The Role of Cardiovascular MRI in Cardio-Oncology.

The Role of Cardiovascular MRI in Cardio-Oncology.
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DOI:
10.1016/j.hfc.2020.08.009
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发表时间:
2021-01
影响因子:
3.4
通讯作者:
Hundley WG
Hundley WG
中科院分区:
医学3区
文献类型:
--
作者:
Bottinor W;Trankle CR;Hundley WG

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With cardiovascular disease emerging as a leading cause of morbidity and mortality among individuals undergoing treatment for cancer and cancer survivors, cardiovascular magnetic resonance (CMR) is increasingly utilized to identify those at risk for or with evolving cardiac or vascular injury. 1, 2 Within the field of cardio-oncology, the role of CMR has not been fully defined, however CMR is suggested for individuals with poor echocardiographic windows, a borderline LVEF, or discrepant clinical values. 3–5 Additionally, CMR may be particularly useful in detecting subclinical cardiovascular disease.Here we review current data guiding the role of CMR in cardio-oncology. We discuss the value of CMR in a variety of clinical scenarios including left and right ventricular systolic dysfunction that promotes both clinical and subclinical disease, myocyte atrophy, immune check point inhibitor (ICI) mediated myocarditis, cardiac amyloidosis, myocardial fibrosis, hypovolemia, and the identification of early myocellular injury (Table 1). We describe CMR techniques that can be useful in these clinical scenarios (Fig. 1). Lastly, we evaluate current and future investigative efforts utilizing CMR to further our understanding of cardiovascular disease as a result of cancer or its treatment.
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