Diagnostic Accuracy of Cardiac Computed Tomography and 18-F Fluorodeoxyglucose Positron Emission Tomography in Cardiac Masses

D'Angelo, E.C; Paolisso, Pasquale; Vitale, Giovanni; Foà, Alberto; Bergamaschi, Luca; Magnani, Ilenia; Saturi, Giulia; Rinaldi, Andrea; Toniolo, Sebastiano; Renzulli, Matteo; Attinà, Domenico; Lovato, Luigi; Lima, Giacomo Maria; Bonfiglioli, Rachele; Fanti, Stefano; Leone, Ornella; Saponara, Maristella; Pantaleo, Maria Abbondanza; Rucci, Paola; Marco, Luca Di; Pacini, Davide; Pizzi, Carmine; Galiè, Nazzareno

doi:10.1016/j.jcmg.2020.03.021

Cited by 60 publications

(41 citation statements)

References 31 publications

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“…Multimodality imaging of cardiac masses can help to identify features that are suggestive of malignancy and guide prompt patient management. 5 , 6 A summary of these features is provided in Table 1 . Combined assessment by transthoracic echocardiography and CMR can be of help in most cases of cardiac masses.…”

Section: Discussionmentioning

confidence: 99%

“…Further valuable information can be provided by CT or 18 F-FDG PET/CT imaging; high radiotracer uptake by the mass is highly suggestive of a malignant cardiac tumour. 5 A stepwise multimodality imaging approach and judicious use of available resources can help reach a non-invasive diagnosis in most cases, and differentiate malignant tumours from benign cardiac masses or intracardiac thrombi.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A case report of a primary cardiac lymphoma causing superior vena cava obstruction: the value of multimodality imaging in the clinical workup

Azzu

Antonopoulos

Almogheer

et al. 2020

European Heart Journal - Case Reports

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Background This is a case report of a primary cardiac lymphoma with an unusual clinical presentation. We hereby illustrate the characteristic features of cardiac lymphomas by multimodality imaging and particularly cardiac magnetic resonance (CMR) that can help reach a timely diagnosis non-invasively and guide treatment decisions. Case summary A 58-year-old woman, without significant past medical history, presented with a 3-week history of shortness of breath associated with facial and neck swelling. Transthoracic echocardiogram confirmed the presence of a cardiac mass in the right atrium. Cardiac magnetic resonance helped to characterize the mass, assess its haemodynamic significance and relation to cardiac structures, and reach a non-invasive diagnosis that was crucial for guiding treatment decisions and interventions. Discussion Cardiac masses have distinct imaging features that can help differentiate malignant from benign cardiac tumours. More specifically, primary cardiac lymphomas can be relatively easy diagnosed by CMR in most cases thanks to their characteristic imaging appearance.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A case report of a primary cardiac lymphoma causing superior vena cava obstruction: the value of multimodality imaging in the clinical workup

Azzu

Antonopoulos

Almogheer

et al. 2020

European Heart Journal - Case Reports

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“…Approximately 5–25% of primary cardiac tumors are malignant [ 107 , 108 ], most of which show intense FDG uptake and SUVmax of 3.5–5 can be optimal cut off value for distinguishing malignant from benign cardiac tumor [ 113 , 114 ]. Cardiac sarcoma is the most common primary malignant tumor of the myocardium (~ 65% of malignant primary cardiac tumors), of which angiosarcoma accounts for more than 33% [ 106 , 107 , 115 ].…”

Section: Myocardial Findingmentioning

confidence: 99%

Series of myocardial FDG uptake requiring considerations of myocardial abnormalities in FDG-PET/CT

Minamimoto

2021

Jpn J Radiol

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Distinct from cardiac PET performed with preparation to control physiological FDG uptake in the myocardium, standard FDG-PET/CT performed with 4–6 h of fasting will show variation in myocardial FDG uptake. For this reason, important signs of myocardial and pericardial abnormality revealed by myocardial FDG uptake tend to be overlooked. However, recognition of possible underlying disease will support further patient management to avoid complications due to the disease. This review demonstrates the mechanism of FDG uptake in the myocardium, discusses the factors affecting uptake, and provides notable image findings that may suggest underlying disease.

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“…Cardiac CT can play an important role in identification of the location of a cardiac tumor, including its relationship to and potential involvement of surrounding cardiac structures as well as further tissue characterization. Cardiac CT may also help differentiate intracavitary tumor from thrombus ( 73 ) and benign from malignant cardiac tumors in some instances with the addition of fluorodeoxyglucose PET ( 74 , 75 ). Specifically, for the detection of left atrial or left atrial appendage thrombus, the sensitivity and specificity of cardiac CT with delayed images postcontrast have been shown to be as high as 100% and 99%, respectively ( 76 ).…”

Section: Role Of Cardiac Ct In the Evaluation Of Cardiac Tumorsmentioning

confidence: 99%

Cardiac Computed Tomography in Cardio-Oncology

Lopez‐Mattei

Yang

Ferencik

et al. 2021

JACC: CardioOncology

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Cancer patients and survivors have elevated cardiovascular risk when compared with noncancer patients. Cardio-oncology has emerged as a new subspecialty to comanage and address cardiovascular complications in cancer patients such as heart failure, atherosclerotic cardiovascular disease (ASCVD), valvular heart disease, pericardial disease, and arrhythmias. Cardiac computed tomography (CT) can be helpful in identifying both clinical and subclinical ASCVD in cancer patients and survivors. Radiation therapy treatment planning CT scans and cancer staging/re-staging imaging studies can quantify calcium scores which can identify pre-existing subclinical ASCVD. Cardiac CT can be helpful in the evaluation of cardiac tumors and pericardial diseases, especially in patients who cannot tolerate or have a contraindication to cardiac magnetic resonance. In this review, we describe the optimal utilization of cardiac CT in cancer patients, including risk assessment for ASCVD and identification of cancer treatment-related cardiovascular toxicity.

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Diagnostic Accuracy of Cardiac Computed Tomography and 18-F Fluorodeoxyglucose Positron Emission Tomography in Cardiac Masses

Cited by 60 publications

References 31 publications

A case report of a primary cardiac lymphoma causing superior vena cava obstruction: the value of multimodality imaging in the clinical workup

A case report of a primary cardiac lymphoma causing superior vena cava obstruction: the value of multimodality imaging in the clinical workup

Series of myocardial FDG uptake requiring considerations of myocardial abnormalities in FDG-PET/CT

Cardiac Computed Tomography in Cardio-Oncology

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