Magnetic resonance imaging characteristics of cardiac hydatid cyst



      The purpose of this article is to describe the magnetic resonance imaging (MRI) features of cardiac hydatid disease and show the specific findings in the diagnosis of hydatic cysts.

      Materials and methods

      A retrospective review of cardiac MRI records between 2015 and 2017, 7 patients (3 males, 4 females; age range: 14–74) were identified with the histologic diagnosis of cardiac hydatid disease. Cardiac MRI examinations were performed in order to investigate the cardiac cystic-solid lesion obtained via previous echocardiography (ECG) and thorax computed tomography. 1.5 Tesla magnetic field power generation capacity was used and the images were acquired with ECG trigger.


      There is variation in signal characteristics of cysts on T1-weighted and T2-weighted images. Early contrast enhancement was not observed in the any of lesions on contrast-enhanced series. In all lesions examined, peripheral contrast enhancement was observed in the late contrast enhanced series, independent from the internal structure and signal intensity.


      MRI reveals the exact anatomic location and nature of the cyst structures. Peripheral enhancement of non-enhancing lesion is very valuable for diagnosis of cardiac hydatids on MRI.


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        • Onursal E.
        • Elmaci T.T.
        • Tireli E.
        • Dindar A.
        • Atilgan D.
        • Ozcan M.
        Surgical treatment of cardiac echinococcosis: report of eight cases.
        Surg Today. 2001; 31: 325-330
        • Perez-Gomez F.
        • Duran H.
        • Tamamer S.
        • Perrote J.L.
        • Blanes A.
        Cardiac echinococcosis: clinical pictures and complications.
        Br Heart J. 1973; 35: 1326-1331
        • Dursun M.
        • Terzibasioglu E.
        • Yılmaz R.
        • et al.
        Cardiac hydatid disease: CT and MRI findings.
        AJR Am J Roentgenol. 2008; 190: 226-232
        • Petik B.
        • Hazirolan T.
        • Uysal G.
        • Erturk S.M.
        Cardiac hydatid cysts: computed tomography and magnetic resonance imaging findings of the 5 cases.
        J Comput Assist Tomogr. 2015; 39: 816-819
        • Maffeis G.R.
        • Petrucci O.
        • Carandina R.
        • et al.
        Cardiac echinococcosis.
        Circulation. 2000; 101: 1352-1354
        • Gharbi H.A.
        • Hassine W.
        • Brauner M.W.
        • Dupuch K.
        Ultrasound examination of the hydatic liver.
        Radiology. 1981; 139: 459-463
        • Kotoulas G.K.
        • Magoufis G.L.
        • Gouliamos A.D.
        • et al.
        Evaluation of hydatid disease of the heart with magnetic resonance imaging.
        Cardiovasc Intervent Radiol. 1996; 19: 187-189
        • Canpolat U.
        • Yorgun H.
        • Sunman H.
        • et al.
        Cardiac hydatid cyst mimicking left ventricular aneurysm and diagnosed by magnetic resonance imaging.
        Turk Kardiyol Dern Ars. 2011; 39: 47-51
        • Oliver J.M.
        • Sotillo J.F.
        • Dominguez F.J.
        • et al.
        Two- dimensional echocardiographic features of echinococcosis of the heart and great blood vessels. Clinical and surgical implications.
        Circulation. 1988; 78: 327-337
        • Shehatha J.
        • Alward M.
        • Saxena P.
        • et al.
        Surgical management of cardiac hydatidosis.
        Tex Heart Inst J. 2009; 36: 72-73
        • Finn J.P.
        • Nael K.
        • Deshpande V.
        • Ratib O.
        • Laub G.
        Cardiac MR imaging: state of the technology.
        Radiology. 2006; 241: 338-354
        • Alper H.
        • Yünten N.
        • Şener R.N.
        Intramural hydatid cysts of pulmonary arteries: CT and MR findings.
        Eur Radiol. 1995; 5: 666-668
        • Von Sinner W.
        • te Strake L.
        • Clark D.
        • Sharif H.
        MR imaging in hydatid disease.
        AJR Am J Roentgenol. 1991;Oct; 157: 741-745
        • Yague D.
        • Lozano M.P.
        • Lample C.
        • Nunez M.E.
        • Sanchez F.
        Bilateral hydatid cyst of pulmonary arteries: MR and CT findings.
        Eur Radiol. 1998; 8: 1170-1172
        • Xing Y.
        • Bawudong D.
        • Zhang W.B.
        • Liu W.Y.
        • Pan C.X.
        • Wen H.
        • Li C.W.
        Multidetector CT and MR imaging cardiac hydatidosis: case report and review of the literature.
        Int J Card Imaging. 2011; 27: 97-102
        • Yared K.
        • Baggish A.L.
        • Picard M.H.
        • Hoffmann U.
        • Hung J.
        Multimodality imaging of pericardial diseases.
        JACC Cardiovasc Imaging. 2010; 3: 650-660
        • Meschisi M.
        • Piccione M.C.
        • Bella G.D.
        • Zito C.
        Multimodalities imaging in diagnosis of pericardial cyst.
        J Cardiovasc Echogr. 2015; 25: 60-62
      1. Tower-Rader A, Kwon D. Pericardial masses, cysts and diverticula: a comprehensive review using multimodality imaging. Prog Cardiovasc Dis doi:

        • Abbas A.
        • Garfath-Cox K.A.
        • Brown I.W.
        • Shambrook J.S.
        • Peebles C.R.
        • Harden S.P.
        Cardiac MR assessment of cardiac myxomas.
        Br J Radiol. 2015; 8820140599
        • Buckley O.
        • Mada R.
        • Kwong R.
        • Rybicki F.J.
        • Hunsaker A.
        Cardiac masses, part 1: imaging strategies and technical considerations.
        AJR Am J Roentgenol. 2013; 197: W837-W841