Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
MRI changes in myocarditis - Evaluation with spin echo, cine MR angiography and contrast enhanced spin echo imaging
Autore:
Roditi, GH; Hartnell, GG; Cohen, MC;
Indirizzi:
Harvard Univ, Sch Med, Deaconess Hosp, Div Cardiovasc, Cambridge, MA 02138USA Harvard Univ Cambridge MA USA 02138 iv Cardiovasc, Cambridge, MA 02138USA Harvard Univ, Sch Med, Deaconess Hosp, Dept Radiol, Cambridge, MA 02138 USA Harvard Univ Cambridge MA USA 02138 Dept Radiol, Cambridge, MA 02138 USA Aberdeen Royal Infirm, Dept Radiol, Aberdeen, Scotland Aberdeen Royal Infirm Aberdeen Scotland Dept Radiol, Aberdeen, Scotland
Titolo Testata:
CLINICAL RADIOLOGY
fascicolo: 10, volume: 55, anno: 2000,
pagine: 752 - 758
SICI:
0009-9260(200010)55:10<752:MCIM-E>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
HETEROTOPIC HEART-TRANSPLANTATION; DILATED CARDIOMYOPATHY; ENDOMYOCARDIAL BIOPSY; IN-111 ANTIMYOSIN; RESONANCE; REJECTION; DIAGNOSIS; CHILDREN;
Keywords:
magnetic resonance imaging; magnetic resonance angiography; myocarditis; contrast enhancement;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Roditi, GH Glasgow Royal Infirm, Dept Radiol, 32 Alexandra Parade, GlasgowG31 2ER, Lanark, Scotland Glasgow Royal Infirm 32 Alexandra Parade GlasgowLanark Scotland G31 2ER
Citazione:
G.H. Roditi et al., "MRI changes in myocarditis - Evaluation with spin echo, cine MR angiography and contrast enhanced spin echo imaging", CLIN RADIOL, 55(10), 2000, pp. 752-758

Abstract

AIM: Myocarditis is probably under-diagnosed with clinical criteria generally used for diagnosis. Magnetic resonance imaging (MRI) has shown promise in defecting heart muscle disorders and we set out to assess the role of cine magnetic resonance angiography (MRA) and contrast enhancement in myocarditis, as there is a need for a non-invasive tool that fan aid prognosis andfollow-up. MATERIALS AND METHODS: Twenty patients were evaluated with T1 SE pre- and post-gadolinium enhancement and cine MRA. Four patients were histologicallyproven to have myocarditis, eight others were diagnosed as having myocarditis by clinical criteria and eight did not have myocarditis, images were evaluated in a blinded fashion for regional wall motion abnormality and contrast enhancement pattern. Analysis of contrast enhancement by signal intensity measurement was also performed. RESULTS: Focal myocardial enhancement with associated regional wall motionabnormality correlated with myocarditis in 10 out of 12 patients, two patients with abnormal focal enhancement alone also clinically had myocarditis,None of the non-myocarditis patients showed abnormal focal enhancement. Enhancement analysis suggests that focal corrected myocardial enhancement of > 40% is abnormal. CONCLUSION: In the correct clinical context, focal myocardial enhancement on spin echo MRI strongly supports a diagnosis of myocarditis, especially when associated with regional wall motion abnormality. Roditi, G. H. et al. (2000). Clinical Radiology 55, 752-758. (C) 2000 The Royal College of Radiologists.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/11/20 alle ore 14:29:04