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Journal of Nuclear Cardiology

, Volume 25, Issue 6, pp 2148–2158 | Cite as

Cardiac MRI for the evaluation of oncologic cardiotoxicity

  • Adrián I. Löffler
  • Michael Salerno
Review Article

Abstract

Cancer therapeutics-related cardiac dysfunction (CTRCD) is a well-established adverse effect resulting from a number of cancer therapeutics. Newer immunotherapy has been associated with cardiomyopathy and myocarditis making comprehensive imaging useful for early recognition. Cardiac MRI (CMR) offers a comprehensive evaluation to detect CTRCD. Established guidelines for monitoring left ventricular ejection fraction for potential cardiotoxicity have recently incorporated CMR. We will review the utility of CMR in contemporary evaluation for potential oncologic cardiotoxicity.

Keywords

Cardiac MRI cardio-oncology cardiac toxicity 

Abbreviations

CMR

Cardiac MRI

CTRCD

Cancer therapeutics-related cardiac dysfunction

ECV

Extracelluar volume fraction

GLS

Global longitudinal strain

LGE

Late gadolinium enhancement

LV

Left ventricle

RT

Radiation therapy

Notes

Disclosures

MS receives grant support from Astra Zeneca and research support from Siemens. MS is supported in part by NIH R01 HL131919, and AL is supported by NIH 5T32EB003841.

Supplementary material

12350_2018_1293_MOESM1_ESM.pptx (1.2 mb)
Supplementary material 1 (PPTX 1214 kb)

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Copyright information

© American Society of Nuclear Cardiology 2018

Authors and Affiliations

  1. 1.Department of Medicine, Cardiovascular Medicine DivisionUniversity of Virginia Health SystemCharlottesvilleUSA
  2. 2.Department of Biomedical EngineeringUniversity of Virginia Health SystemCharlottesvilleUSA
  3. 3.Department of Radiology and Medical ImagingUniversity of Virginia Health SystemCharlottesvilleUSA

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