Tumors of the cardiac valves: Imaging findings in magnetic resonance imaging, electron beam computed tomography, and echocardiography
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Tumors of the cardiac valves: Imaging findings in magnetic resonance imaging, electron beam computed tomography, and echocardiography. / Wintersperger, B. J.; Becker, C. R.; Gulbins, H.; Knez, A.; Bruening, R.; Heuck, A.; Reiser, M. F.
in: EUR RADIOL, Jahrgang 10, Nr. 3, 2000, S. 443-449.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Tumors of the cardiac valves: Imaging findings in magnetic resonance imaging, electron beam computed tomography, and echocardiography
AU - Wintersperger, B. J.
AU - Becker, C. R.
AU - Gulbins, H.
AU - Knez, A.
AU - Bruening, R.
AU - Heuck, A.
AU - Reiser, M. F.
PY - 2000
Y1 - 2000
N2 - We describe the findings from various cross-sectional imaging modalities in patients with cardiac valve adherent masses. The techniques are discussed, and imaging findings are compared with the results of cardiac surgery. All three patients had neurological symptoms and/or cardiac murmurs. Transthoracic and/or transesophageal echocardiography revealed the cardiac mass in all three. For differentiation of thrombus and cardiac neoplasm magnetic resonance imaging (MRI) was also performed in all three patients and electron-beam computed tomography (EBCT) in two. Fast segmented cine gradient-echo MRI techniques provided mass depiction in all patients, while T1-weighted spin-echo imaging failed in mass detection in one patient. None of the patients showed evidence of valve regurgitation or stenosis in flow sensitive cine MRI. EBCT excluded mass calcifications in both patients and reliably demonstrated the valve attached lesions. Although echo-cardiography is the modality of choice in evaluating cardiac masses and especially valve attached masses, MRI and EBCT provide additional information about tissue characteristics and allows an excellent overview of the cardiac and paracardiac morphology. Fast segmented cine gradient-echo MRI is especially able to depict even small tumors attached to rapidly moving cardiac valves, and valve competence can be easily assessed within the same examination.
AB - We describe the findings from various cross-sectional imaging modalities in patients with cardiac valve adherent masses. The techniques are discussed, and imaging findings are compared with the results of cardiac surgery. All three patients had neurological symptoms and/or cardiac murmurs. Transthoracic and/or transesophageal echocardiography revealed the cardiac mass in all three. For differentiation of thrombus and cardiac neoplasm magnetic resonance imaging (MRI) was also performed in all three patients and electron-beam computed tomography (EBCT) in two. Fast segmented cine gradient-echo MRI techniques provided mass depiction in all patients, while T1-weighted spin-echo imaging failed in mass detection in one patient. None of the patients showed evidence of valve regurgitation or stenosis in flow sensitive cine MRI. EBCT excluded mass calcifications in both patients and reliably demonstrated the valve attached lesions. Although echo-cardiography is the modality of choice in evaluating cardiac masses and especially valve attached masses, MRI and EBCT provide additional information about tissue characteristics and allows an excellent overview of the cardiac and paracardiac morphology. Fast segmented cine gradient-echo MRI is especially able to depict even small tumors attached to rapidly moving cardiac valves, and valve competence can be easily assessed within the same examination.
KW - Heart neoplasm
KW - Heart valves
KW - Magnetic resonance imaging
KW - Tomography, X-ray computed, echocardiography
UR - http://www.scopus.com/inward/record.url?scp=0034064633&partnerID=8YFLogxK
U2 - 10.1007/s003300050073
DO - 10.1007/s003300050073
M3 - SCORING: Journal article
C2 - 10756993
AN - SCOPUS:0034064633
VL - 10
SP - 443
EP - 449
JO - EUR RADIOL
JF - EUR RADIOL
SN - 0938-7994
IS - 3
ER -