The Assessment of Cardiac Masses by Cardiac CT and CMR Including Pre-op 3D Reconstruction and Planning

Purpose of Review The purpose of this review is to (1) review the recent evidence examining the use of CT and CMR in the assessment of a suspected cardiac mass, (2) summarize the typical imaging features of the most common cardiac masses, and (3) examine the latest developments in the use of three-d...

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Bibliographic Details
Published in:Current cardiology reports 2019-09, Vol.21 (9), p.103-103, Article 103
Main Authors: Liddy, Stephen, McQuade, Colin, Walsh, Kevin P., Loo, Bryan, Buckley, Orla
Format: Article
Language:English
Subjects:
Cardio-Oncology (SA Francis and RB Morgan
Cardiology
Heart Diseases - diagnostic imaging
Heart Diseases - surgery
Heart Neoplasms - diagnostic imaging
Heart Neoplasms - surgery
Humans
Imaging, Three-Dimensional
Magnetic Resonance Imaging
Medicine
Medicine & Public Health
Models, Anatomic
Models, Cardiovascular
Preoperative Care
Printing, Three-Dimensional
Section Editors
Tomography, X-Ray Computed
Topical Collection on Cardio-Oncology
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Summary:Purpose of Review The purpose of this review is to (1) review the recent evidence examining the use of CT and CMR in the assessment of a suspected cardiac mass, (2) summarize the typical imaging features of the most common cardiac masses, and (3) examine the latest developments in the use of three-dimensional reconstructions and models in the preoperative assessment of a cardiac mass. Recent Findings CMR can distinguish between tumors and non-tumor masses and between benign and malignant mass with a high degree of accuracy. Summary CT and CMR are complementary tools in the evaluation of cardiac masses. CMR is the preferred initial imaging modality due to its versatile imaging planes and superior tissue characterization. CT better depicts calcification and has a higher spatial resolution compared with CMR, which is of particular importance in preoperative planning. CT also offers a valuable alternative in those with contraindications to CMR. Three-dimensional reconstructions, particularly of CT datasets, are a valuable adjunct in the preoperative assessment of a cardiac mass and may allow a better appreciation of the margins of the mass and its relationship with surrounding structures. Three-dimensional printing is an emerging technology which may be of additional value in selected patients with a cardiac mass.
ISSN:1523-3782
1534-3170
DOI:10.1007/s11886-019-1196-7