CMR and MDCT in Cardiac Masses: From Acquisition Protocols by Alexis Jacquier (auth.)

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By Alexis Jacquier (auth.)

This ebook, targeted in focusing in particular on cardiac plenty, is the results of cooperation between a few groups of radiologists operating less than the aegis of the French Society of Cardiovascular Imaging (SFICV). Its objective is to one) evaluate different CMR sequences and CT acquisition protocols used to discover cardiac lots, 2) to illustrate the various CMR and MDCT good points of cardiac lots. it's been designed as a educating device and gives an absolutely illustrated compendium of scientific circumstances, tables summarizing facts, and decision-making bushes crucial in daily perform. it really is awarded as a pragmatic instruction manual and will be both learn conceal to hide or consulted every time wanted in the course of a cardiac imaging project. The ebook is meant for all scholars and skilled practitioners, even if radiologists or no longer, who're drawn to cardiac or thoracic pathology.

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Extra info for CMR and MDCT in Cardiac Masses: From Acquisition Protocols to Diagnosis

Sample text

A CMR was ordered to explore the mass. Diagnosis LV thrombus complicating the evolution of endomyocardial fibrosis. 5 Thrombus and Endomyocardial Fibrosis 33 Background There are three different stages of cardiac involvement in idiopathic eosinophilia: (1) a necrotic stage, which is due to eosinophils infiltrating the endocardium and causing microabscesses; (2) an intermediate thrombonecrotic stage during which thrombi appear on the surface of the necrotic myocardium of both ventricles; (3) and later a fibrous stage during which the myocardium and the chordae tendineae become fibrotic and the patient develops restrictive cardiomyopathy.

A complementary CMR examination was ordered to make a differential diagnosis between thrombus and metastasis. Diagnosis Thrombus of the right atrium on an implantable venous catheter. The lesion completely disappeared with appropriate anticoagulant treatment.  10 Late enhancement image after injection of contrast medium in short axis.  11 Cine image 3 months after starting anticoagulant treatment. The lesion has completely disappeared 35 36 4 Cardiac Thrombus Background Thrombi develop on lesions of the endocardium either as a result of mechanical stress or due to the products injected via the catheter (chemical stress).

A CMR was ordered to explore the mass. Diagnosis LV thrombus complicating the evolution of endomyocardial fibrosis. 5 Thrombus and Endomyocardial Fibrosis 33 Background There are three different stages of cardiac involvement in idiopathic eosinophilia: (1) a necrotic stage, which is due to eosinophils infiltrating the endocardium and causing microabscesses; (2) an intermediate thrombonecrotic stage during which thrombi appear on the surface of the necrotic myocardium of both ventricles; (3) and later a fibrous stage during which the myocardium and the chordae tendineae become fibrotic and the patient develops restrictive cardiomyopathy.

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