scholarly journals Speckle tracking accuracy enhancement by temporal super-resolution of three-dimensional echocardiography images

2021 ◽  
Vol 11 (3) ◽  
pp. 177
Author(s):  
Hamid Behnam ◽  
Mohammad Jalali
Author(s):  
Silvia Gianstefani ◽  
Jens-Uwe Voigt ◽  
Mark J. Monaghan

The first part of this chapter illustrates how real-time three-dimensional echocardiography (3DE) has significantly improved and expanded the diagnostic efficacy of echocardiography providing anatomical and functional visualization of cardiac structures. The reader is introduced to the different applications of 3DE, to the different acquisition and display techniques of a 3D datasets and to the main artefacts which can possibly occur. The second part covers two-dimensional echocardiographic (2DE) and 3DE techniques for the assessment of global and regional myocardial function, its different parameters with typical findings and normal values. Clinical applications of the different techniques are explained focusing on the assessment of diastolic function, global systolic function, regional systolic function and dyssynchrony. Speckle tracking and Tissue Doppler are illustrated and their advantages and disadvantages discussed. Concise and practical information are provided to the reader to better understand and improve data acquisition, post-processing and data interpretation.


2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
L Capotosto ◽  
N Galea ◽  
M Francone ◽  
L Marchitelli ◽  
G Tanzilli ◽  
...  

Abstract Purpose The purpose of this study was to examine right ventricular (RV) function by three-dimensional speckle-tracking echocardiography (3DSTE) in patients after correction of tetralogy of Fallot (TF), the accuracy of 3DSTE compared to cardiovascular magnetic resonance (CMR) findings and assess pulmonary arterial (PA) distensibility in order to achieve a more comprehensive understanding of the matching between RV performance and PA load. Methods Twenty-one patients (mean age 39 ± 16 years) with repaired TF and twenty-one age-matched healthy subjects selected as controls were studied. CMR findings were available in 14 patients. RV volumes, RV ejection fraction (RVEF) and RV longitudinal and circumferential strains were calculated by three-dimensional echocardiography and three-dimensional speckle tracking echocardiography. The main pulmonary artery was interrogated by color, pulsed, and continuous-wave Doppler. Pulmonary regurgitation (PR) was assessed by color-flow mapping and graded as none, mild, or greater than mild using the measurement of the regurgitant jet width in relation to the outflow tract diameter. Right pulmonary artery (PA) was visualized from suprasternal view by two-dimensional echocardiography. Tissue Doppler Imaging (TDI) mode was activated in B-mode imaging to examine arterial motion, then mode was changed to color-mode with the beam line aligned perpendicular to the superior and inferior walls of the right PA. PA distensibility and strain were determined. Data analysis was performed offline. Results Overall, 3D RVEF and RV longitudinal strain were reduced in TF patients compared to the control group. Nine patients had moderate or moderate-to-severe PR. PA strain and distensibility were decreased (p = 0.003) compared with controls, both in the presence and absence of PR. PA strain had a positive correlation with RVEF (r = 0.79, p < 0.005) and RV strain (r = 0.82, p < 0.001). RV end-diastolic and end-systolic volumes by 3DE correlated with the respective parameters by CMR (r = 0.88,p < 0.001 and r = 0.87,p < 0.005 respectively). Patients with moderate-to-severe PR had more prominent PA strain changes (p = 0.02). Conclusions Three-dimensional right ventricular ejection fraction and RV strain are impaired in patients with repaired TF, in agreement with CMR data. Reduced PA strain is associated with reduced RV 3DSTE parameters and is more pronounced in the presence of pulmonary regurgitation.


2014 ◽  
Vol 170 (1) ◽  
pp. 77-85 ◽  
Author(s):  
Marijana Tadic ◽  
Sanja Ilic ◽  
Vera Celic

BackgroundWe sought to investigate right ventricular (RV) function and deformation assessed by three-dimensional echocardiography (3DE) and speckle tracking in patients with subclinical hypothyroidism (SHT), and to evaluate the influence of levothyroxine (l-T4) therapy on RV remodeling.MethodsWe included 50 untreated women with SHT and 45 healthy control women matched by age. Thel-T4therapy was prescribed to all SHT patients who were followed 1 year after euthyroid status was achieved. All study participants underwent laboratory analyses which included thyroid hormone levels, and complete two-dimensional echocardiography (2DE) and 3DE examinations.Results3DE RV end-diastolic volume and ejection fraction were significantly reduced in the SHT patients before therapy in comparison with the healthy controls and treated SHT subjects. RV longitudinal strain, systolic, and early diastolic strain rates (SRs) were significantly decreased, whereas RV late diastolic SR was increased in the SHT patients before therapy when comparing with the controls. 2DE speckle tracking imaging revealed thatl-T4substitution therapy significantly improved RV systolic mechanics, whereas RV diastolic deformation was not completely recovered. Right atrial (RA) function and deformation were significantly impacted by SHT. Replacementl-T4treatment improved but did not completely restore RA mechanics in the SHT patients.ConclusionRV and RA function and mechanics are significantly affected by SHT.l-T4therapy and 1-year maintenance of euthyroid status improved but did not completely recover RV and RA function and deformation in the SHT patients, which implies that right heart remodeling caused by SHT is not reversible in a 1-year period.


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