Radiologia, AST Pesaro Urbino, 61121 Pesaro, Italy.
Maternal-Child, Senological, Cardiological Radiology and Outpatient Ultrasound, Department of Radiological Sciences, University Hospital of Marche, 60126 Ancona, Italy.
Medicina (Kaunas). 2023 Dec 29;60(1):70. doi: 10.3390/medicina60010070.
A cardiac lesion detected at ultrasonography might turn out to be a normal structure, a benign tumor or rarely a malignancy, and lesion characterization is very important to appropriately manage the lesion itself. The exact relationship of the mass with coronary arteries and the knowledge of possible concomitant coronary artery disease are necessary preoperative information. Moreover, the increasingly performed coronary CT angiography to evaluate non-invasively coronary artery disease leads to a rising number of incidental findings. Therefore, CT and MRI are frequently performed imaging modalities when echocardiography is deemed insufficient to evaluate a lesion. A brief comprehensive overview about diagnostic radiological imaging and the clinical background of cardiac masses and pseudomasses is reported.
在超声检查中发现的心脏病变可能是正常结构、良性肿瘤,或罕见的恶性肿瘤,病变特征对于恰当处理病变本身非常重要。肿块与冠状动脉的确切关系以及可能伴发的冠状动脉疾病的知识是必要的术前信息。此外,为了非侵入性地评估冠状动脉疾病而进行的越来越多的冠状动脉 CT 血管造影术导致偶然发现的数量增加。因此,当超声心动图不足以评估病变时,CT 和 MRI 是经常进行的影像学检查方法。本文简要综述了心脏肿块和假性肿块的诊断影像学和临床背景。