The EACVI/ASE/Industry Task Force to standardize deformation imaging prepared this consensus document to standardize definitions and techniques for using two-dimensional (2D) speckle tracking echocardiography (STE) to assess left atrial, right ventricular, and right atrial myocardial deformation. This document is intended for both the technical engineering community and the clinical community at large to provide guidance on selecting the functional parameters to measure and how to measure them using 2D STE.This document aims to represent a significant step forward in the collaboration between the scientific societies and the industry since technical specifications of the software packages designed to post-process echocardiographic datasets have been agreed and shared before their actual development. Hopefully, this will lead to more clinically oriented software packages which will be better tailored to clinical needs and will allow industry to save time and resources in their development.

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Virtual reality (VR) is one of the latest developments in cardiac three-dimensional (3-D) ultrasound. A VR heart model linked to 3-D echocardiographic image datasets provides the observers spatial information regarding a 3-D image dataset and prevents the "lost in space effect" in difficult and relevant coupled diseases when integrated into 3-D reconstruction software. Standardized echocardiographic views can be selected within the integrated developed VR heart model, and this is the first step to automatic 3-D computations with minimal operator interaction. VR heart models open exciting opportunities in the field of teaching echocardiographic cardiology, diagnosis, and examinable states.

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