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Updated: Jun 11, 2025

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

Approach to cardiac masses: Thinking inside and outside the box.

Elia De Maria¹

¹Chief of Arrhythmology Lab, Cardiology Unit, Ramazzini Hospital, Carpi 41012, Modena, Italy. e.demaria@inwind.it.

World Journal of Clinical Cases

|October 7, 2024

Summary

Cardiac masses, including tumors and pseudotumors, present diagnostic challenges. Multimodality imaging, especially cardiac magnetic resonance (CMR), aids in characterizing these lesions for effective treatment planning.

Keywords:

Cardiac magnetic resonance Cardiac masses Cardiac tumors Cardio-oncology Primitive cardiac tumors

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Last Updated: Jun 11, 2025

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

Creation of Patient-Specific Silicone Cardiac Models with Applications in Pre-surgical Plans and Hands-on Training

Creation of Patient-Specific Silicone Cardiac Models with Applications in Pre-surgical Plans and Hands-on Training

Published on: February 10, 2022

Area of Science:

Cardiology
Oncology
Radiology

Background:

Cardiac masses are diverse lesions affecting any heart structure, originating as primary tumors or secondary metastases.
While primary cardiac tumors are rare, metastases and pseudotumors are more common, posing diagnostic and therapeutic difficulties.

Discussion:

Multimodality imaging is crucial for diagnosing cardiac masses, guiding treatment, and planning surgery.
Cardiac magnetic resonance (CMR) is the gold standard for noninvasive tissue characterization, assessing tumor-mass relationships, infiltration, and malignancy prediction.

Key Insights:

CMR provides high accuracy in evaluating cardiac mass characteristics and predicting malignancy.
Standard diagnostic algorithms are useful but may be insufficient for complex cancer cases.

Outlook:

A multidisciplinary approach is essential for managing complex cardiac mass cases, especially in patients with rare syndromes.
Encourages "thinking outside the box" beyond rigid diagnostic algorithms for optimal patient care.