心脏肿瘤学和放射肿瘤学:如何在放射肿瘤学中实现心脏科医生和肿瘤科医生之间的合作。

IF 2.2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Samuel Birch, James Otton
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引用次数: 0

摘要

生存率的提高、癌症治疗方法的改进以及癌症治疗对心脏可能产生的副作用,促使肿瘤专家和心脏病专家加强合作,并发展了心脏病肿瘤诊所。这种合作非常重要,因为它能确保提高患者满意度,帮助临床医生团队做出复杂的治疗决定,并确保心脏并发症在早期阶段得到诊断。关于在放射肿瘤学领域开展这种合作的特殊性,以及这种合作与其他心脏肿瘤学领域的合作有何不同,文献中还没有详细介绍。本文将讨论目前对心脏肿瘤学的需求和作用的理解,以及心脏肿瘤学服务的内容,特别强调放射肿瘤学领域患者和临床医生的需求。文献和最近的指南都主张对接受放疗的癌症患者进行详细的基线评估,尤其是具有增加癌症治疗相关心脏毒性风险的治疗因素或患者风险因素的患者。我们将讨论心脏成像技术的进展,因为这些技术可能有助于早期诊断某些癌症治疗(包括放疗)对心脏的副作用。多学科合作的方法深受患者欢迎,无论患者的治疗方案如何,这种以尽可能维持患者的癌症治疗为目标的方法都应成为肿瘤心脏病学诊所的基石。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cardio-oncology and radiation oncology: How collaboration between cardiologists and oncologists can be realised in radiation oncology.

Increased survivorship, improvements in cancer treatments, and the potential for cardiac side effects from cancer treatments have resulted in increased collaboration between oncologists and cardiologists and the development of cardio-oncology clinics. This collaboration is important given its role in ensuring greater patient satisfaction, aiding teams of clinicians in making complex treatment decision, and ensuring cardiac complications are diagnosed at an early stage. The particularities of implementing this collaboration in the field of radiation oncology and how this setting is different from other areas of cardio-oncology have not been well detailed in the literature. This paper will discuss what is currently understood about the need for and role of cardio-oncology and what a cardio-oncology services involves, with a particular emphasis on patient and clinician needs in the field of radiation oncology. The literature and recent guidelines do advocate for a detailed baseline assessment of cancer patients undergoing radiotherapy, especially patients with treatment or patient risk factors that increase their risk of cancer-therapy related cardiotoxicity. Advancements in cardiac imaging techniques will be discussed as these may help to diagnose cardiac side effects of certain cancer treatments, including radiotherapy, at an early stage. A multi-disciplinary and collaborative approach is well received by patients and such an approach, guided by the aim of maintaining a patient's cancer treatment wherever possible, should be the cornerstone of cardio-oncology clinics regardless of the patient's treatment regime.

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来源期刊
CiteScore
3.30
自引率
6.20%
发文量
133
审稿时长
6-12 weeks
期刊介绍: Journal of Medical Imaging and Radiation Oncology (formerly Australasian Radiology) is the official journal of The Royal Australian and New Zealand College of Radiologists, publishing articles of scientific excellence in radiology and radiation oncology. Manuscripts are judged on the basis of their contribution of original data and ideas or interpretation. All articles are peer reviewed.
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