Multimodality Imaging Assessment of Fabry Disease

Albree Tower-Rader1, Wael A Jaber1

  • 1Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH.

Insights

Fabry disease, a lysosomal storage disorder, presents with cardiac issues. Multimodality cardiac imaging aids in diagnosing and monitoring cardiac involvement in Fabry disease patients.

Area of Science:

  • Cardiology
  • Genetics
  • Medical Imaging

Background:

  • Fabry disease is a rare genetic lysosomal storage disorder.
  • It leads to the accumulation of globotriaosylceramide in various tissues, notably the heart.
  • Cardiac manifestations are common and can be the first sign of the disease.

Purpose of the Study:

  • To review the current applications of multimodality cardiac imaging in Fabry disease.
  • To discuss the role of advanced imaging techniques in diagnosis and monitoring.
  • To explore the evaluation of cardiac phenotype development using novel imaging modalities.

Main Methods:

  • Review of existing literature on cardiac imaging in Fabry disease.
  • Discussion of multimodality imaging techniques including echocardiography, cardiac MRI, and nuclear imaging.
  • Analysis of data on tissue characterization and phenotype development.

Main Results:

  • Certain cardiac imaging findings are highly suggestive of Fabry disease.
  • Multimodality imaging is crucial for early diagnosis and monitoring of cardiac involvement.
  • Cardiac magnetic resonance imaging and novel nuclear imaging offer insights into phenotype progression.

Conclusions:

  • Cardiac imaging plays a vital role in the comprehensive management of Fabry disease.
  • Advanced imaging techniques enhance the understanding and evaluation of cardiac manifestations.
  • These methods aid in personalized treatment strategies for patients with Fabry disease.

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