Real-time three-dimensional echocardiographic left ventricular systolic assessment: side-by-side comparison with 64-slice multi-detector cardiac computed tomography

Abstract

It was observed adequate correlation between RT3DE and CCT ventricular systolic function and geometry assessment.

Accuracy of an automated transthoracic echocardiographic tool for 3D assessment of left heart chamber volumes

“…While initially compared with angiographic and radionuclide ventriculography as reference and then to cardiac MRI and computed tomography, manually corrected 3D echocardiography has become the reference standard for the introduction of new echocardiographic algorithms aiming to assess left heart volumes . While not demanding the use of radiation or contrast media, 3DE offers high reproducibility, a fast learning curve, together with simplified acquisition protocol and reduced analysis time with the current software packages. Nevertheless, research advantages of 3DE vs 2DE have not been paralleled with an increase in use of 3DE in clinical practice for the assessment of left cardiac volumes and ejection fraction .…”

“…6,7 Whileinitiallycomparedwithangiographic and radionuclide ventriculography as reference 8,9 and then to cardiac MRI and computed tomography, [10][11][12] manually corrected 3D echocardiographyhasbecomethereferencestandardfortheintroductionofnew echocardiographicalgorithmsaimingtoassessleftheartvolumes. 3,5,13,14 Whilenotdemandingtheuseofradiationorcontrastmedia, 15…”

Recommendations for Multimodality Cardiac Imaging in Patients with Chagas Disease: A Report from the American Society of Echocardiography in Collaboration With the InterAmerican Association of Echocardiography (ECOSIAC) and the Cardiovascular Imaging Department of the Brazilian Society of Cardiology (DIC-SBC)

“…Three-dimensional echocardiography, on the other hand, allows visualization of cardiac chambers in their entirety without geometric assumptions. 45,[54][55][56] Creation of 3D echocardiographic images requires specialized transducers for acquisition of a volume (pyramid) of data rather than a slice (2D echocardiography). The 3D volume could be acquired through a single heartbeat or by stitching together smaller volumes in consecutive beats.…”

“…Nevertheless, by direct visualization of the entire left ventricle, 3D echocardiography avoids foreshortening of the left ventricle from the apical windows and facilitates measurement of LV volumes and LVEF by direct endocardial contour tracing, rather than assumptions of LV shape from 2D apical views with the single or biplane method of disks ( Figure 11). Three-dimensional echocardiography is currently well validated compared with other 3D imaging techniques such as CMR and cardiac CT. 45,54,56 This concept also applies to visualization and volume measurements of other cardiac chambers, such as the left atrium and right ventricle ( Figure 12). 57,58 As with patients with other forms of cardiomyopathy, 3D echocardiography should be used in patients with ChD to evaluate cardiac chamber size and ventricular function.…”

3D Echo Pilot Study of Geometric Left Ventricular Changes after Acute Myocardial Infarction

“…In that sense, the three-dimensional echocardiogram (3D ECHO) has been developed - which allows for the structural analysis of the heart from multiple spatial planes of observation. The three-dimensional echocardiographic analysis of the left ventricle, when compared to the two-dimensional analysis, presents a finer proximity with the measurements obtained with methods of a better spatial resolution, such as the 64-channel ultra-rapid computed tomography and the nuclear magnetic resonance 8,12-14 .…”