3-Dimensional Echocardiography and Its Role in Preoperative Mitral Valve Evaluation

Andrawes, Michael N.; Feinman, Jared W.

doi:10.1016/j.ccl.2013.03.005

Cited by 9 publications

(7 citation statements)

References 67 publications

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“…; previous versions were called MVQ; Philips Healthcare, Inc, Andover, MA, USA) and the 4D-MV Assessment (TomTec Imaging Systems GmbH, Munich, Germany). 8, 9 These software packages allow manual or semiautomatic detection of major anatomic landmarks with subsequent surface modeling using a geometric mesh. Morphological quantification of the MV can be computed according to the final model (Figure 1).…”

Section: Computer Techniques For Segmentation Of the MVmentioning

confidence: 99%

Quantification of Mitral Valve Morphology With Three-Dimensional Echocardiography

Lee

Fang

Jin

et al. 2014

Circ J

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Circulation Journal Official Journal of the Japanese Circulation Society http://www. j-circ.or.jp ysis yields faster and more reproducible results; and (4) a variety of users (eg, cardiac anesthetists) wants to use the repeatable methodology offered by quantitative methods. Image-processing tools provide characterization of the complex 3D morphology and motion of the MV. Combined with the properties of the imaging modality and knowledge of anatomy, this yields quantitative descriptions that are useful in diagnostic and therapeutic decision-making. This review summarizes the current development and applications of quantitative analysis of the MV morphology using RT3DE. Anatomic Consideration MV LeafletsThe anterior leaflet (AL) is in fibrous continuity with the aortic valve and guards one-third of the anterior mitral annulus. Fine demarcations divide the AL into 3 smaller scallops. The posterior leaflet (PL) is crescent-shaped and spans the posterior n the past 5 years, advances in real-time 3-dimensional echocardiography (RT3DE) have revolutionized the imaging of the mitral valve (MV). Many studies have consistently shown the superiority of 3D transesophageal echocardiography (TEE) over 2D TEE for visualizing MV morphology. 1 RT3DE has become the imaging modality of choice for guiding MV surgery and catheter-based intervention. Currently, RT3D imaging of the MV involves mainly visualization and qualitative interpretation of volume-rendered images. This "qualitative" approach typically involves few quantitative measurements of MV morphology, and is prone to subjectivity that introduces bias, low reproducibility, and high dependency on imaging expertise.Quantitative cardiac imaging has growing importance for several reasons: (1) as imaging becomes more digital, the opportunity will create the need; (2) automated approaches to intervention and surgery design and planning are emerging from the laboratory and entering the clinic; (3) algorithm-driven anal- The mitral valve (MV) has complex 3-dimensional (3D) morphology and motion. Advance in real-time 3D echocardiography (RT3DE) has revolutionized clinical imaging of the MV by providing clinicians with realistic visualization of the valve. Thus far, RT3DE of the MV structure and dynamics has adopted an approach that depends largely on subjective and qualitative interpretation of the 3D images of the valve, rather than objective and reproducible measurement. RT3DE combined with image-processing computer techniques provides precise segmentation and reliable quantification of the complex 3D morphology and rapid motion of the MV. This new approach to imaging may provide additional quantitative descriptions that are useful in diagnostic and therapeutic decision-making. Quantitative analysis of the MV using RT3DE has increased our understanding of the pathologic mechanism of degenerative, ischemic, functional, and rheumatic MV disease. Most recently, 3D morphologic quantification has entered into clinical use to provide more accurate diagnosis of MV disease and for plannin...

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Section: Computer Techniques For Segmentation Of the MVmentioning

confidence: 99%

Quantification of Mitral Valve Morphology With Three-Dimensional Echocardiography

Lee

Fang

Jin

et al. 2014

Circ J

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“…5 Perioperative 3D echocardiography has become an important tool for the pediatric cardiologist and cardiothoracic surgeon and recently has been shown to be helpful in providing detailed information about MV morphology in complex congenital defects, improving patient selection and planning for surgical treatment. 6 In our case, preoperative 3D echocardiographic modeling and MRI evaluation guided a customized successful operative strategy. Elements with profound technical challenge for satisfactory repair were present: (1) Direct leaflet-papillary muscle attachments with very short or absent chordae tendineae; (2) Posterior rudimentary hypertrophied papillary muscle with foreshortened chordal attachments and nondelaminated "muscularized" secondary and tertiary chordae directly off the LV free wall; (3) Commissures and posterior leaflet of the MV fused with a subvalvular fibrous ridge/diaphragm containing scattered perforations that allowed blood flow through a reduced effective MV orifice.…”

Section: Discussionmentioning

confidence: 69%

“…Perioperative 3D echocardiography has become an important tool for the pediatric cardiologist and cardiothoracic surgeon and recently has been shown to be helpful in providing detailed information about MV morphology in complex congenital defects, improving patient selection and planning for surgical treatment. 6…”

Section: Discussionmentioning

confidence: 99%

Hammock Mitral Valve Repair in Infancy: Operative Steps Toward a Customized Reconstruction After Preoperative Planning

VanLoozen

Jensen

Lutin

et al. 2019

World J Pediatr Congenit Heart Surg

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“…By means of multi-beat acquisition, it is possible to obtain volumetric images of the regurgitant jet and its relation with the MV structures and 3D evaluation of its various components, which allows to demarcate its exact location and quantitative evaluation in specific software 18 ( Fig. 15 ).…”

Section: Leaflets (Cusps)mentioning

confidence: 99%

“…Among these, the most widely used and studied software are Mitral Valve Quantification – MVQ (Phillips Healthcare ® , Inc., Andover, MA) and 4D MV–Assessment Software (TomTec Imaging Systems GmbH ® , Munich, Germany). 18 Although reference values and clinical usefulness are still in the validation stage, important knowledge has been accumulated regarding mitral valve apparatus remodeling in different pathophysiological states. 18 …”

Section: Leaflets (Cusps)mentioning

confidence: 99%

Consensus on Perioperative Transesophageal Echocardiography of the Brazilian Society of Anesthesiology and the Department of Cardiovascular Image of the Brazilian Society of Cardiology

Salgado‐Filho

Morhy

Vasconcelos

et al. 2018

Brazilian Journal of Anesthesiology (English Edition)

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3-Dimensional Echocardiography and Its Role in Preoperative Mitral Valve Evaluation

Cited by 9 publications

References 67 publications

Quantification of Mitral Valve Morphology With Three-Dimensional Echocardiography

Quantification of Mitral Valve Morphology With Three-Dimensional Echocardiography

Hammock Mitral Valve Repair in Infancy: Operative Steps Toward a Customized Reconstruction After Preoperative Planning

Consensus on Perioperative Transesophageal Echocardiography of the Brazilian Society of Anesthesiology and the Department of Cardiovascular Image of the Brazilian Society of Cardiology

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