Cardio-oncology & other

Additional value of cardiac magnetic resonance parametric mapping in tissue characterization of common benign paediatric cardiac tumours

Eur Heart J Cardiovasc ImagingPublished Retrospective cohort study

Authors' conclusion

Mass mapping analysis is feasible and reproducible in children. ECV values provide the most accurate differentiation. Mass ECV consistently resembles normal myocardium in rhabdomyoma, is extremely high (approaching 100%) in fibroma, equals to zero in lipoma, and matches blood pool ECV (1-Hct) in haemangioma.

Study context

Population
Paediatric patients referred for cardiac tumours who underwent cardiac magnetic resonance (CMR) with mapping sequences, Bambino Gesù Children's Hospital, June 2017–November 2023mean age 7 ± 5 years
Participants
16 patients
Exposure
CMR native T1 and extracellular volume (ECV) mapping across benign paediatric cardiac tumour types
  • Group An = 3
  • Group Bn = 4
  • Group Cn = 6
  • Group Dn = 3
Outcome
Mass native T1 and ECV by tumour type
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

GroupNative T1ECV
Group A1465 ± 158 ms54 ± 4%
Group B860 ± 118 ms93 ± 4%
Group C1007 ± 57 ms23 ± 5%
Group D215 ± 13 ms0 ± 0%

Native T1

Group A1465 ± 158 ms
Group B860 ± 118 ms
Group C1007 ± 57 ms
Group D215 ± 13 ms

ECV

Group A54 ± 4%
Group B93 ± 4%
Group C23 ± 5%
Group D0 ± 0%
Significant differences in mass native T1 and ECV among the four subgroups (ANOVA)
P < 0.001

Observational data: associations, not effects.

Original publication

Additional value of cardiac magnetic resonance parametric mapping in tissue characterization of common benign paediatric cardiac tumours. Eur Heart J Cardiovasc Imaging. Published 25 July 2024. doi:10.1093/ehjci/jeae187

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