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The role of cardiac magnetic resonance imaging in the detection and monitoring of cardiotoxicity in patients with breast cancer after treatment: a comprehensive review
- Source :
- Heart Failure Reviews. 26:679-697
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- The use of chemotherapy medicines for breast cancer (BC) has been associated with an increased risk of cardiotoxicity. In recent years, there have been growing interests regarding the application of cardiovascular magnetic resonance (CMR) imaging, a safe and noninvasive modality, with the potential to identify subtle morphological and functional changes in the myocardium. In this investigation, we aimed to review the performance of various CMR methods in diagnosing cardiotoxicity in BC, induced by chemotherapy or radiotherapy. For this purpose, we reviewed the literature available in PubMed, MEDLINE, Cochrane, Google Scholar, and Scopus databases. Our literature review showed that CMR is a valuable modality for identifying and predicting subclinical cardiotoxicity induced by chemotherapy. The novel T1, T2, and extracellular volume mapping techniques may provide critical information about cardiotoxicity, in addition to other CMR features such as functional and structural changes. However, further research is needed to verify the exact role of these methods in identifying cardiotoxicity and patient management. Since multiple studies have reported the improvement of left ventricular performance following the termination of chemotherapy regimens, CMR remains an essential imaging tool for the prediction of cardiotoxicity and, consequently, decreases the mortality rate of BC due to heart failure.
- Subjects :
- Oncology
medicine.medical_specialty
medicine.medical_treatment
MEDLINE
Magnetic Resonance Imaging, Cine
Breast Neoplasms
030204 cardiovascular system & hematology
Ventricular Function, Left
03 medical and health sciences
0302 clinical medicine
Breast cancer
Cardiac magnetic resonance imaging
Internal medicine
medicine
Humans
030212 general & internal medicine
Chemotherapy
Cardiotoxicity
medicine.diagnostic_test
business.industry
Heart
Magnetic resonance imaging
medicine.disease
Magnetic Resonance Imaging
Radiation therapy
Heart failure
Female
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15737322 and 13824147
- Volume :
- 26
- Database :
- OpenAIRE
- Journal :
- Heart Failure Reviews
- Accession number :
- edsair.doi.dedup.....08e4b114ce037a7f79df237b1d546209