肿瘤患者ACR适宜性标准心功能评估和基线心脏风险分层

IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Expert Panel on Cardiac Imaging, Nandini M. Meyersohn MD , Anushri Parakh MD , Brian B. Ghoshhajra MD, MBA , Prachi P. Agarwal MD , Jamieson M. Bourque MD, MHS , Murthy R.K. Chamarthy MD , Carlo N. De Cecco MD, PhD , Matthew Ehrhardt MD, MS , Cristina Fuss MD , Kimberly Kallianos MD , Juan C. Lopez-Mattei MD , Sachin B. Malik MD , Charlotte Manisty MBBS, PhD , Christopher D. Maroules MD , Alaka Ray MD , Marielle Scherrer-Crosbie MD, PhD , William Small Jr MD , Tina D. Tailor MD , Lynne M. Koweek MD
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引用次数: 0

摘要

在无症状患者开始肿瘤治疗之前,心脏风险分层在临床上是有用的,以指导治疗决策,并允许开始心脏保护治疗或修改治疗方案。一旦进行肿瘤治疗,患者可能会出现心脏症状。在这种情况下,成像可用于评估心室和瓣膜功能,心肌特征,心包积液或收缩,以及评估缺血作为症状的原因。结果可以帮助指导治疗选择和共同决策关于修改或停止治疗与相关的心脏毒性。美国放射学会适当性标准是针对特定临床条件的循证指南,每年由多学科专家小组审查。指南的制定和修订过程支持对同行评议期刊的医学文献进行系统分析。已建立的方法原则,如建议分级评估,发展和评估或GRADE适用于评估证据。兰德/加州大学洛杉矶分校适当方法用户手册提供了确定特定临床情况下成像和治疗程序的适当性的方法。在同行评议文献缺乏或模棱两可的情况下,专家可能是制定建议的主要证据来源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ACR Appropriateness Criteria® Assessment of Cardiac Function and Baseline Cardiac Risk Stratification in Oncology Patients
Cardiac risk stratification is clinically useful prior to initiation of oncologic therapy in asymptomatic patients in order to guide treatment decisions and allow for initiation of cardioprotective therapy or modification of treatment regimens. Once oncology treatment is underway, patients may develop cardiac symptoms. In this setting, imaging can be used for assessment of ventricular and valvular function, myocardial characterization, pericardial effusion or constriction, as well as to evaluate for ischemia as a cause of symptoms. Results can help guide treatment choices and shared decision-making regarding modification or cessation of treatments with associated cardiotoxicity.
The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
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来源期刊
Journal of the American College of Radiology
Journal of the American College of Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
6.30
自引率
8.90%
发文量
312
审稿时长
34 days
期刊介绍: The official journal of the American College of Radiology, JACR informs its readers of timely, pertinent, and important topics affecting the practice of diagnostic radiologists, interventional radiologists, medical physicists, and radiation oncologists. In so doing, JACR improves their practices and helps optimize their role in the health care system. By providing a forum for informative, well-written articles on health policy, clinical practice, practice management, data science, and education, JACR engages readers in a dialogue that ultimately benefits patient care.
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