Role of Contrast Enhanced Cardiac MRI in Differentiation between Cardiac Masses
El-Sheikh, H., Helmy, I., Shaalan, A., Shoeeb, M. (2021). Role of Contrast Enhanced Cardiac MRI in Differentiation between Cardiac Masses. EKB Journal Management System, 38(2), 625-639. doi: 10.21608/bmfj.2021.67365.1396
Hesham El-Sheikh; Ibrahim Helmy; Ahmed Shaalan; Mohamed Shoeeb. "Role of Contrast Enhanced Cardiac MRI in Differentiation between Cardiac Masses". EKB Journal Management System, 38, 2, 2021, 625-639. doi: 10.21608/bmfj.2021.67365.1396
El-Sheikh, H., Helmy, I., Shaalan, A., Shoeeb, M. (2021). 'Role of Contrast Enhanced Cardiac MRI in Differentiation between Cardiac Masses', EKB Journal Management System, 38(2), pp. 625-639. doi: 10.21608/bmfj.2021.67365.1396
El-Sheikh, H., Helmy, I., Shaalan, A., Shoeeb, M. Role of Contrast Enhanced Cardiac MRI in Differentiation between Cardiac Masses. EKB Journal Management System, 2021; 38(2): 625-639. doi: 10.21608/bmfj.2021.67365.1396

Role of Contrast Enhanced Cardiac MRI in Differentiation between Cardiac Masses

Benha Medical Journal
Article 18, Volume 38, Issue 2, July 2021, Page 625-639  XML PDF (847.74 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2021.67365.1396
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Authors
Hesham El-Sheikh1; Ibrahim Helmy2; Ahmed Shaalan3; Mohamed Shoeeb email 4
1Radio diagnosis Faculty of Medicine, Banha University
2Head of Radiology Department of National Heart Institute
3Radio diagnosis Faculty of Medicine, Banha University
4Radio diagnosis Faculty of Medicine, Banha University
Abstract
Background: Cardiac tumors, either benign or malignant, are rare. Malignant tumors have a poorer prognosis than benign tumors; however both are associated with significant morbidity in cases of delayed management. The goal of this study is to evaluate the diagnostic value of Cardiac MRI in tissue characterization of cardiac masses. Methods: we interpreted and analyzed separately the imaging data of 27 patients who met the inclusion criteria and performed CMR at MRI unit in National Heart Institute in Giza. Results: CMR has not only the ability to differentiate between benign and malignant lesions but also has the ability to differentiate between different types of benign tumors in most of cases by determination the location of the cardiac mass, its mobility, presence of pedicles and the variable MR signal intensity in different pre and post contrast sequences. In contrast to the malignant lesions, CMR shows a difficulty in the differentiation between different types of malignant lesions and usually needs histopathological correlation. However CMR shows a great value in determining the extent of the malignant lesions that is needed before planning the therapeutic management. Conclusion: CMR has a great role in evaluation of the cardiac masses by its powerful assessment of the anatomical and soft tissue characterization of the masses as well as their functional impact and so it allows the differentiation between neoplastic and non-neoplastic masses as well as between malignant and benign masses that is necessary in pre-therapeutic planning without the need of the unnecessary invasive biopsy.
Keywords
contrast; MRI; cardiac; mass
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