MRI-derived extracellular volume as a biomarker of cancer therapy cardiotoxicity: systematic review and meta-analysis - Summary - MDSpire

MRI-derived extracellular volume as a biomarker of cancer therapy cardiotoxicity: systematic review and meta-analysis

  • By

  • Gianluca Folco

  • Caterina B. Monti

  • Moreno Zanardo

  • Francesco Silletta

  • Davide Capra

  • Francesco Secchi

  • Francesco Sardanelli

  • October 12, 2023

  • 0 min

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Objective:

To investigate the role of extracellular volume (ECV) as a biomarker for cardiotoxicity resulting from cancer therapy, highlighting its potential advantages over existing biomarkers.

Key Findings:
  • ECV derived from MRI can accurately reflect myocardial composition changes associated with cardiotoxicity, which may lead to improved patient management.
  • Increased ECV correlates with myocardial edema and fibrosis, indicating early signs of cardiotoxicity that could prompt timely interventions.
  • ECV may allow for timely therapeutic adjustments in patients undergoing anthracycline-based chemotherapy, potentially improving outcomes.
Interpretation:

ECV serves as a promising biomarker for early detection of cardiotoxicity in cancer therapy, potentially enabling preventive measures and offering advantages over traditional biomarkers.

Limitations:
  • The review may be limited by the quality and heterogeneity of included studies, as well as potential biases in study selection.
  • Exclusion of studies with overlapping patient cohorts may affect the comprehensiveness of findings.
Conclusion:

MRI-derived ECV is a valuable biomarker for assessing cardiotoxicity in cancer therapy, warranting further research to validate its clinical application and explore its integration into routine practice.

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