven cases of pericardial disease with CT and pathologic correlation. In: International Journal of Cardiovascular Imaging. 2012 ; Vol. 28, No. 5. pp. 1099-1109.
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AB - To describe findings of patients with surgically confirmed pericardial disease on state of the art MR sequences. Retrospective review was performed for patients who underwent pericardiectomy and preoperative MR over a 5 year period ending in 2009. Patients' records were reviewed to confirm the diagnosis of chronic recurrent pericarditis, constrictive pericarditis, or pericardial tumor. MR imaging findings of pericardial thickness, IVC diameter, presence or absence of pericardial or pleural effusion, pericardial edema, pericardial enhancement, and septal "bounce" were recorded. Patients with constriction had a larger IVC diameter (3.1 ± 0.4 cm) than patients with recurrent pain and no constriction (2.0 ± 0.4 cm). Mean pericardial thickness for the 16 patients with chronic recurrent pericarditis but no evidence of constriction was 4.8 ± 2.9 mm. Mean pericardial thickness for patients with constriction was 9.2 ± 7.0 cm with calcification, and 4.6 ± 2.1 cm without calcification. 94% of patients with chronic recurrent pericarditis had gadolinium enhancement of the pericardium, while 76% of patients with constriction had pericardial enhancement. Septal "bounce" was present in 19% of chronic recurrent pericarditis cases and 86% of constriction cases. 5 patients had a pericardial neoplasm, 1 of which was not identified preoperatively. State of the art MR techniques can identify significant and distinct findings in patients with chronic recurrent pericarditis, constrictive pericarditis, and pericardial tumors.

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