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Multi-modality imaging of cardiac amyloidosis: Contemporary update
Tom Kai Ming Wang1, Ossama K Abou Hassan1, Wael Jaber1
1Section of Cardiovascular Imaging, Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH 44195, United States.
Cardiac amyloidosis diagnosis is improving with advanced imaging techniques. Multimodality cardiac imaging aids early detection, risk stratification, and treatment initiation for better patient outcomes.
Area of Science:
- Cardiology
- Radiology
- Medical Imaging
Background:
- Cardiac amyloidosis is a complex disease with a historically poor prognosis.
- Recent advancements in therapies are altering the disease's outlook.
- Early and accurate diagnosis is crucial for effective management.
Purpose of the Study:
- To provide an update on clinical and imaging aspects of cardiac amyloidosis.
- To outline imaging protocols for diagnosis and evaluation.
- To highlight the diagnostic and prognostic utility of multimodality cardiac imaging.
Main Methods:
- Review of current clinical and imaging literature on cardiac amyloidosis.
- Focus on echocardiography, cardiac magnetic resonance imaging, and nuclear imaging.
- Emphasis on multimodality imaging approaches.
Main Results:
- Echocardiography is the primary imaging tool for initial assessment.
- Cardiac MRI and nuclear imaging are critical for non-invasive diagnosis.
- Multimodality imaging facilitates earlier diagnosis and treatment initiation.
Conclusions:
- Advances in cardiac imaging significantly improve outcomes for cardiac amyloidosis patients.
- Multimodality imaging is essential for diagnosis, risk stratification, and prognosis.
- Standardized imaging protocols are key for comprehensive patient assessment.
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