MRI in the evaluation and management of a newborn infant with cardiac rhabdomyoma

Berkenblit, Robert; Spindola‐Franco, Hugo; Frater, Robert W.M.; Fish, Bernard G.; Glickstein, Julie S.

doi:10.1016/s0003-4975(97)00113-6

Cited by 20 publications

(8 citation statements)

References 7 publications

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“…On GRE, hypointense lesion with strong phase shift (arrowhead) on d phase image from raw data of image b is detected hancement for detecting this tumor as was reported by Rienmuller et al [30]. The echocardiography findings of this tumor are well established and usually no other imaging is needed for the diagnosis [31,32]; however, Berkenblit et al reported a case in which MRI was superior to echocardiography in depicting the contour of a rhabdomyoma [33]. Judging from these reports and our own experience, the role of MRI is still limited in the detection of this tumor itself and its border, and is useful when echocardiography fails to depict it.…”

Section: Rhabdomyomamentioning

confidence: 90%

Role of magnetic resonance imaging for evaluation of tumors in the cardiac region

2003

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The aim of this study was to review the role of MRI in the assessment of heart neoplasm, 25 cases with heart neoplasm (10 myxoma, 6 rhabdomyoma, 5 angiosarcoma, 2 mesothelioma, 1 lymphoma, and 1 fibroma) were examined with MRI and echocardiography. Multislice T1- and T2-weighted spin-echo images and static gradient-echo images were taken in appropriate directions with electrocardiogram gating. Gadolinium enhancement was performed in 21 cases. Transthoracic echocardiography was performed in all cases. Except for the 5 patients with rhabdomyoma, the pathological diagnosis was obtained. MRI proved to be useful for tissue characterization of myxoma, angiosarcoma, mesothelioma, and fibroma in cases with tuberous sclerosis. MRI also proved to be useful for detection of the tumor, depiction of contour, relation with other cardiac structures, in cases with myxoma, angiosarcoma, mesothelioma, lymphoma, and fibroma. In the differential diagnosis, MRI provided important information in cases with myxoma, rhabdomyoma, angiosarcoma, and fibroma. In cases with tumors expanding into the mediastinum, such as mesothelioma and fibroma in this report, MRI was useful in determining the location and border. In cases with tumors adjacent to pericardium, MRI was useful in detecting pericardial invasion. Gadolinium enhancement added useful information in cases with myxoma, rhabdomyoma, angiosarcoma, and mesothelioma. The role of MRI with and without Gd enhancement differs somewhat in individual types of heart neoplasm, and adaptation must be considered in each kind of neoplasm. On the other hand, MRI is an essential examination in all cases with a cardiac mass, which has not been diagnosed, since it may provide useful information for the differential diagnosis.

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Section: Rhabdomyomamentioning

confidence: 90%

Role of magnetic resonance imaging for evaluation of tumors in the cardiac region

2003

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“…35 It can be a useful adjunct to echocardiography in situations where it is unclear whether a cardiac tumor represents a rhabdomyoma (eg, in patients with a large solitary tumor). In addition, MRI is more accurate than echocardiography in delineating the proximity of cardiac tumors to normal myocardium and the great vessels 36–37 and therefore may be a useful adjunct to surgical planning once a decision to operate has been made. It can also provide a more reliable and reproducible estimate of ventricular systolic function.…”

Section: The Natural History and Diagnosis Of Tscmentioning

confidence: 99%

Cardiovascular Manifestations of Tuberous Sclerosis Complex and Summary of the Revised Diagnostic Criteria and Surveillance and Management Recommendations From the International Tuberous Sclerosis Consensus Group

Hinton

Prakash

Romp

et al. 2014

JAHA

160

168

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“…They originate within the myocardium, typically in the ventricles, and may be multiple in up to 90% of cases. They will be isointense to marginally hyperintense to myocardium on T1-weighted images and hyperintense on T2-weighted images (46,51,52). They may be hypointense to myocardium after contrast material administration (46).…”

Section: Rhabdomyomamentioning

confidence: 99%

MR Imaging of Cardiac Tumors

Sparrow

Kurian²,

Jones³

et al. 2005

RadioGraphics

325

307

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Magnetic resonance (MR) imaging is an important tool in the evaluation of cardiac neoplasms. T1-weighted, T2-weighted, and gadolinium-enhanced sequences are used for anatomic definition and tissue characterization, whereas cine gradient-echo imaging is used to assess functional effects. Recent improvements in pulse sequences for cardiac MR imaging have led to superior image quality, with reduced motion artifact and improved signal-to-noise ratio and tissue contrast. Although there is some overlap in the MR imaging appearances of cardiac tumors, particularly of primary malignancies, differences in characteristic locations and features should allow confident differentiation between benign and malignant tumors. Indicators of malignancy at MR imaging are invasive behavior, involvement of the right side of the heart or the pericardium, tissue inhomogeneity, diameter greater than 5 cm, and enhancement after administration of gadolinium contrast material (as a result of higher tissue vascularity). Concomitant pericardial or pleural effusions are rare in benign processes but occur in about 50% of cases of malignant tumors. MR imaging offers improved resolution, a larger field of view, and superior soft-tissue contrast compared with those of echocardiography, suggesting that knowledge of the MR imaging features of cardiac neoplasms is important for accurate diagnosis and management.

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MRI in the evaluation and management of a newborn infant with cardiac rhabdomyoma

Cited by 20 publications

References 7 publications

Role of magnetic resonance imaging for evaluation of tumors in the cardiac region

Role of magnetic resonance imaging for evaluation of tumors in the cardiac region

Cardiovascular Manifestations of Tuberous Sclerosis Complex and Summary of the Revised Diagnostic Criteria and Surveillance and Management Recommendations From the International Tuberous Sclerosis Consensus Group

MR Imaging of Cardiac Tumors

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