Advanced imaging of cardiac Paraganglioma: A systematic review

Bruna Punzo, Liberatore Tramontano, Alberto Clement, Sara Seitun, Erica Maffei, Luca Saba, Carlo Nicola De Cecco, Eduardo Bossone, Jagat Narula, Carlo Cavaliere, Filippo Cademartiri

Research output: Contribution to journalReview articlepeer-review

Abstract

Background and aims: Cardiac ParaGangliomas (PGLs) are rare extra-adrenal tumours that arise from chromaffin cells of the sympathetic ganglia. PGL are often diagnosed incidentally, with no symptoms or symptoms related to cardiovascular dysfunction. Methods: Cardiac Computed Tomography (CCT) and Cardiac Magnetic Resonance (CMR) can detect the correct morphology and position of the lesion and provide proper tissue characterization. Nuclear medicine imaging, with Positron Emission Tomography (PET) or Single Photon Emission Computed Tomography (SPECT) with specific radiotracers, can evaluate the functionality of the PGL and to distinguish a secreting from a non-secreting tumour. Results: In association with biochemical parameters, a multimodal imaging approach, not yet standardized, can be useful both in the diagnosis, in the monitoring and in the treatment planning. Conclusions: In this systematic review, we aim to investigate the role of diagnostic imaging, in particular CCT, CMR, PET and SPECT in diagnosis, characterization and monitoring of cardiac PGLs.

Original languageEnglish
Article number101437
JournalIJC Heart and Vasculature
Volume53
DOIs
StatePublished - Aug 2024

Keywords

  • CCT
  • CMR
  • Paraganglioma

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