The Role of Advanced Cardiac Imaging in Monitoring Cardiovascular Complications in Patients with Extracardiac Tumors: A Descriptive Review
Cardiac involvement in cancer is increasingly important in the diagnosis and follow-up of patients. A thorough cardiovascular evaluation using multimodal imaging is crucial to assess any direct cardiac involvement from oncological disease progression and to determine the cardiovascular risk of patie...
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MDPI AG
2024-12-01
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| Series: | Journal of Cardiovascular Development and Disease |
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| Online Access: | https://www.mdpi.com/2308-3425/12/1/9 |
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| author | Annamaria Tavernese Valeria Cammalleri Rocco Mollace Giorgio Antonelli Mariagrazia Piscione Nino Cocco Myriam Carpenito Carmelo Dominici Massimo Federici Gian Paolo Ussia |
| author_facet | Annamaria Tavernese Valeria Cammalleri Rocco Mollace Giorgio Antonelli Mariagrazia Piscione Nino Cocco Myriam Carpenito Carmelo Dominici Massimo Federici Gian Paolo Ussia |
| author_sort | Annamaria Tavernese |
| collection | DOAJ |
| description | Cardiac involvement in cancer is increasingly important in the diagnosis and follow-up of patients. A thorough cardiovascular evaluation using multimodal imaging is crucial to assess any direct cardiac involvement from oncological disease progression and to determine the cardiovascular risk of patients undergoing oncological therapies. Early detection of cardiac dysfunction, particularly due to cardiotoxicity from chemotherapy or radiotherapy, is essential to establish the disease’s overall prognostic impact. Comprehensive cardiovascular imaging should be integral to the clinical management of cancer patients. Echocardiography remains highly effective for assessing cardiac function, including systolic performance and ventricular filling pressures, with speckle-tracking echocardiography offering early insights into chemotoxicity-related myocardial damage. Cardiac computed tomography (CT) provides precise anatomical detail, especially for cardiac involvement due to metastasis or adjacent mediastinal or lung tumors. Coronary assessment is also important for initial risk stratification and monitoring potential coronary artery disease progression after radiotherapy or chemotherapeutic treatment. Finally, cardiac magnetic resonance (CMR) is the gold standard for myocardial tissue characterization, aiding in the differential diagnosis of cardiac masses. CMR’s mapping techniques allow for early detection of myocardial inflammation caused by cardiotoxicity. This review explores the applicability of echocardiography, cardiac CT, and CMR in cancer patients with extracardiac tumors. |
| format | Article |
| id | doaj-art-297a9aae560943f2b8f2f42d38093f92 |
| institution | Kabale University |
| issn | 2308-3425 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Cardiovascular Development and Disease |
| spelling | doaj-art-297a9aae560943f2b8f2f42d38093f922025-01-24T13:35:57ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252024-12-01121910.3390/jcdd12010009The Role of Advanced Cardiac Imaging in Monitoring Cardiovascular Complications in Patients with Extracardiac Tumors: A Descriptive ReviewAnnamaria Tavernese0Valeria Cammalleri1Rocco Mollace2Giorgio Antonelli3Mariagrazia Piscione4Nino Cocco5Myriam Carpenito6Carmelo Dominici7Massimo Federici8Gian Paolo Ussia9Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Roma, ItalyOperative Research Unit of Emodinamica, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Roma, ItalyDepartment of Experimental Medicine, Università degli Studi di Roma Tor Vergata, Via Montpellier 1, 00133 Rome, ItalyDepartment of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Roma, ItalyDepartment of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Roma, ItalyOperative Research Unit of Emodinamica, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Roma, ItalyOperative Research Unit of Emodinamica, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Roma, ItalyOperative Research Unit of Cardiac Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Roma, ItalyDepartment of Experimental Medicine, Università degli Studi di Roma Tor Vergata, Via Montpellier 1, 00133 Rome, ItalyDepartment of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Roma, ItalyCardiac involvement in cancer is increasingly important in the diagnosis and follow-up of patients. A thorough cardiovascular evaluation using multimodal imaging is crucial to assess any direct cardiac involvement from oncological disease progression and to determine the cardiovascular risk of patients undergoing oncological therapies. Early detection of cardiac dysfunction, particularly due to cardiotoxicity from chemotherapy or radiotherapy, is essential to establish the disease’s overall prognostic impact. Comprehensive cardiovascular imaging should be integral to the clinical management of cancer patients. Echocardiography remains highly effective for assessing cardiac function, including systolic performance and ventricular filling pressures, with speckle-tracking echocardiography offering early insights into chemotoxicity-related myocardial damage. Cardiac computed tomography (CT) provides precise anatomical detail, especially for cardiac involvement due to metastasis or adjacent mediastinal or lung tumors. Coronary assessment is also important for initial risk stratification and monitoring potential coronary artery disease progression after radiotherapy or chemotherapeutic treatment. Finally, cardiac magnetic resonance (CMR) is the gold standard for myocardial tissue characterization, aiding in the differential diagnosis of cardiac masses. CMR’s mapping techniques allow for early detection of myocardial inflammation caused by cardiotoxicity. This review explores the applicability of echocardiography, cardiac CT, and CMR in cancer patients with extracardiac tumors.https://www.mdpi.com/2308-3425/12/1/9cardiotoxicityechocardiographycardiac computed tomography (CT)cardiac magnetic resonance (CMR)radiation-induced heart diseaseextracardiac tumors |
| spellingShingle | Annamaria Tavernese Valeria Cammalleri Rocco Mollace Giorgio Antonelli Mariagrazia Piscione Nino Cocco Myriam Carpenito Carmelo Dominici Massimo Federici Gian Paolo Ussia The Role of Advanced Cardiac Imaging in Monitoring Cardiovascular Complications in Patients with Extracardiac Tumors: A Descriptive Review Journal of Cardiovascular Development and Disease cardiotoxicity echocardiography cardiac computed tomography (CT) cardiac magnetic resonance (CMR) radiation-induced heart disease extracardiac tumors |
| title | The Role of Advanced Cardiac Imaging in Monitoring Cardiovascular Complications in Patients with Extracardiac Tumors: A Descriptive Review |
| title_full | The Role of Advanced Cardiac Imaging in Monitoring Cardiovascular Complications in Patients with Extracardiac Tumors: A Descriptive Review |
| title_fullStr | The Role of Advanced Cardiac Imaging in Monitoring Cardiovascular Complications in Patients with Extracardiac Tumors: A Descriptive Review |
| title_full_unstemmed | The Role of Advanced Cardiac Imaging in Monitoring Cardiovascular Complications in Patients with Extracardiac Tumors: A Descriptive Review |
| title_short | The Role of Advanced Cardiac Imaging in Monitoring Cardiovascular Complications in Patients with Extracardiac Tumors: A Descriptive Review |
| title_sort | role of advanced cardiac imaging in monitoring cardiovascular complications in patients with extracardiac tumors a descriptive review |
| topic | cardiotoxicity echocardiography cardiac computed tomography (CT) cardiac magnetic resonance (CMR) radiation-induced heart disease extracardiac tumors |
| url | https://www.mdpi.com/2308-3425/12/1/9 |
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