Role of Biplane and Biplane Echocardiographically Guided 3-Dimensional Echocardiography During Dobutamine Stress Echocardiography

Yang, Hyun Suk; Pellikka, Patricia A.; McCully, Robert B.; Oh, Jae K.; Kukuzke, Joyce A.; Khandheria, Bijoy K.; Chandrasekaran, Krishnaswamy

doi:10.1016/j.echo.2006.04.016

Cited by 43 publications

(38 citation statements)

References 13 publications

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“…However, an important advantage of the RT3DE approach, in addition to faster acquisition, was its ability to extract offline multiple short-and long-axis views of the ventricle that can help in determining the extent of wall motion abnormality and in ruling out artifacts frequently noted in standard imaging planes caused by limited endocardial visualization. Another study 30 demonstrated high levels of agreement with 2DE-based wall motion scores.…”

Section: Rt3de Assessment Of Regional Wall Motionmentioning

confidence: 93%

Real-Time 3-Dimensional Echocardiography

2009

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O ne of the most significant developments of the last decade in ultrasound imaging of the heart was the evolution of 3-dimensional (3D) imaging from slow and labor-intense offline reconstruction to real-time volumetric imaging. This imaging modality provides valuable clinical information that empowers echocardiographers with new levels of confidence in the diagnosis of heart disease. We have previously described the technological milestones in the development of real-time 3D echocardiographic (RT3DE) imaging and its major advantages over conventional 2-dimensional echocardiography (2DE) and reviewed the published literature that supported the use of this new methodology in clinical practice. 1 Since 2006, the growing availability of RT3DE technology, its ease of use, and its multiple attractive features have sparked significant interest in the research community, resulting in a large number of publications, most of which have endorsed RT3DE imaging for clinical use by demonstrating its unique capabilities in different scenarios. In parallel, the clinical acceptance of this new tool has broadened significantly. The most recent clinically significant addition is matrix-array transesophageal echocardiography (TEE), which provides images of unprecedented quality that aid surgeons and interventional cardiologists in planning and guiding procedures and evaluating their outcomes.The purpose of the present article is to review the most recent RT3DE literature and provide readers with an update on the latest developments and the current status of this noninvasive imaging tool. Because different potential applications of RT3DE imaging have been explored to various extents, they are described here separately, and each is discussed with an emphasis on the scientifically established facts, along with the known stumbling blocks and difficulties. Quantification of LV Volumes and FunctionA firmly established advantage of 3D imaging over crosssectional slices of the heart is the improvement in the accuracy of the evaluation of left ventricular (LV) volumes and ejection fraction (EF) by eliminating the need for geometric modeling, which is inaccurate in the presence of aneurysms, asymmetrical ventricles, or wall motion abnormalities, and the errors caused by foreshortened views even in symmetrical ventricles. The value of RT3DE imaging in this context has been demonstrated by multiple studies that compared RT3DE volume measurements with widely accepted reference techniques, including radionuclide ventriculography and cardiac magnetic resonance (CMR). [2][3][4][5][6] These studies and others have demonstrated higher levels of agreement between the RT3DE approach and the respective reference technique compared with conventional 2DE methodology. Additionally, RT3DE measurements were found to be more reproducible than 2DE 4,5,7 and, in some studies, even as reproducible as CMR. 8 Interestingly, in a recent study in patients after myocardial infarction (MI), 9 RT3DE-derived LV volumes were more accurate and more reproducible than thos...

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Section: Rt3de Assessment Of Regional Wall Motionmentioning

confidence: 93%

Real-Time 3-Dimensional Echocardiography

2009

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“…4.2). Typically, the biplanar mode from the parasternal echo window allows the simultaneous acquisition of a long axis and of an adapted short axis, and from the apical echo window a simultaneous apical 4-chamber and 2-chamber view [3] [4]. Finally -using the rotation of one of the image planes -in a third heartbeat the apical long axis can be acquired (.…”

Section: Methodsmentioning

confidence: 99%

“…Importantly, a shorter scanning time did not reduce test accuracy. Several studies on the use of full volume 3D echocardiography [4] …”

Section: 2mentioning

confidence: 99%

Three-dimensional stress echocardiography

Franke¹

2015

Three-Dimensional Echocardiography

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“…The feasibility of 3-D dobutamine stress echocardiography has been previously demonstrated. 170,171 3-D imaging during stress echocardiography offers the promise of shorter imaging times and truly tomographic views. 172,173 With further technical improvements, 3-D is expected to further improve the accuracy and efficiency of stress echocardiography.…”

Section: -Dimensional Stress Echocardiographymentioning

confidence: 99%