Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12857/119610
Title: Current Clinical Applications of Three-Dimensional Echocardiography: When the Technique Makes the Difference
Authors: Surkova, Elena
Muraru, Denisa 
Aruta, Patrizia 
Romeo, Gabriella 
Bidviene, Jurate
Cherata, Diana 
Badano, Luigi P
Keywords: Interventional procedures;Left ventricle;Mitral valve;Right ventricle;Three-dimensional echocardiography;Tricuspid valve
Keywords Plus: LEFT-VENTRICULAR MASS;CARDIAC MAGNETIC-RESONANCE;TIME 3D ECHOCARDIOGRAPHY;SPECKLE-TRACKING ECHOCARDIOGRAPHY;FUNCTIONAL MITRAL REGURGITATION;GLOBAL LONGITUDINAL STRAIN;ISOVELOCITY SURFACE-AREA;REAL-TIME;EJECTION FRACTION;TRICUSPID REGURGITATION
Mesh headings: Echocardiography, Three-Dimensional;Heart Defects, Congenital;Heart Valve Diseases
Secondary Mesh headings: Humans;Image Enhancement;Practice Guidelines as Topic
Issue Date: 2016
Publisher: SPRINGER
Journal: Current cardiology reports 
Abstract: 
Advances in ultrasound, computer, and electronics technology have permitted three-dimensional echocardiography (3DE) to become a clinically viable imaging modality, with significant impact on patient diagnosis, management, and outcome. Thanks to the inception of a fully sampled matrix transducer for transthoracic and transesophageal probes, 3DE now offers much faster and easier data acquisition, immediate display of anatomy, and the possibility of online quantitative analysis of cardiac chambers and heart valves. The clinical use of transthoracic 3DE has been primarily focused, albeit not exclusively, on the assessment of cardiac chamber volumes and function. Transesophageal 3DE has been applied mostly for assessing heart valve anatomy and function. The advantages of using 3DE to measure cardiac chamber volumes derive from the lack of geometric assumptions about their shape and the avoidance of the apical view foreshortening, which are the main shortcomings of volume calculations from two-dimensional echocardiographic views. Moreover, 3DE offers a unique realistic en face display of heart valves, congenital defects, and surrounding structures allowing a better appreciation of the dynamic functional anatomy of cardiac abnormalities in vivo. Offline quantitation of 3DE data sets has made significant contributions to our mechanistic understanding of normal and diseased heart valves, as well as of their alterations induced by surgical or interventional procedures. As reparative cardiac surgery and transcatheter procedures become more and more popular for treating structural heart disease, transesophageal 3DE has expanded its role as the premier technique for procedure planning, intra-procedural guidance, as well as for checking device function and potential complications after the procedure.
URI: http://hdl.handle.net/20.500.12857/119610
ISSN: 15233782
DOI: 10.1007/s11886-016-0787-9
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