Multimodality Imaging for Cardiac Surveillance of Cancer Treatment in Children: Recommendations From the American Society of Echocardiography
Guidelines for using noninvasive imaging techniques to monitor cardiac function in adults undergoing cancer treatment are available.1,2 Children with cancer, however, require a different imaging approach. Screening and detection strategies in younger children have largely relied on longitudinal monitoring of echocardiographic measures of left ventricle (LV) systolic function, mainly fractional shortening (FS) and ejection fraction (EF). Despite the important role of echocardiography in the follow-up of this patient group, a recent multicenter study indicated that the overall quality of routine pediatric echocardiograms for childhood cancer survivors was not sufficient to reliably assess LV function.