title: Cardiac imaging approaches to evaluate drug-induced myocardial dysfunction.
abstract: The ability to make informed benefit-risk assessments for potentially cardiotoxic new compounds is of considerable interest and importance at the public health, drug development, and individual patient levels. Cardiac imaging approaches in the evaluation of drug-induced myocardial dysfunction will likely play an increasing role. However, the optimal choice of myocardial imaging modality and the recommended frequency of monitoring are undefined. These decisions are complicated by the array of imaging techniques, which have varying sensitivities, specificities, availabilities, local expertise, safety, and costs, and by the variable time-course of tissue damage, functional myocardial depression, or recovery of function. This White Paper summarizes scientific discussions of members of the Cardiac Safety Research Consortium on the main factors to consider when selecting nonclinical and clinical cardiac function imaging techniques in drug development. We focus on 3 commonly used imaging modalities in the evaluation of cardiac function: echocardiography, magnetic resonance imaging, and radionuclide (nuclear) imaging and highlight areas for future research.
authors.affiliation: GlaxoSmithKline, Durham, NC, USA. Jennifer.B.Christian@gsk.com
authors.forename: Jennifer B
authors.initials: JB
authors.lastname: Christian
authors.forename: John K
authors.initials: JK
authors.lastname: Finkle
authors.forename: Bonnie
authors.initials: B
authors.lastname: Ky
authors.forename: Pamela S
authors.initials: PS
authors.lastname: Douglas
authors.forename: David E
authors.initials: DE
authors.lastname: Gutstein
authors.forename: Paul D
authors.initials: PD
authors.lastname: Hockings
authors.forename: Pierre
authors.initials: P
authors.lastname: Lainee
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Lenihan
authors.forename: Jay W
authors.initials: JW
authors.lastname: Mason
authors.forename: Philip T
authors.initials: PT
authors.lastname: Sager
authors.forename: Thomas G
authors.initials: TG
authors.lastname: Todaro
authors.forename: Karen A
authors.initials: KA
authors.lastname: Hicks
authors.forename: Robert C
authors.initials: RC
authors.lastname: Kane
authors.forename: Hon-Sum
authors.initials: HS
authors.lastname: Ko
authors.forename: JoAnn
authors.initials: J
authors.lastname: Lindenfeld
authors.forename: Eric L
authors.initials: EL
authors.lastname: Michelson
authors.forename: James
authors.initials: J
authors.lastname: Milligan
authors.forename: Jiefen Y
authors.initials: JY
authors.lastname: Munley
authors.forename: Joel S
authors.initials: JS
authors.lastname: Raichlen
authors.forename: Amir
authors.initials: A
authors.lastname: Shahlaee
authors.forename: Colette
authors.initials: C
authors.lastname: Strnadova
authors.forename: Brenda
authors.initials: B
authors.lastname: Ye
authors.forename: J Rick
authors.initials: JR
authors.lastname: Turner
mesh_terms: D057791:Cardiac Imaging Techniques; D009202:Cardiomyopathies / Q000139:chemically induced / Q000175:diagnosis*; D002317:Cardiovascular Agents / Q000009:adverse effects*; D004452:Echocardiography; D006801:Humans; D008279:Magnetic Resonance Imaging; D011875:Radionuclide Angiography; D018570:Risk Assessment
chemical_list: D002317:Cardiovascular Agents