Introduction
Case 1: Early diagnosis of a systemic disease by CMR prevents complications
Clinical history
CMR findings
Conclusion
Perspective
Case 2: A case study in CMR based automated detection of left ventricular cardiotoxicity in a breast cancer patient after chemotherapy treatment
Clinical history
CMR findings
Conclusion
Perspective
Case 3: Left ventricular thrombus or myxoma: the use of multimodality imaging
Clinical history
CMR findings
Conclusion
Perspective
Case 4: Hypovascular renal cell carcinoma infiltrating the left atrium through the pulmonary veins
Clinical history
CMR findings
Conclusion
Perspective
Tumor | Common location | T1 weighted | T2 weighted | T1 post contrast enhancement | Late gadolinium enhancement | Fat suppression |
---|---|---|---|---|---|---|
Pseudotumors | ||||||
Thrombus | Atrial appendage in valve disease and/or atrial fibrillation; Ventricles related with aneurysm or myocardial infarction | Hypointense (hyperintense if acute or subacute) | Hypointense (hyperintense if acute) | No | Hypointense with long TI time | No change |
Pleuro-pericardial cyst | Right cardiophrenic angle is the most common; can be anywhere in mediastinum | Hypointense; can be hyperintense if hemorrhagic | Hyperintense | No | Hypointense | No change |
Vegetation | Cardiac valves and aortic grafts | Frequently not visible | May be visualized if large | Can enhance | Can enhance (if wide based and large | No change |
Benign Cardiac Tumors | ||||||
Myxoma | Left atrium Fossa ovalis | Variable | Variable | Yes | Heterogeneous | No change |
Lipoma | Any chamber, intramyocardial or intracavitary | Hyperintense | Hyperintense | No | Hypointense | Hypointense (signal dropout) |
Papillary fibroelastoma | cardiac valves | Isointense | Hyperintense | Yes | Hyperintense | No change |
Rhabdomyoma | Any chamber, intramyocardial or intracavitary | Isointense | Hyperintense | Yes | Isointense | No change |
Fibroma | Intramyocardial (ventricular septum or free wall) | Isointense | Hypointense | Hypointense core; Isointense periphery | Hyperintense | No change |
Hemangioma | Ventricles intramyocardial / intracavitary | Intermediate | Hyperintense | Yes | Variable | No change |
Malignant Cardiac Tumors | ||||||
Angiosarcoma | Right atrium, pericardial and myocardial invasion | Heterogeneous | Heterogeneous | Heterogeneous | Heterogeneous | No change |
Rhabdomyosarcoma | Any chamber; pericardial or pleural involvement | Intermediate | Hyperintense | Variable | Heterogeneous | No change |
Lymphoma | Pericardial effusion; Intracardiac masses (mostly involves the right heart) | Isointense | Isointense to Hyperintense | Variable | Variable | No change |
Metastases | Multiple lesions, mostly involves the right heart, pericardial effusion | Hypointense | Hyperintense | Variable | Heterogeneous | No change |
Case 5: Neonatal giant atrial hemangioma—a rare cardiac tumor
Clinical history
CMR findings
Conclusion
Tumor type | Location | SSFP | T1w | T1w + Fat sat | T2w | FFP | LGE |
---|---|---|---|---|---|---|---|
Vascular | Variable | Variable | – | – | + (variable) | Strong | + (variable and heterogenous) |