What is the clinical evidence from this study?

Study design: Review. Population: Childhood cancer. Intervention: Echocardiography and multimodality imaging.

What question did this study set out to answer?

To provide guidelines for cardiac surveillance in children undergoing cancer treatment using various imaging techniques.

May 26, 2026Journal of the American Society of Echocardiography42 citationsOpen Access

Multimodality Imaging for Cardiac Surveillance of Cancer Treatment in Children: Recommendations From the American Society of Echocardiography

LMLuc Mertens GSGautam K. Singh SASaro H. Armenian

Key Result

The American Society of Echocardiography recommends using 2D or 3D ejection fraction rather than fractional shortening for monitoring left ventricular function in children with cancer.

Key Points

To provide guidelines for cardiac surveillance in children undergoing cancer treatment using various imaging techniques.
Guideline development process by the American Society of Echocardiography.
Integration of multimodality imaging techniques for effective cardiac monitoring.
Recommendations tailored for the pediatric cancer patient population.
Identifies key imaging modalities for cardiac health monitoring.
Emphasizes the importance of early detection of cardiac issues.
Suggests a framework for regular cardiac assessments during treatment.

PICO

Population

Childhood cancer

Intervention / Comparator

Echocardiography and multimodality imaging

Limitations

Current criteria for defining early cardiac dysfunction are based on decreased FS or EF that have been poorly validated in prospective studies.
Evidence-based recommendations for cardiac surveillance after novel treatments have not been established.

Expert Takes1 quote

“CVD in survivors of childhood cancer is more than just ventricular dysfunction, and includes metabolic effects, hypertension, arrhythmia, and thrombosis; understanding an individual's risk and establishing appropriate screening is a key component to patient care.”

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Cite This Study

Mertens et al. (Fri,) conducted a review in Childhood cancer. Echocardiography and multimodality imaging was evaluated. The American Society of Echocardiography recommends using 2D or 3D ejection fraction rather than fractional shortening for monitoring left ventricular function in children with cancer.

synapsesocial.com/papers/6a160e6f55486f20af85f747 https://doi.org/https://doi.org/10.1016/j.echo.2023.09.009