Role of cardiovascular magnetic resonance in early detection and treatment of cardiac dysfunction in oncology patients

Int J Cardiovasc Imaging. 2021 Oct;37(10):3003-3017. doi: 10.1007/s10554-021-02271-7. Epub 2021 May 12.

Abstract

The purpose of this review is to provide an overview of the essential role that cardiovascular magnetic resonance (CMR) has in the field of cardio-oncology. Recent findings: CMR has been increasingly used for early identification of cancer therapy related cardiac dysfunction (CTRCD) due to its precision in detecting subtle changes in cardiac function and for myocardial tissue characterization. Summary: CMR is able to identify subclinical CTRCD in patients receiving potentially cardiotoxic chemotherapy and guide initiation of cardio protective therapy. Multiparametric analysis with myocardial strain, tissue characterization play a critical role in understanding important clinical questions in cardio-oncology.

Keywords: CMR; Cancer therapy related cardiac dysfunction (CTRCD); Cardio-oncology; Imaging.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents*
  • Early Detection of Cancer
  • Heart Diseases* / chemically induced
  • Heart Diseases* / diagnostic imaging
  • Humans
  • Magnetic Resonance Spectroscopy
  • Neoplasms* / complications
  • Neoplasms* / drug therapy
  • Predictive Value of Tests

Substances

  • Antineoplastic Agents