Hofland Johannes, Lamarca Angela, Steeds Richard, Toumpanakis Christos, Srirajaskanthan Rajaventhan, Riechelmann Rachel, Panzuto Francesco, Frilling Andrea, Denecke Timm, Christ Emanuel, Grozinsky-Glasberg Simona, Davar Joseph
Department of Internal Medicine, Section of Endocrinology, ENETS Center of Excellence, Erasmus MC and Erasmus Cancer Institute, Rotterdam, The Netherlands.
Department of Medical Oncology, The Christie NHS Foundation, Manchester, UK.
J Neuroendocrinol. 2022 Mar;34(3):e13060. doi: 10.1111/jne.13060. Epub 2021 Nov 26.
This European Neuroendocrine Tumor Society (ENETS) Expert Consensus document aims to provide practical guidance and standardization for echocardiography in the screening and follow-up of carcinoid heart disease (CHD) in patients with a neuroendocrine tumour (NET) and carcinoid syndrome.
NET experts within the ENETS Carcinoid Heart Disease Task Force reviewed both general reporting guidelines and specialized scoring systems for transthoracic echocardiography (TTE) in CHD. Based on this review, a dedicated template report was designed by the multidisciplinary working group of cardiologists, oncologists, endocrinologists, gastroenterologists, surgeons and radiologists.
We propose a Synoptic Reporting of Echocardiography in Carcinoid Heart Disease which represents an agreed peer reviewed proforma to capture information at the time of referral and enable a detailed outcome of CHD assessment. This includes a systematic and detailed list of structures to evaluate data to capture at the time of reporting of TTE.
Adherence to these reporting guidelines aims to promote homogeneous and detailed evaluation of CHD to secure accurate assessment and allow comparison of studies performed intra- and inter-individually. These guidelines could also facilitate CHD assessment as part of prospective clinical trials to enable standardization of the findings seen in response to therapy.
本欧洲神经内分泌肿瘤学会(ENETS)专家共识文件旨在为神经内分泌肿瘤(NET)和类癌综合征患者类癌性心脏病(CHD)的筛查和随访中的超声心动图检查提供实用指导和标准化方案。
ENETS类癌性心脏病工作组的NET专家回顾了CHD经胸超声心动图(TTE)的一般报告指南和专门的评分系统。在此基础上,由心脏病学家、肿瘤学家、内分泌学家、胃肠病学家、外科医生和放射科医生组成的多学科工作组设计了一份专门的模板报告。
我们提出了类癌性心脏病超声心动图概要报告,这是一份经过同行评审的统一格式,用于在转诊时收集信息,并能得出CHD评估的详细结果。这包括一份系统且详细的结构清单,用于评估TTE报告时要收集的数据。
遵循这些报告指南旨在促进对CHD进行统一且详细的评估,以确保准确评估,并允许对个体内和个体间进行的研究进行比较。这些指南还可促进将CHD评估作为前瞻性临床试验的一部分,以便使治疗反应中观察到的结果标准化。