HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Abstract Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Barkhausen, J. Articles by Debatin, J. F. Search for Related Content PubMed PubMed Citation Articles by Barkhausen, J. Articles by Debatin, J. F. Social Bookmarking                      What's this? Hotlight (NEW!) What's Hotlight?

Detection and Characterization of Intracardiac Thrombi on MR Imaging

¹ Department of Diagnostic and Interventional Radiology, University Hospital Essen, Hufelandstraße 55, D-45122 Essen, Germany.
² Department of Cardiology, University Hospital Essen, D-45122 Essen, Germany.
³ Department of Cardiology, Elisabeth Hospital Essen, D-45138 Essen, Germany.

View larger version (129K): [in a new window]   Fig. 1A. —28-year-old man with myocarditis and thrombus (arrow, A—C) in right atrial appendage. Axial dark-blood—prepared HASTE MR image shows mass in right atrial appendage isointense relative to myocardium.

View larger version (121K): [in a new window]   Fig. 2C. —58-year-old man who had myocardial infarction 6 weeks before imaging. Axial dark-blood—prepared HASTE image reveals bright signal in left ventricular apex caused by slow flow.

View larger version (141K): [in a new window]   Fig. 1B. —28-year-old man with myocarditis and thrombus (arrow, A—C) in right atrial appendage. Diastolic fast imaging steady-state free precession cine MR image obtained in short axis shows mass in right atrial appendage hypointense relative to blood.

View larger version (123K): [in a new window]   Fig. 3A. —32-year-old woman with deep vein thrombosis and pulmonary embolism. Diastolic fast imaging steady-state free precession cine MR image obtained in short axis reveals low-signal-intensity mass (arrow) in right ventricular cavity, indicating right ventricular thrombus (pulmonary emboli in transit).

View larger version (125K): [in a new window]   Fig. 4A. —63-year-old man who had myocardial infarction 4 months before imaging. Two-chamber-view diastolic (A) and systolic (B) cine MR images obtained with fast imaging steady-state free precession (trueFISP) sequence reveal akinetic apical left ventricular wall. Differentiation of myocardium and mural thrombus is unfeasible on trueFISP images.

View larger version (137K): [in a new window]   Fig. 4B. —63-year-old man who had myocardial infarction 4 months before imaging. Two-chamber-view diastolic (A) and systolic (B) cine MR images obtained with fast imaging steady-state free precession (trueFISP) sequence reveal akinetic apical left ventricular wall. Differentiation of myocardium and mural thrombus is unfeasible on trueFISP images.

View larger version (142K): [in a new window]   Fig. 2A. —58-year-old man who had myocardial infarction 6 weeks before imaging. Four-chamber-view diastolic (A) and systolic (B) cine MR images obtained with fast imaging steady-state free precession sequence show lack of systolic wall thickening (arrow).

View larger version (144K): [in a new window]   Fig. 2B. —58-year-old man who had myocardial infarction 6 weeks before imaging. Four-chamber-view diastolic (A) and systolic (B) cine MR images obtained with fast imaging steady-state free precession sequence show lack of systolic wall thickening (arrow).

View larger version (111K): [in a new window]   Fig. 4D. —63-year-old man who had myocardial infarction 4 months before imaging. Two-chamber late contrast-enhanced 2D inversion recovery turbo FLASH image clearly reveals area of hyperenhancement (indicating myocardial scar tissue). Thrombus shows significant contrast enhancement.

View larger version (121K): [in a new window]   Fig. 3B. —32-year-old woman with deep vein thrombosis and pulmonary embolism. In contrast-enhanced two-dimensional inversion recovery gradient-echo fast low-angle-shot MR image obtained in short axis, mass (arrow) does not show contrast enhancement.

View larger version (115K): [in a new window]   Fig. 3C. —32-year-old woman with deep vein thrombosis and pulmonary embolism. Posterior-view maximum-intensity-projection angiogram of pulmonary artery shows occlusion (arrow) of left posterior basal segment artery.

View larger version (113K): [in a new window]   Fig. 2D. —58-year-old man who had myocardial infarction 6 weeks before imaging. Four-chamber-view late contrast-enhanced two-dimensional inversion recovery gradient-echo fast low-angle-shot MR image reveals area of hyperenhancement, indicating myocardial scar tissue. Arrowhead indicates thin mural thrombus that was not detectable on echocardiography.

View larger version (130K): [in a new window]   Fig. 1C. —28-year-old man with myocarditis and thrombus (arrow, A—C) in right atrial appendage. Early contrast-enhanced three-dimensional inversion recovery gradient-echo fast low-angle-shot MR image obtained in short axis reveals filling defect in right atrial appendage.

View larger version (113K): [in a new window]   Fig. 4C. —63-year-old man who had myocardial infarction 4 months before imaging. In two-chamber early contrast-enhanced two-dimensional (2D) inversion recovery gradient-echo fast low-angle-shot (turbo FLASH) image, thrombus (arrow) appears as filling defect in cavity with low signal intensity.

CiteULike

Complore

Connotea

Del.icio.us

Digg

Reddit

Technorati