1- Embryological and anatomical remember
2- Sequences and suitableplanes for MR study
Methods and Materials
The most common reaction of the pericardium against any aggression is the fluid production.
Other more infrequent reactions are thickening of their layers,
nodules or masses. 1.- ANATOMY Fig.1 The pericardium is an anatomically simple structure that can be affected by multiple processes. - The outer layer it is fibrous pericardium ,
hard and fibrous,
that binds to the adyacent structures that anchor the heart: Joins the central tendon of the diaphragm by the pericardiophrenic...
CT and MR imaging should be used when findings at echocardiography are difficult to interpret or conflict with clinical findings. Infection,
and congenital disease all may affect the pericardium.
Although echocardiography is the primary imaging modality used to examine the pericardium,
CT and MR imaging provide various advantages,
especially in cases of loculated or hemorrhagic effusion,
and pericardial masses.
It is mandatory for the radiologist to know the normal anatomy,variants and the pathologic processes that may affect the pericardium and the MR protocols used to accurately study the pericardium. MRI can study the whole pericardium to show its morphology and approximate its histology by evaluation of the signal intensity. MRI offers a correct assessment of pericardial effusion,distribution,
presence of loculations and content. MRI offers a functional assessment of the impact of the...
Part 2: Key Imaging Features for Diagnosis and Surgical Planning.
American Journal of Roentgenology.
10.2214/AJR.11.6903 Pictorial Essay.
MRI of Cardiomyopathy.Elena Belloni,
Francesco De Cobelli,
Gianluca Perseghin,Tamara Canu,
Alessandro Del MaschioAmerican Journal of Roentgenology.