Expert Consensus for Multi-Modality Imaging Evaluation of Cardiovascular Complications of Radiotherapy in Adults: A Report from the European Association of Cardiovascular Imaging and the American Society of Echocardiography

被引:123
作者
Lancellotti, Patrizio [1 ]
Nkomo, Vuyisile T. [2 ]
Badano, Luigi P. [3 ]
Bergler, Jutta [4 ]
Bogaert, Jan [5 ]
Davin, Laurent [6 ]
Cosyns, Bernard [7 ]
Coucke, Philippe [8 ]
Dulgheru, Raluca [9 ]
Edvardsen, Thor [10 ]
Gaemperli, Oliver [11 ]
Galderisi, Maurizio [12 ]
Griffin, Brian [13 ]
Heidenreich, Paul A. [14 ,15 ]
Nieman, Koen [16 ,17 ]
Plana, Juan C. [13 ]
Port, Steven C. [18 ]
Scherrer-Crosbie, Marielle [19 ]
Schwartz, Ronald G. [20 ,21 ]
Sebag, Igal A. [22 ,23 ]
Voigt, Jens-Uwe [24 ]
Wann, Samuel [25 ]
Yang, Phillip C.
机构
[1] CHU Sart Tilman, Univ Liege Hosp, Heart Valve Clin, Dept Cardiol,GIGA Cardiovasc Sci, B-4000 Liege, Belgium
[2] Mayo Clin, Div Cardiovasc Dis & Internal Med, Rochester, MN USA
[3] Univ Padua, Dept Cardiac Vasc & Thorac Sci, Padua, Italy
[4] Med Univ Vienna, Dept Cardiol, Vienna, Austria
[5] Katholieke Univ Leuven, Univ Hosp Gasthuisberg, Dept Radiol, Louvain, Belgium
[6] CHU Sart Tilman, Dept Cardiovasc Imaging & Invas Cardiol, Liege, Belgium
[7] Ctr Hart Vaatziekten CHVZ, B-1090 Brussels, Belgium
[8] CHU Liege, Univ Hosp, Dept Radiotherapy, Liege, Belgium
[9] Univ Med & Pharm Carol Davila, Emergency Univ Hosp, Dept Cardiol, Bucharest, Romania
[10] Natl Hosp Norway, Oslo Univ Hosp, Dept Cardiol, Oslo, Norway
[11] Univ Zurich Hosp, Ctr Cardiovasc, CH-8091 Zurich, Switzerland
[12] Federico II Univ Hosp, Cardioangiol CCU, Dept Clin & Expt Med, Naples, Italy
[13] Cleveland Clin, Sect Cardiovasc Imaging, Dept Cardiovasc Med, Cleveland, OH 44106 USA
[14] VA Palo Alto Hlth Care Syst, Palo Alto, CA USA
[15] Stanford Univ, Dept Med, Stanford, CA 94305 USA
[16] Erasmus Univ, Med Ctr, Dept Cardiol, Rotterdam, Netherlands
[17] Erasmus Univ, Med Ctr, Dept Radiol, Rotterdam, Netherlands
[18] Aurora Hlth Care, Aurora Cardiovasc Serv, Milwaukee, WI USA
[19] Massachusetts Gen Hosp, Cardiac Ultrasound Lab, Boston, MA 02114 USA
[20] Univ Rochester, Med Ctr, Div Cardiol, Dept Med, Rochester, NY 14642 USA
[21] Univ Rochester, Med Ctr, Div Nucl Med, Dept Imaging Sci, Rochester, NY 14642 USA
[22] Sir Mortimer B Davis Jewish Hosp, Div Cardiol, Dept Med, Montreal, PQ H3T 1E2, Canada
[23] McGill Univ, Lady Davis Inst Med Res, Montreal, PQ, Canada
[24] Cathol Univ Leuven, Univ Hosp Gasthuisberg, Dept Cardiovasc Dis, Louvain, Belgium
[25] Columbia St Marys Healthcare, Heart Failure Program, Milwaukee, WI USA
关键词
Radiotherapy; Echocardiography; Cardiac magnetic resonance; Nuclear cardiology; Cardiac computed tomography; Heart disease; CORONARY-ARTERY-DISEASE; LONG-TERM SURVIVORS; VENTRICULAR DIASTOLIC FUNCTION; DIFFUSE MYOCARDIAL FIBROSIS; CONGESTIVE-HEART-FAILURE; EARLY BREAST-CANCER; MAGNETIC-RESONANCE; COMPUTED-TOMOGRAPHY; CONSTRICTIVE PERICARDITIS; HODGKINS-DISEASE;
D O I
10.1016/j.echo.2013.07.005
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiac toxicity is one of themost concerning side effects of anti-cancer therapy. The gain in life expectancy obtained with anti-cancer therapy can be compromised by increased morbidity and mortality associated with its cardiac complications. While radiosensitivity of the heart was initially recognized only in the early 1970s, the heart is regarded in the current era as one of themost critical dose-limiting organs in radiotherapy. Several clinical studies have identified adverse clinical consequences of radiation-induced heart disease (RIHD) on the outcome of long-term cancer survivors. A comprehensive review of potential cardiac complications related to radiotherapy is warranted. An evidence-based review of several imaging approaches used to detect, evaluate, and monitor RIHDis discussed. Recommendations for the early identification andmonitoring of cardiovascular complications of radiotherapy by cardiac imaging are also proposed.
引用
收藏
页码:1013 / 1032
页数:20
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