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心脏副神经节瘤的高级影像学检查：一项系统综述

Advanced imaging of cardiac Paraganglioma: A systematic review.

作者信息

Punzo Bruna, Tramontano Liberatore, Clemente Alberto, Seitun Sara, Maffei Erica, Saba Luca, Nicola De Cecco Carlo, Bossone Eduardo, Narula Jagat, Cavaliere Carlo, Cademartiri Filippo

机构信息

IRCCS SYNLAB SDN, Via Emanuele Gianturco 113, Naples I-80143, Italy.

Department of Radiology, Fondazione Toscana Gabriele Monasterio/CNR, Pisa, Italy.

出版信息

Int J Cardiol Heart Vasc. 2024 Jul 4;53:101437. doi: 10.1016/j.ijcha.2024.101437. eCollection 2024 Aug.

DOI:10.1016/j.ijcha.2024.101437
PMID:39228979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11368599/
Abstract

BACKGROUND AND AIMS

Cardiac ParaGangliomas (PGLs) are rare extra-adrenal tumours that arise from chromaffin cells of the sympathetic ganglia. PGL are often diagnosed incidentally, with no symptoms or symptoms related to cardiovascular dysfunction.

METHODS

Cardiac Computed Tomography (CCT) and Cardiac Magnetic Resonance (CMR) can detect the correct morphology and position of the lesion and provide proper tissue characterization.Nuclear medicine imaging, with Positron Emission Tomography (PET) or Single Photon Emission Computed Tomography (SPECT) with specific radiotracers, can evaluate the functionality of the PGL and to distinguish a secreting from a non-secreting tumour.

RESULTS

In association with biochemical parameters, a multimodal imaging approach, not yet standardized, can be useful both in the diagnosis, in the monitoring and in the treatment planning.

CONCLUSIONS

In this systematic review, we aim to investigate the role of diagnostic imaging, in particular CCT, CMR, PET and SPECT in diagnosis, characterization and monitoring of cardiac PGLs.

摘要

背景与目的

心脏副神经节瘤（PGLs）是一种罕见的肾上腺外肿瘤，起源于交感神经节的嗜铬细胞。PGL通常是偶然发现的，没有症状或有与心血管功能障碍相关的症状。

方法

心脏计算机断层扫描（CCT）和心脏磁共振成像（CMR）可以检测病变的正确形态和位置，并提供适当的组织特征。核医学成像，采用正电子发射断层扫描（PET）或单光子发射计算机断层扫描（SPECT）并使用特定的放射性示踪剂，可以评估PGL的功能，并区分分泌性肿瘤和非分泌性肿瘤。

结果

结合生化参数，一种尚未标准化的多模态成像方法在诊断、监测和治疗规划中可能都有用。

结论

在本系统评价中，我们旨在研究诊断成像，特别是CCT、CMR、PET和SPECT在心脏PGL诊断、特征描述和监测中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/700a/11368599/5e14cd14ad63/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/700a/11368599/d55f58e9b738/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/700a/11368599/4767544fcfce/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/700a/11368599/7e47676fee31/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/700a/11368599/5e14cd14ad63/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/700a/11368599/d55f58e9b738/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/700a/11368599/4767544fcfce/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/700a/11368599/7e47676fee31/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/700a/11368599/5e14cd14ad63/gr4.jpg

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Extended resection of a cardiac paraganglioma-A rare neuroendocrine manifestation of the heart.心脏副神经节瘤的扩大切除术——一种罕见的心脏神经内分泌表现
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Aorticopulmonary Paraganglioma With Symptomatic Postoperative Bradycardia.主动脉肺动脉副神经节瘤伴术后症状性心动过缓。
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