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《中国非侵入性成像技术在评估癌症治疗相关心血管毒性中的临床应用指南》

Chinese guideline for the clinical application of noninvasive imaging technology in accessing cancer therapy-related cardiovascular toxicity.

作者信息

Zhang Mei, Li Dian-Fu, Pu Jun

机构信息

Department of Cardiology, Qilu Hospital of Shandong University, Jinan, China.

Department of Cardiology, the First Affiliated Hospital of Nanjing Medical University/Jiangsu Province Hospital, Nanjing, China.

出版信息

J Geriatr Cardiol. 2025 May 28;22(5):477-496. doi: 10.26599/1671-5411.2025.05.006.

Abstract

Cardiovascular damage caused by cancer treatment has become an important cause of death for tumor survivors. With the recognition of cardiovascular diseases and cancer therapy-related cardiovascular toxicity (CTR-CVT) in tumor patients, noninvasive imaging technologies play pivotal roles in the risk stratification, early diagnosis, monitoring and follow-up for CTR-CVT. In recent years, the field of cardio-oncology has witnessed continual updates in diagnostic and therapeutic strategies, with several pertinent guidelines and expert consensus documents issued in China and abroad. However, there remains a conspicuous absence of systematic guidance documents on the application of imaging techniques in the clinical practice of cardio-oncology. Therefore, the Chinese Anti-Cancer Association Society of Integrative Cardio-oncology, the Ultrasound Branch of the Chinese Medical Association, and the Chinese Society of Echocardiography convened experts to formulate the "Chinese guideline for the clinical application of noninvasive imaging technology in accessing cancer therapy-related cardiovascular toxicity". Building upon the systematic evaluation of guidelines and the latest evidence-based medical research in the field of cardio-oncology domestically and abroad, and in conjunction with data derived from evidence-based medical research in China, this guideline proposes noninvasive imaging examination methods and monitoring strategies for CTR-CVT, aiming to further standardize and guide the clinical practice of multidisciplinary physicians specializing in cardio-oncology in China.

摘要

癌症治疗引起的心血管损伤已成为肿瘤幸存者的重要死因。随着对肿瘤患者心血管疾病及癌症治疗相关心血管毒性(CTR-CVT)的认识,无创成像技术在CTR-CVT的风险分层、早期诊断、监测及随访中发挥着关键作用。近年来,心脏肿瘤学领域的诊断和治疗策略不断更新,国内外发布了多项相关指南和专家共识文件。然而,在心脏肿瘤学临床实践中,关于成像技术应用的系统性指导文件仍明显缺失。因此,中国抗癌协会整合心脏肿瘤学专业委员会、中华医学会超声医学分会及中国超声心动图学会召集专家制定了《中国癌症治疗相关心血管毒性无创成像技术临床应用指南》。本指南在对国内外心脏肿瘤学领域指南及最新循证医学研究进行系统评价的基础上,结合我国循证医学研究数据,提出了CTR-CVT的无创成像检查方法及监测策略,旨在进一步规范和指导我国心脏肿瘤学多学科医师的临床实践。

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