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多模式成像对心脏偏角质瘤的成像

João G Carvalho¹, Johannes M I H Gho¹, Ricardo P J Budde¹

¹From the Department of Radiology and Nuclear Medicine (J.G.C., J.M.I.H.G., R.P.J.B., A.H.) and Department of Cardiology (J.M.I.H.G., R.P.J.B., A.H.), Erasmus MC, University Medical Center Rotterdam, Dr Molewaterplein 40, 3015 GD Rotterdam, the Netherlands; and Department of Internal Medicine, Sector Endocrinology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands (J.H.).

Radiology. Cardiothoracic imaging

|September 11, 2023

概括

心脏偏瘤是一种罕见的瘤,起源于额外上腺自主性偏瘤. 多模式成像技术有助于诊断这些心脏瘤并指导手术治疗.

科学领域:

心脏病学心脏病学
在瘤学瘤学.
放射学放射学是一门学科.

背景情况:

副质瘤是一种罕见的神经内分泌瘤,起源于额外上腺自主性副质.
心脏参与非常罕见,占初级心脏瘤的不到1%.
经常偶然发现或在工作过程中检测到高水平的甲基荷胺.

研究的目的:

审查心脏偏瘤的特征.
突出多模式成像在诊断和治疗规划中的作用.
讨论手术方面的考虑,特别是冠状动脉的介入.

主要方法:

综述各种模式的成像特征,包括MRI,CT血管造影和功能成像 (PET/CT).
重点是对瘤血管化的术前评估和与冠状动脉的关系.
讨论诊断确认和查转移性疾病.

主要成果:

心脏偏角质瘤通常在MRI上显示低中间T1和高T2信号.
强烈的血管化在异质晚期加多增强的 perfusion 图像上是显而易见的.
功能成像对于诊断和分期至关重要.

结论:

多模式成像对于表征心脏偏瘤至关重要.
术前对血管供应的划定,特别是来自冠状动脉的划定,对于手术规划至关重要.
手术切除仍然是这些初级心脏瘤的唯一治愈治疗方法.

关键词:

图像扫描血管学 CT血管学一个心脏病患者的心脏病.心灵的心脏心脏的心脏心脏心脏在MR成像中使用MR成像.分子成像学分子成像学新生体-初级新生体聚乙烯/聚乙烯/聚乙烯

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