転移性心筋石灰化：多重モダリティ画像診断

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Updated: Jan 15, 2026

Multi-modal Imaging of Angiogenesis in a Nude Rat Model of Breast Cancer Bone Metastasis Using Magnetic Resonance Imaging, Volumetric Computed Tomography and Ultrasound

Multi-modal Imaging of Angiogenesis in a Nude Rat Model of Breast Cancer Bone Metastasis Using Magnetic Resonance Imaging, Volumetric Computed Tomography and Ultrasound

Published on: August 14, 2012

Maria Antonia Mesa-Maya¹, Luisa Fernanda Durango-Gutiérrez², María Isabel Carvajal-Vélez³

¹Universidad CES, Medellín, Colombia.

JACC. Case reports

|January 14, 2026

要旨

Background:

Metastatic myocardial calcification (MMC) is a rare complication of chronic kidney disease-mineral bone disorder (CKD-MBD), potentially mimicking infiltrative cardiomyopathies on cardiac imaging.

Case Summary:

A 30-year-old woman on peritoneal dialysis for IgA nephropathy presented with recurrent chest pain, elevated troponin, and severe hypertension. Coronary angiography was normal. Echocardiography revealed severe left ventricular hypertrophy. Initial cardiac magnetic resonance imaging showed focal edema; a follow-up study demonstrated diffuse midwall late gadolinium enhancement with myocardial nulling, raising concern for amyloidosis, but a markedly reduced native T1 challenged this diagnosis. Noncontrast computed tomography showing diffuse myocardial hyperattenuation confirmed MMC in the setting of severe secondary hyperparathyroidism and concurrent metastatic pulmonary calcification. Management included intensified CKD-MBD therapy and parathyroidectomy.

Discussion:

MMC can closely mimic amyloidosis on magnetic resonance imaging. Multimodality imaging is essential for accurate diagnosis.

Take-Home Messages:

Multimodality imaging is key in differentiating infiltrative diseases. MMC should be considered in dialysis patients with secondary hyperparathyroidism.

キーワード:

心臓磁気共鳴画像法心筋症カルシウム代謝異常症

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Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans

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Published on: August 28, 2018

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

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