Update in imaging of cancer therapy-related cardiac toxicity in adults
Over the past decades, prognosis of patients with cancer has strongly improved and the number of cancer survivors is rapidly growing. Despite this success, cancer treatment is associated with development of serious cardiovascular diseases including left ventricular (LV) systolic dysfunction, heart f...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2021-02-01
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| Series: | Open Heart |
| Online Access: | https://openheart.bmj.com/content/8/1/e001506.full |
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| author | Tim Leiner Arco J Teske Heynric B Grotenhuis Willeke R Naaktgeboren Esmée C de Baat Jesse Habets |
| author_facet | Tim Leiner Arco J Teske Heynric B Grotenhuis Willeke R Naaktgeboren Esmée C de Baat Jesse Habets |
| author_sort | Tim Leiner |
| collection | DOAJ |
| description | Over the past decades, prognosis of patients with cancer has strongly improved and the number of cancer survivors is rapidly growing. Despite this success, cancer treatment is associated with development of serious cardiovascular diseases including left ventricular (LV) systolic dysfunction, heart failure, valvular disease, myocardial infarction, arrhythmias or pericardial diseases. Serial non-invasive cardiac imaging is an important tool to detect early signs of cardiotoxicity, to allow for timely intervention and provide optimal circumstances for long-term prognosis. Currently, echocardiographic imaging is the method of choice for the evaluation of myocardial function during and after cancer therapy. However, 2D echocardiography may fail to detect subtle changes in myocardial function, potentially resulting in a significant delay of therapeutic intervention to impede advanced cardiac disease states with more overt systolic dysfunction. Strain imaging is a promising method for early detection of myocardial dysfunction and may predict future changes in LV ejection fraction. The use of three-dimensional echocardiography may overcome the limitations of 2D echocardiography with more precise and reproducible measurements of LV performance. Cardiac MRI is the gold standard for volumetric assessment and can also be used to perform myocardial tissue characterisation. Visualisation of oedema and fibrosis may provide insights into the degree and disease course of cardiotoxicity and underlying pathophysiological mechanisms. There is growing body of literature regarding the promising role of these advanced imaging modalities in early detection of cardiotoxicity. With this overview paper, new insights and recent results in literature regarding echocardiographic and cardiac magnetic resonance imaging of cancer therapy-related cardiac dysfunction in post-cancer therapy adults will be highlighted. |
| format | Article |
| id | doaj-art-bfb3a384316b4d6d8e4bcf1368dce08c |
| institution | Kabale University |
| issn | 2053-3624 |
| language | English |
| publishDate | 2021-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | Open Heart |
| spelling | doaj-art-bfb3a384316b4d6d8e4bcf1368dce08c2024-11-11T17:10:08ZengBMJ Publishing GroupOpen Heart2053-36242021-02-018110.1136/openhrt-2020-001506Update in imaging of cancer therapy-related cardiac toxicity in adultsTim Leiner0Arco J Teske1Heynric B Grotenhuis2Willeke R Naaktgeboren3Esmée C de Baat4Jesse Habets5Department of Radiology, UMC Utrecht, Utrecht, The NetherlandsCardiology, University Medical Centre, Utrecht, The NetherlandsPediatric Cardiology, Wilhelmina Children`s Hospital University Medical Centre, Utrecht, The NetherlandsPsychosocial Research and Epidemiology, Antoni van Leeuwenhoek Netherlands Cancer Institute, Amsterdam, The NetherlandsPediatric Oncology, Princess Maxima Center, Utrecht, The NetherlandsRadiology, Radboud University Medical Center, Nijmegen, The NetherlandsOver the past decades, prognosis of patients with cancer has strongly improved and the number of cancer survivors is rapidly growing. Despite this success, cancer treatment is associated with development of serious cardiovascular diseases including left ventricular (LV) systolic dysfunction, heart failure, valvular disease, myocardial infarction, arrhythmias or pericardial diseases. Serial non-invasive cardiac imaging is an important tool to detect early signs of cardiotoxicity, to allow for timely intervention and provide optimal circumstances for long-term prognosis. Currently, echocardiographic imaging is the method of choice for the evaluation of myocardial function during and after cancer therapy. However, 2D echocardiography may fail to detect subtle changes in myocardial function, potentially resulting in a significant delay of therapeutic intervention to impede advanced cardiac disease states with more overt systolic dysfunction. Strain imaging is a promising method for early detection of myocardial dysfunction and may predict future changes in LV ejection fraction. The use of three-dimensional echocardiography may overcome the limitations of 2D echocardiography with more precise and reproducible measurements of LV performance. Cardiac MRI is the gold standard for volumetric assessment and can also be used to perform myocardial tissue characterisation. Visualisation of oedema and fibrosis may provide insights into the degree and disease course of cardiotoxicity and underlying pathophysiological mechanisms. There is growing body of literature regarding the promising role of these advanced imaging modalities in early detection of cardiotoxicity. With this overview paper, new insights and recent results in literature regarding echocardiographic and cardiac magnetic resonance imaging of cancer therapy-related cardiac dysfunction in post-cancer therapy adults will be highlighted.https://openheart.bmj.com/content/8/1/e001506.full |
| spellingShingle | Tim Leiner Arco J Teske Heynric B Grotenhuis Willeke R Naaktgeboren Esmée C de Baat Jesse Habets Update in imaging of cancer therapy-related cardiac toxicity in adults Open Heart |
| title | Update in imaging of cancer therapy-related cardiac toxicity in adults |
| title_full | Update in imaging of cancer therapy-related cardiac toxicity in adults |
| title_fullStr | Update in imaging of cancer therapy-related cardiac toxicity in adults |
| title_full_unstemmed | Update in imaging of cancer therapy-related cardiac toxicity in adults |
| title_short | Update in imaging of cancer therapy-related cardiac toxicity in adults |
| title_sort | update in imaging of cancer therapy related cardiac toxicity in adults |
| url | https://openheart.bmj.com/content/8/1/e001506.full |
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