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- Title
Imaging of early modification in cardiomyopathy: the doxorubicin-induced model.
- Authors
Aissiou, Mohamed; Périé, Delphine; Cheriet, Farida; Dahdah, Nagib; Laverdière, Caroline; Curnier, Daniel
- Abstract
Doxorubicin chemotherapy is effective and widely used to treat acute lymphoblastic leukemia. However, its effectiveness is hampered by a wide spectrum of dose-dependent cardiotoxicity including both morphological and functional changes, affecting primarily the myocardium. Non-invasive imaging techniques are used for the diagnosis and monitoring of these cardiotoxic effects. The purpose of this review is to summarize and compare the most common imaging techniques used in early detection and therapeutic monitoring of doxorubicin-induced cardiotoxicity and the suggested mechanisms of such side effects. Imaging techniques using echocardiography including conventional 2D and 3D echocardiography along with MRI sequences including Tagging, Cine, and quantitative MRI in detecting early myocardial damage are also reviewed. As there is a multitude of reported indices and imaging methods to assess particular functional alterations, we limit this review to the most relevant techniques based on their clinical application and their potential to early detection of doxorubicin-induced cardiotoxic effects.
- Subjects
CARDIOMYOPATHIES; MEDICAL imaging systems; DOXORUBICIN; CANCER chemotherapy; LYMPHOBLASTIC leukemia treatment; DRUG toxicity; DIAGNOSTIC imaging
- Publication
International Journal of Cardiovascular Imaging, 2013, Vol 29, Issue 7, p1459
- ISSN
1569-5794
- Publication type
Article
- DOI
10.1007/s10554-013-0248-0