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Magnetic resonance imaging characteristics of cardiac hydatid cyst

Ravza Yılmaz1, Yunus Emre Akpınar1, Zuhal Bayramoglu1

  • 1Istanbul University, Istanbul Medical Faculty, Radiology Department, Capa, Fatih, Istanbul TR 34098, Turkey.

Clinical Imaging
|June 4, 2018
PubMed

Insights

Magnetic resonance imaging (MRI) effectively identifies cardiac hydatid disease by revealing cyst structures. Peripheral enhancement on late-contrast enhanced MRI is a key diagnostic indicator for these parasitic cysts.

Area of Science:

  • Radiology
  • Cardiology
  • Parasitology

Background:

  • Cardiac hydatid disease is a rare parasitic infection caused by Echinococcus tapeworms.
  • Diagnosis can be challenging, often requiring advanced imaging techniques.

Purpose of the Study:

  • To describe the magnetic resonance imaging (MRI) features of cardiac hydatid disease.
  • To highlight specific MRI findings crucial for diagnosing hydatid cysts in the heart.

Main Methods:

  • Retrospective review of cardiac MRI records from 2015-2017.
  • Analysis of 7 patients with histologically confirmed cardiac hydatid disease.
  • Utilized 1.5 Tesla MRI with ECG gating for imaging.

Main Results:

  • Signal characteristics of cysts varied on T1-weighted and T2-weighted images.
  • No early contrast enhancement was observed in any lesions.
  • Consistent peripheral contrast enhancement was noted in the late contrast-enhanced series for all lesions.

Conclusions:

  • MRI accurately determines the anatomic location and nature of cardiac hydatid cysts.
  • Peripheral enhancement in non-enhancing lesions is a highly valuable diagnostic sign for cardiac hydatid disease on MRI.
Abstract

Keywords:
Cardiac cystsCardiac hydatid cystCardiac magnetic resonance imagingMagnetic resonance imagingPeripheral rim enhancement of cardiac cysts

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