患有乳腺癌的女性心血管成像方面的挑战
Kamari Ositelu1, Alexandra Trevino2, Ann Tong3
1Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, 676 N. St. Clair Street, Suite 600, Chicago, IL, USA.
乳腺癌患者的心血管成像面临挑战,特别是在手术后. 需要新的技术来更好地检测与癌症治疗相关的心脏功能障碍 (CTRCD) 和心肌炎.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 心血管成像对于监测乳腺癌患者的癌症治疗相关心脏功能障碍 (CTRCD) 至关重要.
- 现有的CTRCD监控方法存在局限性,缺乏普遍接受的定义.
- 乳腺癌患者的重建性手术对心血管成像提出了独特的挑战.
研究的目的:
- 概述乳腺癌患者心血管成像方面的具体挑战.
- 审查支持CTRCD检测各种成像方式的证据.
- 建议解决方案,以提高心血管成像在这个人群.
主要方法:
- 审查关于CTRCD监测的当前临床指南和文献.
- 对传统和新型多模式成像技术的分析.
- 讨论回声心脏学与心肌应变作为主要工具.
主要成果:
- 更新的指导方针促进了统一的CTRCD监测,但仍然缺乏标准定义.
- 多模式成像,包括心肌应变的回声心脏成像,可以检测CTRCD和心肌炎.
- 心血管成像被复杂的因素,如重建性手术.
结论:
- 乳腺癌患者的有效心血管成像需要解决独特的挑战.
- 虽然心声回声学是基础的,但多模式方法对于评估CTRCD和心肌炎是有价值的.
- 需要创新的成像技术来改善乳腺癌幸存者的心脏毒性诊断.
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