As the outcomes of most cancer patients have significantly improved over recent decades, the number of cancer survivors has dramatically increased, which has led to the long-term side effects of therapy growing in importance. In 2016, the European Society of Cardiology (ESC) published a position paper highlighting the importance of CMR in the diagnostic approach to cardiotoxicity. While echocardiography has maintained its role in screening and basic diagnostics, CMR has two unique features with regard to the assessment of early cardiotoxic side effects that increase its importance: SSFP cine imaging remains the gold standard for the evaluation of small changes in LVEF. But CMR also tissue differentiation capabilities, which help to determine the cause and stage of the underlying cardiac damage.
Cardiotoxicity: The known and unknown role of CMR
Bernd J. Wintersperger, MD EBCR FAHA
(Department of Medical Imaging, Peter Munk Cardiac Centre, University Health Network, Toronto, Canada)
Cardiotoxicity in Cancer Therapy – the Role of Cardiovascular Magnetic Resonance
Bernd J. Wintersperger, MD EBCR FAHA
(Department of Medical Imaging, Peter Munk Cardiac Centre, University Health Network, Toronto, Canada)
CMR and Cardiotoxicity. A Case-based Overview
Fabian Muehlberg, M.D.; Jeanette Schulz-Menger, M.D.
(Working Group Cardiac MRI, Experimental and Clinical Research Center, a cooperation between the Charité Medical Faculty, the Max-Delbrück Center for Molecular Medicine, and the Department of Cardiology and Nephrology, HELIOS Clinic Berlin Buch, Germany)
MyoMap quantification of myocardial toxicity following concurrent chemoradiotherapy for esophageal carcinoma
Simon Tang, Gary Liney et al.
(Ingham Institute of Applied Medical Research, Liverpool, NSW, Australia, Cancer Therapy Centre, Liverpool Hospital, NSW, Australia, University of New South Wales, NSW, Australia)