Echocardiography is a highly sensitive and noninvasive modality for the diagnosis and management of cardiac metastases.
May support echocardiography in cardiac metastasis evaluation; leaves open prospective validation versus advanced imaging.
Metastatic disease to the heart is a relatively common entity that may involve the pericardium, myocardium, or endocardium singly or in combination. Echocardiography, particularly two-dimensional imaging, is the most sensitive tool for detecting metastatic disease to the heart. Simple, safe, and noninvasive, it can provide better anatomic detail than can more invasive studies. This information is helpful not only in diagnosis and treatment planning, but in differential diagnoses of unusual cardiac configurations and guidance for pericardiocentesis of loculated effusions.
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Johnson et al. (1983) studied this question.
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