Feasibility of a New Generation Three-Dimensional Echocardiography for Right Ventricular Volumetric and Functional Measurements

Tamborini, Gloria; Brusoni, Denise; Molina, Juan Andrés; Galli, C.; Maltagliati, Anna; Muratori, Manuela; Susini, Francesca; Colombo, Chiara; Maffessanti, Francesco; Pepi, Mauro

doi:10.1016/j.amjcard.2008.03.084

Cited by 89 publications

(55 citation statements)

References 23 publications

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“…Other investigators have also found only a weak correlation between RVEF and TAPSE when utilizing 3D echo for the RVEF measurement [30,31]. These studies suggest that TAPSE correlates best with RVEF when measured in 2D, without consideration of the RV's volume out of the plane of the 4-chamber view.…”

Section: Discussionmentioning

confidence: 79%

Correlation of right ventricular ejection fraction and tricuspid annular plane systolic excursion in tetralogy of Fallot by magnetic resonance imaging

Morcos

Vick

Sahn

et al. 2008

Int J Cardiovasc Imaging

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The correlation between right ventricular ejection fraction (RVEF) and tricuspid annular plane systolic excursion (TAPSE) by two-dimensional (2-D) echo has been repeatedly validated, but not by magnetic resonance imaging (MRI) nor in patients with congenital heart disease. We tested whether TAPSE measurements by MRI correlate with RVEF in surgically repaired tetralogy of Fallot (TOF) patients. TAPSE was measured from systolic displacement of the RV-freewall/tricuspid annular plane junction in the apical 4-chamber view in 7 normal subjects and 14 TOF patients. The RV was reconstructed in 3-D from manually traced borders on MR images to compute true EF. Because we previously observed discrepancy between TAPSE and RVEF in the presence of regional dysfunction, we also analyzed RV wall motion in terms of regional stroke volume at 20 short axis slices from apex to tricuspid annulus. RVEF was 52 +/- 3% in normal subjects and 41 +/- 9% in TOF (P < 0.01). TAPSE correlated weakly (r = 0.50, P < 0.05) with RVEF. TOF patients exhibited increased regional stroke volume from apical portions of the RV and decreased regional stroke volume at the base compared to normal (P < 0.05 at 15 of 20 slices). Regional stroke volume in apical slices correlated inversely with RVEF such that patients with higher apical stroke volume had lower RVEF (P < 0.05). TAPSE is not a reliable measure of RVEF in TOF by MRI. TAPSE may be of limited use in conditions that exhibit abnormal regional contraction.

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Section: Discussionmentioning

confidence: 79%

Correlation of right ventricular ejection fraction and tricuspid annular plane systolic excursion in tetralogy of Fallot by magnetic resonance imaging

Morcos

Vick

Sahn

et al. 2008

Int J Cardiovasc Imaging

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“…In patients with pulmonary hypertension RV volumes were larger than in normals and RVEF appear lower than in these. In addition, data obtained by 3D evaluation are well correlated with those obtained by 2D and Doppler methods and can differentiate normal subjects and pulmonary hypertensive patients [50].…”

Section: -D Echocardiographymentioning

confidence: 70%

Echocardiographic evaluation of right heart function and pulmonary vascular bed

Cacciapuoti

2009

Int J Cardiovasc Imaging

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The aim of this review was to describe the different ultrasonic modalities to non-invasively evaluate right cardiac chambers and pulmonary vascular bed function. M-Mode, 2-D, conventional pulsed doppler, tissue doppler imaging (TDI), strain rate imaging (SRI) and 3D echocardiography are illustrated in order to obtain both regional and global right heart and pulmonary function. The results have a good correlation with other invasive and non-invasive diagnostic techniques, as magnetic resonance imaging (MRI). All these echocardiograpic techniques can be employed to evaluate the morphologic and functional pictures of right heart and pulmonary circulation in presence of pulmonary hypertension (PH). The hemodynamic profile obtained consent to anatomically and functionally characterize PH. But, other experiences performed on more wide range of healthy and PH patients are necessary to confirm the described results.

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“…Tamborini et al noted that the major limitation of 3DECHO was the poor detection of the RV anterior wall and the presence of trabeculations, which hampers endocardial tracing. 6 We experienced some difficulty in the acquisition of images in other subjects, but in this series of 3DECHO measurements, we fortunately could trace the edge of the RV in all patients. We believe that a success rate of approximately 85% is satisfactory for clinical use, because 3DECHO recording is not a difficult procedure and takes only several minutes in addition to the regular 2DECHO recording.…”

Section: Study Limitationsmentioning

confidence: 75%

Volumetric and Functional Assessment of Ventricles in Pulmonary Hypertension on 3-Dimensional Echocardiography

Inaba

Yao

Nakao

et al. 2013

Circ J

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Feasibility of a New Generation Three-Dimensional Echocardiography for Right Ventricular Volumetric and Functional Measurements

Cited by 89 publications

References 23 publications

Correlation of right ventricular ejection fraction and tricuspid annular plane systolic excursion in tetralogy of Fallot by magnetic resonance imaging

Correlation of right ventricular ejection fraction and tricuspid annular plane systolic excursion in tetralogy of Fallot by magnetic resonance imaging

Echocardiographic evaluation of right heart function and pulmonary vascular bed

Volumetric and Functional Assessment of Ventricles in Pulmonary Hypertension on 3-Dimensional Echocardiography

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