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
{"title":"肿瘤患者ACR适宜性标准心功能评估和基线心脏风险分层","authors":"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","doi":"10.1016/j.jacr.2025.02.038","DOIUrl":null,"url":null,"abstract":"<div><div>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.</div><div>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.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 5","pages":"Pages S67-S78"},"PeriodicalIF":4.0000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"ACR Appropriateness Criteria® Assessment of Cardiac Function and Baseline Cardiac Risk Stratification in Oncology Patients\",\"authors\":\"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\",\"doi\":\"10.1016/j.jacr.2025.02.038\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>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.</div><div>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.</div></div>\",\"PeriodicalId\":49044,\"journal\":{\"name\":\"Journal of the American College of Radiology\",\"volume\":\"22 5\",\"pages\":\"Pages S67-S78\"},\"PeriodicalIF\":4.0000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the American College of Radiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1546144025001449\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American College of Radiology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1546144025001449","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
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.
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.