Advances in Multimodality Imaging in Cardio-Oncology: JACC State-of-the-Art Review. [Review] - 2022

The population of patients with cancer is rapidly expanding, and the diagnosis and monitoring of cardiovascular complications greatly rely on imaging. Numerous advances in the field of cardio-oncology and imaging have occurred in recent years. This review presents updated and practical approaches for multimodality cardiovascular imaging in the cardio-oncology patient and provides recommendations for imaging to detect the myriad of adverse cardiovascular effects associated with antineoplastic therapy, such as cardiomyopathy, atherosclerosis, vascular toxicity, myocarditis, valve disease, and cardiac masses. Uniquely, we address the role of cardiovascular imaging in patients with pre-existing cardiomyopathy, pregnant patients, long-term survivors, and populations with limited resources. We also address future avenues of investigation and opportunities for artificial intelligence applications in cardio-oncology imaging. This review provides a uniform practical approach to cardiovascular imaging for patients with cancer. Copyright © 2022 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.


English

0735-1097

10.1016/j.jacc.2022.08.743 [doi] S0735-1097(22)06569-X [pii]


*Antineoplastic Agents
*Cardiovascular Diseases
*Drug-Related Side Effects and Adverse Reactions
*Heart Diseases
*Neoplasms
Antineoplastic Agents/ae [Adverse Effects]
Artificial Intelligence
Cardiovascular Diseases/co [Complications]
Cardiovascular Diseases/dg [Diagnostic Imaging]
Heart Diseases/di [Diagnosis]
Humans
Medical Oncology
Neoplasms/co [Complications]
Neoplasms/dg [Diagnostic Imaging]
Neoplasms/dt [Drug Therapy]


MedStar Heart & Vascular Institute


Journal Article
Review