Live/Real Time Three‐Dimensional Transthoracic Echocardiographic Description of Chordoma Metastatic to the Heart

Pothineni, M.P.H. Koteswara R.; Nanda, Navin C.; Burri, Manjula V.; Bell, Walter C.; Post, J.

doi:10.1111/j.1540-8175.2008.00639.x

Cited by 12 publications

(7 citation statements)

References 12 publications

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“…It also allows the manipulation of images in the space, obtaining views and planes, and aligning structures in ways that were impossible to get before with 2D imaging. Emphasis can then be put on the cardiac mass, providing a more comprehensive assessment of its inner structure, which correlates better with pathologic fi ndings (necrosis, hemorrhage, cystic areas, or fi brotic bands) [4,5].…”

Section: Unlimited Slicing and Croppingmentioning

confidence: 99%

Added value of real-time three-dimensional echocardiography in assessing cardiac masses

Plana

2009

Curr Cardiol Rep

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Echocardiography is the most common noninvasive tool used in assessing cardiac masses. Real-time three-dimensional echocardiography expands the diagnostic capabilities of cardiac ultrasound in assessing the location, composition, size, and relationship to other structures of cardiac masses. The improved characterization of the anatomy of the mass, in conjunction with the accurate calculation of the left ventricular ejection fraction, makes this new technology the imaging modality of choice in assessing cardiac masses.

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Section: Unlimited Slicing and Croppingmentioning

confidence: 99%

Added value of real-time three-dimensional echocardiography in assessing cardiac masses

Plana

2009

Curr Cardiol Rep

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“…RT3DTTE is particularly valuable for evaluation of cardiac carcinoid because (1) classically the tricuspid valve is involved, and (2) RT3DTTE is particularly noted for having strength for imaging the tricuspid valve enface and therefore visualizing all three leaflets. 34,35 Cardiomyopathy/Noncompaction: Noncompaction of the LV can lead to a nonischemic cardiomyopathy and the sinusoids (noncompacted muscle) in the apex are mass-like and reviewed briefly here. Chordoma rarely metastasizes to the heart.…”

Section: Carcinoidmentioning

confidence: 99%

“…Echodense areas by 3D correlated with fibrotic areas of the tumor by pathology and similarly, echolucencies correlated with areas of necrosis. 34,35 Cardiomyopathy/Noncompaction: Noncompaction of the LV can lead to a nonischemic cardiomyopathy and the sinusoids (noncompacted muscle) in the apex are mass-like and reviewed briefly here. In a case series and an additional case, RT3DTTE showed incremental value over 2D echocardiography by diagnosing noncompaction in the RV.…”

Section: Carcinoidmentioning

confidence: 99%

Real Time Three‐Dimensional Echocardiography Evaluation of Intracardiac Masses

2012

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The evaluation of cardiac masses is often a challenge for cardiac imaging techniques. The traditional standby has been two-dimensional echocardiography (2DE). Real time three-dimensional echocardiography (RT3DE) offers incremental value for the evaluation of intracardiac masses by providing more accurate assessment of the size and shape of the mass as well as in some cases, composition of the mass. RT3DE aids with the relationship between the mass and adjacent structures. Therefore, here we discuss the subject of RT3DE evaluation of cardiac masses is reviewed and discussed in detail.

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“…The present study demonstrates that 3D TTE has incremental value in the assessment of RV tumors. One of the inherent properties of 3D TTE is its ability to sequentially section the tumor and view it from multiple angles, giving the physician a look at the inner part of the tumor 6 . Examining the inner structure of the tumor by 3D TTE, and noting the characteristics of the mass, has been shown to correlate well with the findings of pathologic analysis of the tumor 6 .…”

Section: Discussionmentioning

confidence: 97%

“…The study included 11 patients (2 males, 9 females, age range 19–64 years, mean age 33.9 years) who were first evaluated by a standard 2D TTE, and this was followed by live/real time 3D TTE. Two of the 11 patients have been previously reported 5,6 (Table I). All study subjects underwent echocardiographic examination with a Phillips iE33 ultrasound imaging system (Andover, MA, USA), as previously described 3,7 …”

Section: Methodsmentioning

confidence: 99%

Incremental Value of Live/Real Time Three‐Dimensional Transthoracic Echocardiography in the Assessment of Right Ventricular Masses

et al. 2009

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This case series demonstrates the incremental value of three-dimensional transthoracic echocardiography (3D TTE) over two-dimensional transthoracic echocardiography (2D TTE) in the assessment of 11 patients with right ventricular (RV) masses or mass-like lesions (three cases of RV thrombus, one myxoma, one fibroma, one lipoma, one chordoma, and one sarcoma and three cases of RV noncompaction, which are considered to be mass-like in nature). 3D TTE was of incremental value in the assessment of these masses in that 3D TTE has the capacity to section the mass and view it from multiple angles, giving the examiner a more comprehensive assessment of the mass. This was particularly helpful in the cases of thrombi, as the presence of echolucencies indicated clot lysis. In addition, certainty in the number of thrombi present was an advantage of 3D TTE. Also, sectioning of cardiac tumors allowed more confidence in narrowing the differential diagnosis of the etiology of the mass. In addition, 3D TTE allowed us to identify precise location of the attachments of the masses as well as to determine whether there were mobile components to the mass. Another noteworthy advantage of 3D TTE was that the volumes of the masses could be calculated. Additionally, the findings by 3D TTE correlated well with pathologic examination of RV tumors, and some of the masses measured larger by 3D TTE than by 2D TTE, which was also validated in one case by surgery. As in the case of RV fibroma, another advantage was that 3D TTE actually identified more masses than 2D TTE. RV noncompaction was also well studied, and the assessment with 3D TTE helped to give a more definitive diagnosis in these patients.

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Live/Real Time Three‐Dimensional Transthoracic Echocardiographic Description of Chordoma Metastatic to the Heart

Abstract: We describe live/real time three-dimensional transthoracic echocardiographic features of a chordoma metastatic to the heart and correlate its appearance with the surgical pathology.

Cited by 12 publications

References 12 publications

Added value of real-time three-dimensional echocardiography in assessing cardiac masses

Added value of real-time three-dimensional echocardiography in assessing cardiac masses

Real Time Three‐Dimensional Echocardiography Evaluation of Intracardiac Masses

Incremental Value of Live/Real Time Three‐Dimensional Transthoracic Echocardiography in the Assessment of Right Ventricular Masses

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