EAE/ASE Recommendations for Image Acquisition and Display Using Three-Dimensional Echocardiography

EAE/ASE Recommendations for Image Acquisition and Display Using Three-Dimensional Echocardiography
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DOI:
10.1016/j.echo.2011.11.010
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发表时间:
2012-01-01
影响因子:
6.5
通讯作者:
Zoghbi, William A.
Zoghbi, William A.
中科院分区:
医学2区
文献类型:
--
作者:
Lang, Roberto M.;Badano, Luigi P.;Zoghbi, William A.

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三维 (3D) 超声心动图 (3DE) 成像代表了心血管超声领域的一项重大创新。计算机和传感器技术的进步允许从任何空间角度实时 3DE 采集和呈现心脏结构。 3D 超声心动图的实用性已在以下方面得到证明:(1) 评估心室体积和质量,避免几何假设;(2) 评估局部左心室 (LV) 室壁运动和量化收缩期不同步;(3) 呈现心脏瓣膜的真实视图;(4) 使用 3DE 颜色对反流病变和分流进行体积评估 多普勒成像; (5) 3DE 应力成像。然而,要将 3D 超声心动图应用于常规临床实践,需要充分了解其技术原理以及系统的图像采集和分析方法。本文档的主要目标是提供有关如何使用 3D 超声心动图采集、分析和显示各种心脏结构的实用指南,以及该技术的局限性。此外,本文件还描述了 3D 超声心动图当前和潜在的临床应用及其优点和缺点。
Three-dimensional (3D) echocardiographic (3DE) imaging represents a major innovation in cardiovascular ultrasound. Advancements in computer and transducer technologies permit real-time 3DE acquisition and presentation of cardiac structures from any spatial point of view. The usefulness of 3D echocardiography has been demonstrated in (1) the evaluation of cardiac chamber volumes and mass, which avoids geometric assumptions;(2) the assessment of regional left ventricular (LV) wall motion and quantification of systolic dyssynchrony;(3) presentation of realistic views of heart valves;(4) volumetric evaluation of regurgitant lesions and shunts with 3DE color Doppler imaging; and (5) 3DE stress imaging. However, for 3D echocardiography to be implemented in routine clinical practice, a full understanding of its technical principles and a systematic approach to image acquisition and analysis are required. The main goal of this document is to provide a practical guide on how to acquire, analyze, and display the various cardiac structures using 3D echocardiography, as well as limitations of the technique. In addition, this document describes the current and potential clinical applications of 3D echocardiography along with their strengths and weaknesses.