心脏瘤学中的多模式成像:CMR和CCTA的附加值
Costanza Lisi1, Federica Catapano1,2, Paolo Rondi3
1Department of Biomedical Sciences, Humanitas University, via Rita Levi Montalcini 4, 20072 Pieve Emanuele, Milan, Italy.
心脏瘤学涉及癌症治疗对心脏的副作用. 本综述强调了心脏磁共振 (CMR) 和心脏计算机断层扫描血管学 (CCTA) 在管理与癌症治疗有关的心血管毒性 (CTR-CVT) 中的作用.
科学领域:
- 心脏瘤学 - 心脏瘤学
- 心血管成像 - 心血管成像
- 癌症治疗 癌症治疗
背景情况:
- 癌症治疗改善了生存率,越来越关注诸如心血管毒性等长期副作用.
- 心脏瘤学出现了管理这些影响,放射学发挥了关键作用.
- 欧洲心脏病学会 (ESC) 在2022年发布了心脏瘤学指南,定义了成像的作用.
研究的目的:
- 审查心脏磁共振 (CMR) 和心脏计算机断层扫描血管学 (CCTA) 在理解和管理心脏毒性的当前应用.
- 讨论癌症治疗相关心血管毒性 (CTR-CVT) 心脏成像的未来方向.
主要方法:
- 审查当前文献和2022年ESC心脏瘤学指南.
- 专注于CMR和CCTA在评估心脏功能,结构和组织特征方面的诊断能力.
主要成果:
- CCTA对于冠状动脉疾病排除至关重要,并正在探索心室功能,纤维化和 perfusion.
- CMR是评估心脏功能,应变和组织特征 (T1 / T2映射,LGE,ECV) 的黄金标准,特别是在心声回声镜窗口较差时.
结论:
- CMR和CCTA是心脏瘤学多学科领域的重要工具.
- 预计心脏成像技术的进一步进步将改善CTR-CVT的管理.
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