Diverse Radiologic Presentations of Common Pathology: Role of Cardiac Magnetic Resonance in the Workup of Intracardiac Thrombi and Mimics- A Pictorial Review

Thrombus represents the most common cardiac mass compared to primary or secondary cardiac tumors. It has variable size, shape, location, and imaging features. Differentiating the cardiac mass as a tumor, thrombus, or vegetation is clinically important due to their different therapeutic implications...

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Main Authors: Amol Anil Kulkarni, Rajeshkannan Ramiah, Priya Darshan Chudgar, Nitin J Burkule
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
Subjects:
Online Access:http://www.jiaecho.org/article.asp?issn=2543-1463;year=2022;volume=6;issue=2;spage=116;epage=128;aulast=Kulkarni
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author Amol Anil Kulkarni
Rajeshkannan Ramiah
Priya Darshan Chudgar
Nitin J Burkule
author_facet Amol Anil Kulkarni
Rajeshkannan Ramiah
Priya Darshan Chudgar
Nitin J Burkule
author_sort Amol Anil Kulkarni
collection DOAJ
description Thrombus represents the most common cardiac mass compared to primary or secondary cardiac tumors. It has variable size, shape, location, and imaging features. Differentiating the cardiac mass as a tumor, thrombus, or vegetation is clinically important due to their different therapeutic implications and prognostic outcomes. Thrombi carry an inherent risk of systemic and pulmonary embolism and warrant appropriate anticoagulation. For over two decades, echocardiography (transthoracic as well as transesophageal) has been the gold standard investigation to detect intracardiac thrombi. However, recent advances in cardiac magnetic resonance imaging allow higher sensitivity and specificity in the detection of thrombi and the assessment of the age of the thrombi by characterization of their contents. The objective of this review is to demonstrate different imaging presentations of cardiac thrombi and how imaging can help differentiate it from other mimics.
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spelling doaj.art-69cbd3f58bfc45eba9f7035b668de7622022-12-22T04:28:46ZengWolters Kluwer Medknow PublicationsJournal of the Indian Academy of Echocardiography & Cardiovascular Imaging2543-14632543-14712022-01-016211612810.4103/jiae.jiae_33_22Diverse Radiologic Presentations of Common Pathology: Role of Cardiac Magnetic Resonance in the Workup of Intracardiac Thrombi and Mimics- A Pictorial ReviewAmol Anil KulkarniRajeshkannan RamiahPriya Darshan ChudgarNitin J BurkuleThrombus represents the most common cardiac mass compared to primary or secondary cardiac tumors. It has variable size, shape, location, and imaging features. Differentiating the cardiac mass as a tumor, thrombus, or vegetation is clinically important due to their different therapeutic implications and prognostic outcomes. Thrombi carry an inherent risk of systemic and pulmonary embolism and warrant appropriate anticoagulation. For over two decades, echocardiography (transthoracic as well as transesophageal) has been the gold standard investigation to detect intracardiac thrombi. However, recent advances in cardiac magnetic resonance imaging allow higher sensitivity and specificity in the detection of thrombi and the assessment of the age of the thrombi by characterization of their contents. The objective of this review is to demonstrate different imaging presentations of cardiac thrombi and how imaging can help differentiate it from other mimics.http://www.jiaecho.org/article.asp?issn=2543-1463;year=2022;volume=6;issue=2;spage=116;epage=128;aulast=Kulkarnicardiac magnetic resonance imagingcardiac massesthrombus
spellingShingle Amol Anil Kulkarni
Rajeshkannan Ramiah
Priya Darshan Chudgar
Nitin J Burkule
Diverse Radiologic Presentations of Common Pathology: Role of Cardiac Magnetic Resonance in the Workup of Intracardiac Thrombi and Mimics- A Pictorial Review
Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
cardiac magnetic resonance imaging
cardiac masses
thrombus
title Diverse Radiologic Presentations of Common Pathology: Role of Cardiac Magnetic Resonance in the Workup of Intracardiac Thrombi and Mimics- A Pictorial Review
title_full Diverse Radiologic Presentations of Common Pathology: Role of Cardiac Magnetic Resonance in the Workup of Intracardiac Thrombi and Mimics- A Pictorial Review
title_fullStr Diverse Radiologic Presentations of Common Pathology: Role of Cardiac Magnetic Resonance in the Workup of Intracardiac Thrombi and Mimics- A Pictorial Review
title_full_unstemmed Diverse Radiologic Presentations of Common Pathology: Role of Cardiac Magnetic Resonance in the Workup of Intracardiac Thrombi and Mimics- A Pictorial Review
title_short Diverse Radiologic Presentations of Common Pathology: Role of Cardiac Magnetic Resonance in the Workup of Intracardiac Thrombi and Mimics- A Pictorial Review
title_sort diverse radiologic presentations of common pathology role of cardiac magnetic resonance in the workup of intracardiac thrombi and mimics a pictorial review
topic cardiac magnetic resonance imaging
cardiac masses
thrombus
url http://www.jiaecho.org/article.asp?issn=2543-1463;year=2022;volume=6;issue=2;spage=116;epage=128;aulast=Kulkarni
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