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iCMR  in Cardio-Oncology iCMR  in Cardio-Oncology

iCMR in Cardio-Oncology - PowerPoint Presentation

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iCMR in Cardio-Oncology - PPT Presentation

Juan C Lopez Mattei MD FACC FASE Assistant Professor of Medicine and Radiology CoDirector of MD Anderson Cardiac Radiology Services jlopez9mdandersonorg Disclosures None I promise I will not talk about LV strain or anthracycline toxicity ID: 1036329

cardiovasc 2015 eur imaging 2015 cardiovasc imaging eur approach guided fibrosisiles org heart cardiac mdanderson cardio diffuse facc lopez

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1. iCMR in Cardio-OncologyJuan C. Lopez-Mattei, M.D., FACC, FASEAssistant Professor of Medicine and RadiologyCo-Director of MD Anderson Cardiac Radiology Servicesjlopez9@mdanderson.org

2. DisclosuresNoneI promise I will not talk about LV strain or anthracycline toxicity.

3. CMR guided biopsy is possible!Lossnitzer D, et al. World J Cardiol. 2015 Jul 26;7(7):415-22.

4. Is LGE directed EMB a good approach?Yilmaz A, et al. Circulation. 2010 Aug 31;122(9):900-9.

5. Replacement FibrosisIles LM, et al. Eur Heart J Cardiovasc Imaging. 2015 Jan;16(1):14-22.

6. Diffuse FibrosisIles LM, et al. Eur Heart J Cardiovasc Imaging. 2015 Jan;16(1):14-22.

7. Diffuse inflammation Bohnen S, et al. Circ Cardiovasc Imaging. 2015 Jun;8(6).

8. The Problem (median age 41 y.o.)Ramlawi B, et al. Ann Thorac Surg. 2014 Sep;98(3):863-8.

9. 32 y.o. man with bx proven angiosarcoma11/2/1512/9/15Doxorubicin + ifosfamide (1 cycle)

10. Prognosis of Breast CA in DCE-MRIPickles MD, et al. Eur Radiol. 2015 Apr;25(4):1097-106.

11. Fluoro and TEE guided tumor bx

12. Needs in cardio-oncology to manage cardiac tumorsBetter diagnostic strategiesLess invasive approach Better therapeutic options

13. Team Effort

14. Thank You Juan C. Lopez-Mattei, M.D., FACC, FASEjlopez9@mdanderson.org