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Cómo utilizar la imagen multimodal en cardiooncología
Anca Doina Mateescu1,2, Raluca Ileana Mincu3, Ruxandra Oana Jurcut1,2
1Department of Cardiology, "Prof. Dr. C.C. Iliescu" Emergency Institute for Cardiovascular Diseases, 258 Fundeni Road, 022328 Bucharest, Romania.
Journal of cardiovascular development and disease
|January 27, 2026
Resumen
La imagen cardiovascular multimodal (ICVM) es crucial para detectar y manejar problemas cardíacos en pacientes con cáncer en tratamiento. Esta revisión destaca la ICVM
Área de la Ciencia:
- Cardiooncología
- Imagen cardiovascular
- Efectos secundarios de la terapia contra el cáncer
Sus antecedentes:
- La supervivencia al cáncer está aumentando debido a los avances en el tratamiento.
- Las terapias contra el cáncer pueden causar eventos adversos cardiovasculares significativos.
- La cardiooncología aborda estos riesgos cardiovasculares a través de la colaboración multidisciplinaria.
Objetivo del estudio:
- Revisar el papel de la imagen cardiovascular multimodal (ICVM) en cardiooncología.
- Discutir la aplicación de diversas técnicas de ICVM en el manejo de la toxicidad cardiovascular relacionada con la terapia contra el cáncer.
- Enfatizar la importancia de la ICVM en la detección temprana y el monitoreo de la disfunción cardíaca.
Principales métodos:
- Revisión narrativa de la literatura actual sobre ICVM en cardiooncología.
- Enfoque en ecocardiografía, resonancia magnética cardíaca (RMC), imagen nuclear y tomografía computarizada cardíaca.
- Discusión de la utilidad de la ICVM en el diagnóstico de la disfunción cardíaca relacionada con la terapia contra el cáncer (TCCRD) y la miocarditis.
Principales resultados:
- La ICVM es esencial para la evaluación inicial, el monitoreo continuo y la detección temprana de la toxicidad cardiovascular.
- La ecocardiografía es la herramienta principal para el cribado y seguimiento de la TCCRD.
- La imagen avanzada, como la RMC, es vital para diagnosticar la miocarditis y evaluar problemas cardíacos complejos.
Conclusiones:
- La ICVM es indispensable para un tratamiento del cáncer seguro y eficaz, lo que permite intervenciones cardioprotectoras rápidas.
- La detección temprana de la toxicidad cardiovascular mediante ICVM permite continuar la terapia contra el cáncer sin comprometer la seguridad del paciente.
- Esta revisión proporciona una descripción general concisa de las modalidades de ICVM y sus aplicaciones críticas en cardiooncología.
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