{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T17:12:30Z","timestamp":1793034750143,"version":"4.5.0"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Imaging"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND:<\/jats:title>\n            <jats:p>Multimodality imaging is currently suggested for the noninvasive diagnosis of cardiac masses. The identification of cardiac masses\u2019 malignant nature is essential to guide proper treatment. We aimed to develop a cardiac magnetic resonance (CMR)-derived model including mass localization, morphology, and tissue characterization to predict malignancy (with histology as gold standard), to compare its accuracy versus the diagnostic echocardiographic mass score, and to evaluate its prognostic ability.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>Observational cohort study of 167 consecutive patients undergoing comprehensive echocardiogram and CMR within 1-month time interval for suspected cardiac mass. A definitive diagnosis was achieved by histological examination or, in the case of cardiac thrombi, by histology or radiological resolution after adequate anticoagulation treatment. Logistic regression was performed to assess CMR-derived independent predictors of malignancy, which were included in a predictive model to derive the CMR mass score. Kaplan-Meier curves and Cox regression were used to investigate the prognostic ability of predictors.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>\n              In CMR, mass morphological features (non-left localization, sessile, polylobate, inhomogeneity, infiltration, and pericardial effusion) and mass tissue characterization features (first-pass perfusion and heterogeneity enhancement) were independent predictors of malignancy. The CMR mass score (range, 0\u20138 and cutoff, \u22655), including sessile appearance, polylobate shape, infiltration, pericardial effusion, first-pass contrast perfusion, and heterogeneity enhancement, showed excellent accuracy in predicting malignancy (areas under the curve, 0.976 [95% CI, 0.96\u20130.99]), significantly higher than diagnostic echocardiographic mass score (areas under the curve, 0.932;\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              =0.040). The agreement between the diagnostic echocardiographic mass and CMR mass scores was good (\u03ba=0.66). A CMR mass score of \u22655 predicted a higher risk of all-cause death (\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              &lt;0.001; hazard ratio, 5.70) at follow-up.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>A CMR-derived model, including mass morphology and tissue characterization, showed excellent accuracy, superior to echocardiography, in predicting cardiac masses malignancy, with prognostic implications.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circimaging.123.016115","type":"journal-article","created":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T18:01:17Z","timestamp":1710871277000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":49,"title":["Cardiac Magnetic Resonance to Predict Cardiac Mass Malignancy: The CMR Mass Score"],"prefix":"10.1161","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7017-778X","authenticated-orcid":true,"given":"Pasquale","family":"Paolisso","sequence":"first","affiliation":[{"name":"Clinical Cardiology and Cardiovascular Imaging Unit, Galeazzi-Sant\u2019Ambrogio Hospital, IRCCS, Milan, Italy (P.P., E. Gallinoro, E.C., D. Andreini)."},{"name":"Department of Biomedical and Clinical Sciences (P.P., E. Gallinoro, E.C., D. Andreini), University of Milan, Italy."},{"name":"Department of Advanced Biomedical Sciences, University of Naples, Federico II, Italy (P.P., M.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8186-9717","authenticated-orcid":true,"given":"Luca","family":"Bergamaschi","sequence":"additional","affiliation":[{"name":"Cardiology Unit, Cardiac Thoracic and Vascular Department, IRCCS Azienda Ospedaliera-Universitaria di Bologna (L.B., F.A., A.F., L.C., D.F., M.A., A.S., F.B., S.A., N.S., C.P.)."},{"name":"Department of Medical and Surgical Sciences, DIMEC (L.B., F.A., A.F., L.C., D.F., M.A., A.S., F.B., S.A., N.S., C.P.)."},{"name":"Alma Mater Studiorum (L.B., F.A., A.F., L.C., D.F., M.A., A.S., F.B., S.A., N.S., C.P.), University of Bologna, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8732-4512","authenticated-orcid":true,"given":"Francesco","family":"Angeli","sequence":"additional","affiliation":[{"name":"Cardiology Unit, Cardiac Thoracic and Vascular Department, IRCCS Azienda Ospedaliera-Universitaria di Bologna (L.B., F.A., A.F., L.C., D.F., M.A., A.S., F.B., S.A., N.S., C.P.)."},{"name":"Department of Medical and Surgical Sciences, DIMEC (L.B., F.A., A.F., L.C., D.F., M.A., A.S., F.B., S.A., N.S., C.P.)."},{"name":"Alma Mater Studiorum (L.B., F.A., A.F., L.C., D.F., M.A., A.S., F.B., S.A., N.S., C.P.), University of Bologna, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Belmonte","sequence":"additional","affiliation":[{"name":"Department of Advanced Biomedical Sciences, University of Naples, Federico II, Italy (P.P., M.B.)."},{"name":"Cardiovascular Center Aalst, OLV Hospital, Aalst, Belgium (M.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Fo\u00e0","sequence":"additional","affiliation":[{"name":"Cardiology Unit, Cardiac Thoracic and Vascular Department, IRCCS Azienda Ospedaliera-Universitaria di Bologna (L.B., F.A., A.F., L.C., D.F., M.A., A.S., F.B., S.A., N.S., C.P.)."},{"name":"Department of Medical and Surgical Sciences, DIMEC (L.B., F.A., A.F., L.C., D.F., M.A., A.S., F.B., S.A., N.S., C.P.)."},{"name":"Alma Mater Studiorum (L.B., F.A., A.F., L.C., D.F., M.A., A.S., F.B., S.A., N.S., C.P.), University of Bologna, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Canton","sequence":"additional","affiliation":[{"name":"Cardiology Unit, Cardiac Thoracic and Vascular Department, IRCCS Azienda Ospedaliera-Universitaria di Bologna (L.B., F.A., A.F., L.C., D.F., M.A., A.S., F.B., S.A., N.S., C.P.)."},{"name":"Department of Medical and Surgical Sciences, DIMEC (L.B., F.A., A.F., L.C., D.F., 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Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7971-8052","authenticated-orcid":true,"given":"Matteo","family":"Armillotta","sequence":"additional","affiliation":[{"name":"Cardiology Unit, Cardiac Thoracic and Vascular Department, IRCCS Azienda Ospedaliera-Universitaria di Bologna (L.B., F.A., A.F., L.C., D.F., M.A., A.S., F.B., S.A., N.S., C.P.)."},{"name":"Department of Medical and Surgical Sciences, DIMEC (L.B., F.A., A.F., L.C., D.F., M.A., A.S., F.B., S.A., N.S., C.P.)."},{"name":"Alma Mater Studiorum (L.B., F.A., A.F., L.C., D.F., M.A., A.S., F.B., S.A., N.S., C.P.), University of Bologna, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4565-4310","authenticated-orcid":true,"given":"Angelo","family":"Sansonetti","sequence":"additional","affiliation":[{"name":"Cardiology Unit, Cardiac Thoracic and Vascular Department, IRCCS Azienda Ospedaliera-Universitaria di Bologna 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