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Kardiovaskuläre Magnetresonanztomographie pp 93–103Cite as

Kardiale Tumoren

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Zusammenfassung

Eines der Haupteinsatzgebiete der kardialen MRT ist die Erfassung intra- und parakardialer Strukturen hinsichtlich Lokalisation, Ausdehnung und Gewebecharakterisierung. Hier erweist sich die hohe räumliche Auflösung sowie der exzellente Kontrast zwischen fließendem Blut und kardiovaskulären Strukturen als grundlegender Vorteil der MRT, um eine genaue Beteiligung von Herzkammern, Gefäßwänden und umliegenden Organstrukturen zu ermitteln. Insbesondere das große Bildgebungsfenster erlaubt die Beurteilung der Beteiligung extra- und parakardialer Strukturen und liefert wertvolle Informationen über anatomische Beziehungen. Dies erleichtert die Planung der Therapie, insbesondere wenn ein chirurgisches Vorgehen zu erwägen ist. Die Mehrzahl der Weichgewebstumoren weist kürzere Relaxationszeiten auf als Flüssigkeiten, weshalb eine intermediäre Signalintensität in T1-Wichtungen und ein relativ starkes Signal in T2-Wichtungen ensteht [18]. Mit Hilfe verschiedener Sequenzen und Vorpulse (z.B. Fettsättigungspuls) ist es möglich, einen Beitrag zur Gewebecharakterisierung zu liefern. Nach Gabe von gadoliniumhaltigen Kontrastmitteln können Informationen hinsichtlich des Vaskularisationsgrades der tumorösen Struktur erhalten werden, und auch die Abgrenzbarkeit wird weiter verbessert [7, 16]. Im Vergleich zur Computertomographie ist mit der MRT eine multiplanar Bildgebung möglich. Die Bildakquisition in optimierter Schichtführung erleichtert die räumliche Vorstellung der Lage des Tumors und seiner anatomischen Beziehungen.

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Authors
  1. Ingo Paetsch
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Editors and Affiliations

  1. Deutsches Herzzentrum Berlin, Kardiologie — CMR, Augustenburger Platz 1, 13353, Berlin, Germany

    Eike Nagel

  2. Department of Cardiology, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, Niederlande

    Albert C. van Rossum

  3. Deutsches Herzzentrum Berlin, Kardiologie/Innere Medizin, Augustenburger Platz 1, 13353, Berlin, Germany

    Eckart Fleck

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© 2002 Springer-Verlag Berlin Heidelberg

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Paetsch, I. (2002). Kardiale Tumoren. In: Nagel, E., van Rossum, A.C., Fleck, E. (eds) Kardiovaskuläre Magnetresonanztomographie. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57535-8_12

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  • DOI: https://doi.org/10.1007/978-3-642-57535-8_12

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-642-63291-4

  • Online ISBN: 978-3-642-57535-8

  • eBook Packages: Springer Book Archive

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