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Multiorgan Imaging for Interorgan Crosstalk in Cardiometabolic Diseases
Ana Devesa1, Victoria Delgado2,3, Ladislav Valkovic4,5
1Centro Nacional de Investigaciones Cardiovasculares, Madrid, Spain (A.D., B.I.).
Insights
Advanced imaging techniques are revolutionizing the assessment of cardiometabolic diseases, offering new insights into organ interactions and disease mechanisms. These methods help evaluate multisystemic involvement and interorgan crosstalk in conditions like diabetes and cardiovascular disease.
Area of Science:
- Cardiology
- Metabolic Diseases
- Medical Imaging
Background:
- Cardiometabolic diseases involve metabolic and inflammatory issues increasing risks for diabetes and cardiovascular disease.
- These complex syndromes affect multiple organs, including the heart, brain, liver, and adipose tissue.
- Interorgan communication is crucial in the development of these diseases.
Purpose of the Study:
- To review the role of advanced imaging techniques in evaluating cardiometabolic diseases.
- To discuss how these methods assess pathophysiological mechanisms and multisystemic involvement.
- To highlight clinical applications of imaging in managing cardiometabolic risk factors.
Main Methods:
- Review of state-of-the-art imaging modalities including MRI, MRS, CT, and PET.
- Focus on hybrid imaging techniques like PET/CT and PET/MRI.
- Analysis of imaging's capability to reveal interorgan crosstalk and metabolic alterations.
Main Results:
- Advanced imaging provides unique insights into anatomy and metabolic changes associated with cardiometabolic risk.
- Hybrid imaging modalities are valuable for assessing multisystemic involvement.
- Imaging reveals critical interorgan axes, such as brain-heart, heart-liver, and fat-muscle-heart dynamics.
Conclusions:
- State-of-the-art imaging techniques are essential for understanding cardiometabolic disease pathophysiology.
- These methods offer significant clinical value in assessing complex syndromes and interorgan crosstalk.
- Imaging advancements are transforming the evaluation and management of patients at risk for diabetes and cardiovascular disease.
Abstract:
Cardiometabolic diseases encompass a group of conditions characterized by metabolic and inflammatory abnormalities that increase the risk of diabetes and cardiovascular disease. These syndromes involve multiple organs, including the heart, arterial system, brain, skeletal muscle, adipose tissue, hematopoietic system, liver, kidneys, and pancreas. The crosstalk between these organs contributes to the development of disease. Advances in imaging techniques, such as magnetic resonance imaging, magnetic resonance spectroscopy, computed tomography, and positron emission tomography, have revolutionized the evaluation of these conditions. Hybrid imaging modalities, such as positron emission tomography/computed tomography and positron emission tomography/magnetic resonance imaging, provide unique insights into the anatomy and metabolic alterations occurring in response to cardiometabolic risk factors. These methods are particularly valuable for assessing multisystemic involvement and interorgan crosstalk, revealing critical interactions such as the brain-heart axis, the heart-liver axis, and the fat-muscle-heart dynamics. This review discusses the role of state-of-the-art imaging techniques in evaluating the pathophysiological mechanisms underlying these complex syndromes and the clinical applications of the different imaging techniques in the assessment of cardiometabolic diseases.
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