What is the role of imaging studies in the workup of cardiac sarcoma?

Updated: Jan 17, 2019
  • Author: John H Raaf, MD, PhD; Chief Editor: Eric H Yang, MD  more...
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Answer

Advances in diagnostic techniques have facilitated accurate, noninvasive assessment of cardiac sarcomas. [10]

Echocardiography is the preferred diagnostic procedure for noninvasive imaging of cardiac tumors (2-dimensional and transesophageal echocardiography are complementary). [11]

CT scanning is useful in detecting cardiac lesions, documenting local invasion of adjacent structures, and defining the presence of lung or liver metastases.

Angiography can help assess coronary artery luminal status and document intracardiac and intravascular tumors as filling defects.

Chest radiography may exhibit generalized cardiomegaly or right-sided heart enlargement, widened mediastinum, hilar adenopathy, pulmonary congestion, or pleural effusion.

MRI has the potential to define tumor histology, tumor location, and surrounding anatomy and to detect response to chemotherapy. [12, 13]

A study by Fussen et al found that comprehensive cardiovascular magnetic resonance examination is useful in risk stratification and clinical management in patients with suspected cardiac tumors. [14]


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