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Diagnostic utility and clinical implication of late gadolinium enhancement cardiac magnetic resonance for detection of catheter associated right atrial thrombus

Clinical Imaging Feb 03, 2020

Plodkowski AJ, et al. - Researchers sought to use delayed enhancement cardiac magnetic resonance (DE-CMR) as a reference standard to assess the prevalence and predictors of right atrial (RA) thrombus. This retrospective study recruited a sum of 130 cancer individuals with central venous catheters undergoing CMR between August 2012 and January 2018. In this study, right atrial thrombus properties including the number of discrete masses, size, total thrombus area, and perimeter were also evaluated. They also utilized Cine-CMR to quantify cardiac structure and function as markers of RA thrombus. For RA thrombus, morphologic imaging by cine-CMR and echocardiography gives limited diagnostic efficiency as established by DE-CMR tissue characterization. The results of this study indicated that catheter-associated RA thrombus occurs independently of right-sided structure or function and is connected with clinical embolic events and catheter depth.
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