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Journal of Cardiovascular Magnetic Resonance

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Open Access 01-12-2009 | Review

Cardiovascular magnetic resonance in pericardial diseases

Authors: Jan Bogaert, Marco Francone

Published in: Journal of Cardiovascular Magnetic Resonance | Issue 1/2009

Abstract

The pericardium and pericardial diseases in particular have received, in contrast to other topics in the field of cardiology, relatively limited interest. Today, despite improved knowledge of pathophysiology of pericardial diseases and the availability of a wide spectrum of diagnostic tools, the diagnostic challenge remains. Not only the clinical presentation may be atypical, mimicking other cardiac, pulmonary or pleural diseases; in developed countries a shift for instance in the epidemiology of constrictive pericarditis has been noted. Accurate decision making is crucial taking into account the significant morbidity and mortality caused by complicated pericardial diseases, and the potential benefit of therapeutic interventions. Imaging herein has an important role, and cardiovascular magnetic resonance (CMR) is definitely one of the most versatile modalities to study the pericardium. It fuses excellent anatomic detail and tissue characterization with accurate evaluation of cardiac function and assessment of the haemodynamic consequences of pericardial constraint on cardiac filling. This review focuses on the current state of knowledge how CMR can be used to study the most common pericardial diseases.

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Little WC, Freeman GL: Pericardial disease. Circulation. 2006, 133: 1622-1632. 10.1161/CIRCULATIONAHA.105.561514.CrossRef

Troughton RW, Asher CR, Klein AL: Pericarditis. Lancet. 2004, 363: 717-727. 10.1016/S0140-6736(04)15648-1.CrossRefPubMed

Spodick DH: Macrophysiology, microphysiology, and anatomy of the pericardium: a synopsis. Am Heart J. 1992, 124: 1046-1051. 10.1016/0002-8703(92)90990-D.CrossRefPubMed

Groell R, Schaffler GJ, Rienmueller R: Pericardial sinuses and recesses: findings at electrocardiographically triggered electron-beam CT. Radiology. 1999, 212: 69-73.CrossRefPubMed

Roberts WC, Spray TL: Pericardial heart disease: a study of its causes, consequences, and morphologic features. Cardiovasc Clin. 1976, 7: 11-65.PubMed

Freeman GL, LeWinter MM: of the intrapericardial pressure in dogs. J Appl Physiol. 1986, 60: 758-764.PubMed

Freeman GL, Little WC: Comparison of in situ and in vitro studies of pericardial pressure-volume relation in the dog. Am J Physiol. 1986, 251: H421-H427.PubMed

Taylor RR, Covell JW, Sonnenblick EH, Ross JJr: Dependence of ventricular distensibility on filling of the opposite ventricle. Am J Physiol. 1967, 213: 711-718.PubMed

Janicki JS, Weber KT: The pericardium and ventricular interaction, distensibility, and function. Am J Physiol. 1980, 238: H494-503.PubMed

10.

Freeman GL, LeWinter MM: Pericardial adaptations during chronic cardiac dilation in dogs. Circ Res. 1984, 54: 294-300.CrossRefPubMed

11.

Bogaert J, Dymarkowski S, Taylor AM: Clinical cardiac MRI. 2005, Springer, Berlin, Heidelberg, New York, 1CrossRef

12.

Misselt AJ, Harris SR, Glockner J, Feng D, Syed IS, Araoz PA: MR imaging of the pericardium. Magn Reson Imaging Clin N Am. 2008, 16: 185-199. 10.1016/j.mric.2008.02.011.CrossRefPubMed

13.

Aletras AH, Tilak GS, Natanzon A, Hsu L-Y, Gonzalez FM, Hoyt RF, Arai AE: Retrospective determination of the area at risk for reperfused acute myocardial infarction with T2-weighted cardiac magnetic resonance imaging. Circulation. 2006, 113: 1865-1870. 10.1161/CIRCULATIONAHA.105.576025.CrossRefPubMed

14.

Friedrich MG, Abdel-Aty H, Taylor A, Schulz-Menger J, Messroghli D, Dietz R: The salvaged area at risk in reperfused acute myocardial infarction as visualized by cardiovascular magnetic resonance. J Am Coll Cardiol. 2008, 51: 1581-1587. 10.1016/j.jacc.2008.01.019.CrossRefPubMed

15.

Klein C, Graf K, Fleck E, Nagel E: Acute fibrinous pericarditis assessed with magnetic resonance imaging. Images in cardiovascular medicine. Circulation. 2003, 107: e82-10.1161/01.CIR.0000059654.84558.71.CrossRefPubMed

16.

Bogaert J, Taylor AM, Van Kerkhove F, Dymarkowski S: Use of the inversion-recovery contrast-enhanced MRI technique for cardiac imaging: spectrum of diseases. Am J Roentgenol. 2004, 182: 609-615.CrossRef

17.

Taylor AM, Dymarkowski S, Verbeken E, Bogaert J: Detection of pericardial inflammation with late-enhancement cardiac magnetic resonance imaging: initial results. Eur Radiol. 2006, 16: 569-574. 10.1007/s00330-005-0025-0.CrossRefPubMed

18.

Francone M, Dymarkowski S, Kalantzi M, Bogaert J: Real-time cine MRI of ventricular septal motion. A novel approach to assess ventricular coupling. J Magn Reson Imaging. 2005, 21: 305-309. 10.1002/jmri.20259.CrossRefPubMed

19.

Kojima S, Yamada N, Goto Y: Diagnosis of constrictive pericarditis by tagged cine magnetic resonance imaging. N Engl J Med. 1999, 341: 373-374. 10.1056/NEJM199907293410515.CrossRefPubMed

20.

Rademakers FE, Bogaert J: Cardiac dysfunction in heart failure with normal ejection fraction: MRI measurements. Progress in cardiovascular diseases. 2006, 49: 215-227. 10.1016/j.pcad.2006.08.012.CrossRefPubMed

21.

Paelinck BP, Lamb HJ, Bax JJ, Wall Van der EE, de Roos A: Assessment of diastolic function by cardiovascular magnetic resonance. Am Heart J. 2002, 144: 198-205. 10.1067/mhj.2002.123316.CrossRefPubMed

22.

Sechtem U, Tscholakoff D, Higgins CB: MRI of the normal pericardium. AJR Am J Roentgenol. 1986, 147: 239-244.CrossRefPubMed

23.

Stark DD, Higgins CB, Lanzer P, Lipton MJ, Schiller N, Crooks LE, Botvinick EB, Kaufman L: Magnetic resonance imaging of the pericardium: normal and pathologic findings. Radiology. 1984, 150: 469-474.CrossRefPubMed

24.

Im JG, Rosen A, Webb WR, Gamsu G: MR imaging of the transverse sinus of the pericardium. AJR Am J Roentgenol. 1988, 150 (1): 79-84.CrossRefPubMed

25.

McMurdo KK, Webb WR, von Schulthess GK, Gamsu G: Magnetic resonance imaging of the superior pericardial recesses. AJR Am J Roentgenol. 1985, 145: 985-988.CrossRefPubMed

26.

Solomon SL, Brown JJ, Glazer HS, Mirowitz SA, Lee JKT: Thoracic aortic dissection: pitfalls and artifacts in MR imaging. Radiology. 1990, 177: 223-228.CrossRefPubMed

27.

Sechtem U, Tscholakoff D, Higgins CB: MRI of the abnormal pericardium. AJR Am J Roentgenol. 1986, 147: 245-252.CrossRefPubMed

28.

Bogaert J, Duerinckx AJ: Appearance of the normal pericardium on coronary MR angiograms. J Magn Reson Imaging. 1995, 5: 579-587. 10.1002/jmri.1880050518.CrossRefPubMed

29.

Chako AC, Tempany CM, Zerhouni EA: Effect of slice acquisition direction on image quality in thoracic MRI. J Comput Assist Tomogr. 1995, 19: 936-940. 10.1097/00004728-199511000-00018.CrossRefPubMed

30.

Amplatz K, Moller JH: Radiology of congenital heart disease. 1993, Mosby year book. St-Louis MO, USA

31.

Letanche G, Gayet C, Souquet PJ, Mallet JJ, Bernard JP, Lainé X, Touraine R: Agenesis of the pericardium: clinical, echocardiographic and MRI aspects. Rev Pneumol Clin. 1988, 44: 105-109.PubMed

32.

Lorell BH, Braunwald E: Pericardial disease. Heart disease, a textbook of cardiovascular medicine. Edited by: Braunwald E. 1988, W.B. Saunders Philadelphia, 1484-1485.

33.

Glover LB, Barcia A, Reeves TJ: Congenital absence of the pericardium. Am J Radiol. 1969, 106: 542-548.

34.

Gutierrez FR, Shackelford GD, McKnight RC, Levitt RG, Hartmann A: Diagnosis of congenital absence of left pericardium by MR imaging. J Comput Assist Tomogr. 1985, 9: 551-553. 10.1097/00004728-198505000-00026.CrossRefPubMed

35.

Abbas AE, Appleton CP, Liu PT, Sweeney JP: Congenital absence of the pericardium: case presentation and review of literature. Int J Cardiol. 2005, 98: 21-25. 10.1016/j.ijcard.2003.10.021.CrossRefPubMed

36.

Scheuermann-Freestone M, Orchard E, Francis J, Petersen M, Friedrich M, Rashid A, Shore D, Myerson S, Neubauer S: Partial congenital absence of the pericardium. Circulation. 2007, 116: e126-e129. 10.1161/CIRCULATIONAHA.107.701599.CrossRefPubMed

37.

Psychidis-Papakyritsis P, de Roos A, Kroft LJM: Functional MRI of congenital absence of the pericardium. AJR Am J Roentgenol. 2007, 189: W312-W314. 10.2214/AJR.05.1655.CrossRefPubMed

38.

Carretta A, Negri G, Pansera M, Melloni G, Zannini P: Thoracoscopic treatment of a pericardial diverticulum. Surg Endosc. 2003, 17: 158-159.PubMed

39.

Wang ZJ, Reddy GP, Gotway MB, Yeh BM, Hetts SW, Higgins CB: CT and MR imaging of pericardial disease. Radiographics. 2003, 23: S167-180. 10.1148/rg.23si035504.CrossRefPubMed

40.

Mulvagh SL, Rokey R, Vick GWD, Johnston DL: Usefulness of nuclear magnetic resonance imaging for evaluation of pericardial effusions, and comparison with two-dimensional echocardiography. Am J Cardiol. 1989, 64: 1002-1009. 10.1016/0002-9149(89)90798-4.CrossRefPubMed

41.

Spodick DH: Acute cardiac tamponade. N Engl J Med. 2003, 349: 684-690. 10.1056/NEJMra022643.CrossRefPubMed

42.

Restrepo CS, Diethelm L, Lemos JA, Velásquez E, Ovella TA, Martinez S, Carrillo J, Lemos DF: Cardiovascular complications of human immunodeficiency virus infection. Radiographics. 2006, 26: 213-31. 10.1148/rg.261055058.CrossRefPubMed

43.

Skouri HN, Dec GW, Friedrich MG, Cooper LT: Noninvasive imaging in myoccarditis. J Am Coll Cardiol. 2006, 48: 2085-2093. 10.1016/j.jacc.2006.08.017.CrossRefPubMed

44.

Mahrholdt H, Wagner A, Deluigi CC, Kispert E, Hager S, Meinhardt G, Vogelsberg H, Fritz P, Dippon J, Bock CT, Klingel K, Kandolf R, Sechtem U: Presentation, patterns of myocardial damage, and clinical course of viral myocarditis. Circulation. 2006, 114: 1581-1590. 10.1161/CIRCULATIONAHA.105.606509.CrossRefPubMed

45.

Yelgec NS, Dymarkowski S, Ganame J, Bogaert J: Value of MRI in patients with a clinical suspicion of acute myocarditis. Eur Radiol. 2007, 17: 2211-2217. 10.1007/s00330-007-0612-3.CrossRefPubMed

46.

Myers RB, Spodick DH: Constrictive pericarditis: clinical and pathophysiologic chararcteristics. Am Heart J. 1999, 138: 219-232. 10.1016/S0002-8703(99)70105-5.CrossRefPubMed

47.

Ling LH, Oh JK, Schaff HV, Danielson GK, Mahoney DW, Seward JB, Tajik AJ: Constrictive pericarditis in the modern era: evolving clinical spectrum and impact on outcome after pericardiectomy. Circulation. 1999, 100: 1380-1386.CrossRefPubMed

48.

Nishimura RA: Constrictive pericarditis in the modern era: a diagnostic dilemma. Heart. 2001, 86: 619-623. 10.1136/heart.86.6.619.PubMedCentralCrossRefPubMed

49.

Kushwaha SS, Fallon JT, Fuster V: Restrictive cardiomyopathy. N Engl J Med. 1997, 336: 267-276. 10.1056/NEJM199701233360407.CrossRefPubMed

50.

Hancock EW: Differential diagnosis of restrictive cardiomyopathy and constrictive pericarditis. Heart. 2001, 86: 343-349.PubMedCentralPubMed

51.

Frank H, Globits S: Magnetic resonance imaging evaluation of myocardial and pericardial disease. J Magn Reson Imaging. 1999, 10: 617-626. 10.1002/(SICI)1522-2586(199911)10:5<617::AID-JMRI5>3.0.CO;2-Z.CrossRefPubMed

52.

Soulen RL, Stark DD, Higgins CB: Magnetic resonance imaging of constrictive pericardial disease. Am J Cardiol. 1985, 55: 480-484. 10.1016/0002-9149(85)90398-4.CrossRefPubMed

53.

Maisch B, Seferovic PM, Ristic AD, Erbel R, Rienmuller R, Adler Y, Tomkowski WZ, Thiene G, Yacoub MH, for the task force on the diagnosis and management of pericardial diseases of the European Society of Cardiology: Guidelines on the diagnosis and management of pericardial diseases: executive summar. Eur Heart J. 2004, 25: 587-610. 10.1016/j.ehj.2004.02.002.CrossRefPubMed

54.

Oh KY, Shimizu M, Edwards WD, Tazelaar HD, Danielson GK: Surgical pathology of the parietal pericardium. A study of 344 cases (1993–1999). Cardiovascul Pathol. 2001, 10: 157-168. 10.1016/S1054-8807(01)00076-X.CrossRef

55.

Sagristà-Sauleda J, Angel J, Sanchez A, Permanyer-Miralda G, Soler-Soler J: Effusive-constrictive pericarditis. N Engl J Med. 2004, 350: 469-475. 10.1056/NEJMoa035630.CrossRefPubMed

56.

Sagristà-Sauleda J: Pericardial constriction: uncommon patterns. Heart. 2004, 90: 257-258. 10.1136/hrt.2003.024828.PubMedCentralCrossRefPubMed

57.

Hancock EW: A clearer view of effusive-constrictive pericarditis. N Engl J Med. 2004, 350: 435-437. 10.1056/NEJMp038199.CrossRefPubMed

58.

Sagristà-Sauleda J, Permanyer-Miralda G, Candell-Riera J, Angel J, Soler-Soler J: Transient cardiac constriction: an unrecognized pattern of evolution in effusive acute idiopathic pericarditis. Am J Cardiol. 1987, 59: 961-966. 10.1016/0002-9149(87)91134-9.CrossRefPubMed

59.

Haley JH, Tajik J, Danielson GK, Schaff HV, Mulvagh SL, Oh JK: Transient constrictive pericarditis: causes and natural history. J Am Coll Cardiol. 2004, 43: 271-275. 10.1016/j.jacc.2003.08.032.CrossRefPubMed

60.

Giorgi B, Mollet NRA, Dymarkowski S, Rademakers FA, Bogaert J: Assessment of ventricular septal motion in patients clinically suspected of constrictive pericarditis, using magnetic resonance imaging. Radiology. 2003, 228: 417-424. 10.1148/radiol.2282020345.CrossRefPubMed

61.

Hasuda T, Satoh T, Yamada N, Sakamaki F, Kyotani S, Nakanishi N, Kosakai Y: A case of constrictive pericarditis with local thickening of the pericardium without manifest ventricular interdepence. Cardiology. 1999, 92: 214-216. 10.1159/000006974.CrossRefPubMed

62.

Talreja DR, Edwards WD, Danielson GK, Schaff HV, Tajik AJ, Tazelaar HD, Breen JF, Oh JK: Constrictive pericarditis in 26 patients with histologically normal pericardial thickness. Circulation. 2003, 108: 1852-1857. 10.1161/01.CIR.0000087606.18453.FD.CrossRefPubMed

63.

Bush CA, Stang JM, Wooley CF, Kilman JW: Occult constrictive pericardial disease. Circulation. 1977, 56: 924-930.CrossRefPubMed

64.

Hurrell DG, Nishimura RA, Higano ST, Appleton CP, Danielson GK, Holmes DR, Tajik AJ: Value of dynamic respiratory changes in left and right ventricular pressures for the diagnosis of constrictive pericarditis. Circulation. 1996, 93 (11): 2007-2013.CrossRefPubMed

65.

Talreja DP, Nishimura RA, Oh JK, Holmes DR: Constrictive pericarditis in the modern era novel criteria for diagnosis in the cardiac catheterization laboratory. J Am Coll Cardiol. 2008, 51: 315-319. 10.1016/j.jacc.2007.09.039.CrossRefPubMed

66.

Hatle LK, Appleton CP, Popp RL: Differentiation of constrictive pericarditis and restrictive cardiomyopathy by Doppler echocardiography. Circulation. 1989, 79: 357-370.CrossRefPubMed

67.

van den Hout RJ, Lamb HJ, van den Aardweg JG, Schot R, Steendijk P, van de Wall EE, Bax JJ, de Roos A: Real-time MR imaging of aortic flow: influence of breathing on left ventricular stroke volume in chronic obstructive pulmonary disease. Radiology. 2003, 229: 513-519. 10.1148/radiol.2292020559.CrossRefPubMed

68.

Candell-Riera J, Garcia del Castillo H, Permanyer-Miralda G, Soler-Soler J: Echocardiographic features of the interventricular septum in chronic constrictive pericarditis. Circulation. 1978, 57: 1154-1158.CrossRefPubMed

69.

Santamore WP, Bartlett R, Van Buren SJ, Dowd MK, Kutcher MA: Ventricular coupling in constrictive pericarditis. Circulation. 1986, 74: 597-602.CrossRefPubMed

70.

71.

Gibson TC, Grossman W, McLaurin MP, Moos S, Craige E: An echocardiographic study of the interventricular septum in constrictive pericarditis. British Heart Journal. 1976, 38: 738-743. 10.1136/hrt.38.7.738.PubMedCentralCrossRefPubMed

72.

Francone M, Dymarkowski S, Kalantzi M, Rademakers FE, Bogaert J: Assessment of ventricular coupling with real-time cine MRI and its value to differentiate constrictive pericarditis from restrictive cardiomyopathy. Eur Radiol. 2006, 16: 944-951. 10.1007/s00330-005-0009-0.CrossRefPubMed

73.

Francone M, Dymarkowski S, Kalantzi M, Bogaert J: Magnetic resonance imaging in the evaluation of the pericardium. A pictorial essay. Radiol Med. 2005, 109: 64-74.PubMed

74.

Syed IS, Feng D, Harris SR, Martinez MW, Misselt AJ, Breen JF, Miller DV, Araoz PA: MR imaging of cardiac masses. Magn Reson Imaging Clin N Am. 2008, 16: 137-164. 10.1016/j.mric.2008.02.009.CrossRefPubMed

75.

Gomes AS, Lois JF, Child JS, Brown K, Batra P: Cardiac tumors and thrombus: evaluation with MR imaging. AJR Am J Roentgenol. 1987, 149: 895-899.CrossRefPubMed

76.

Lund JT, Ehman RL, Julsrud PR, Sinak LJ, Tajik AJ: Cardiac masses: assessment by MR imaging. AJR Am J Roentgenol. 1989, 152: 469-473.CrossRefPubMed

77.

Oyama N, Oyam N, Komuro K, Nambu T, Manning WJ, Miyasaka K: Computed tomography and magnetic resonance imaging of the pericardium: anatomy and pathology. Magn Reson Med Sci. 2004, 3: 145-152. 10.2463/mrms.3.145.CrossRefPubMed

78.

Smith WHT, Beacock DJ, Goddard AJP, Bloomer TN, Ridgway JP, Sivananthan UM: Magnetic resonance evaluation of the pericardium: a pictorial review. Br J Radiol. 2001, 74: 384-392.CrossRefPubMed

79.

Maksimovic R, Dill T, Seferovic PM, Ristic AD, Alter R, Simeunovic DS, Markovic Z, Bachmann GF, Maisch B: Magnetic resonance imaging in pericardial diseases. Herz. 2006, 31: 708-714. 10.1007/s00059-006-2894-7.CrossRefPubMed

Title: Cardiovascular magnetic resonance in pericardial diseases
Authors: Jan Bogaert
Marco Francone
Publication date: 01-12-2009
Publisher: BioMed Central
Published in: Journal of Cardiovascular Magnetic Resonance / Issue 1/2009
Electronic ISSN: 1532-429X
DOI: https://doi.org/10.1186/1532-429X-11-14

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Cardiovascular magnetic resonance in pericardial diseases

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