Multimodality Imaging in Right Heart Tumors: Proposed Algorithm towards an Appropriate Diagnosis

Area of Science:

• Cardiology
• Diagnostic Imaging

Background:

• Right heart tumors are often detected via transthoracic echocardiography.
• Diagnosis requires integrating imaging findings with clinical and biological context.

Purpose of the Study:

• To propose a structured imaging algorithm for diagnosing right heart tumors.
• To guide clinicians in selecting appropriate imaging techniques.

Main Methods:

• Initial assessment using transthoracic echocardiography.
• Second-step evaluation with advanced imaging modalities (e.g., MRI, CT).
• Consideration of transvenous biopsy for suspected malignancy or hemodynamic compromise.

Main Results:

• An integrated imaging approach can lead to accurate diagnosis without biopsy in many cases.
• The choice of advanced imaging depends on technique advantages and local expertise.

Conclusions:

• A structured, integrated imaging algorithm is recommended for diagnosing right heart tumors.
• This approach serves as a practical guide for clinicians, enhancing diagnostic accuracy.