News | December 27, 2011

ASE Recommendations Help Move 3-D Echo Into Routine Clinical Practice

December 27, 2011 — The January 2012 issue of the Journal of the American Society of Echocardiography (JASE) will feature a new resource for guidance on three-dimensional echocardiography (3-DE). The document, titled The EAE/ASE Recommendations for Image Acquisition and Display Using Three-Dimensional Echocardiography, provides a practical guide on how to acquire analyze and display the various cardiac structures using 3-DE.

The paper also discusses limitations of the technique, as well as current and potential clinical applications of 3-DE and its strengths and weaknesses in those scenarios.

This technique is gaining appreciation in the medical field, as it can be of benefit to patients with valvular heart disease and to more accurately quantify chamber dimension and function. A full understanding of the technical principles of 3-DE, and a systematic approach to image acquisition, display and analysis, is essential to support its integration into routine clinical practice.  

The usefulness of 3-DE has been demonstrated in: (a) the evaluation of cardiac chamber volumes and mass, which avoids geometric assumptions;(b) the assessment of regional left ventricular wall motion and quantification of systolic dyssynchrony; (c) presentation of realistic views of heart valves; (d) volumetric evaluation of regurgitant lesions and shunts with 3-DE color Doppler imaging; and (e) 3-DE stress imaging.

ASE Past President Roberto M. Lang, M.D., FASE, professor of medicine and radiology and director of the cardiac imaging center at the University of Chicago Medical Center, lead author of the document, explains: “While 3-D TTE currently complements routine 2-D in daily clinical practice by providing additional volumetric information, its full complementary potential has not yet been exploited. ASE has provided a practical technical operation document for 3-D TTE and TEE with current standard echocardiography systems and on-cart software.” He adds, “While the details will become obsolete with future systems, those who have started with clinical 3-DE and developed a full understanding of basic terminology should be able to easily follow future evolution of the technique.”

It is important that 3-D images be displayed in uniform manner to facilitate interpretation and comparisons between studies. Lang notes, “In near future, the ability to acquire a single-heartbeat full-volume data set with higher temporal and spatial resolution, and live 3-D color Doppler imaging with a larger angle, should be feasible. All of these will continue to enhance 3-D utility and efficiency in daily clinical practice.”

The January 2012 issue of JASE also includes a number of articles that explore novel applications of 3-DE and further illustrate its clinical relevance. JASE Editor-in-Chief Alan S. Pearlman, M.D., FASE, professor of medicine and director of the echocardiography laboratory at the University of Washington Medical Center, notes: I believe that real-time volumetric imaging using 3-D echocardiography now provides a practical way to measure ventricular volumes and ejection fraction without making any assumptions about chamber geometry, and suspect that one day this imaging method will surpass current 2-D echo imaging, just as 25 years ago 2-D imaging supplanted M-mode echocardiography. Moreover, it is increasingly clear that 3-D echo provides unique views in patients with valvular and congenital heart disorders, and I believe that the clinical use of this technique is likely to grow rapidly.”  

ASE will provide additional education related to this guideline at its annual scientific session in National Harbor, Md., June 29-July 3.  Sessions include 3-D: What Does it Add on June 30, and The Added Value of 3-D Echocardiography: An ASE/EAE Consensus on July 1.

For more information:

Related Content

News | Ultrasound Imaging | November 17, 2017
CIRS Inc. recently announced the acquisition of ATS Laboratories in Bridgeport, Conn. This merger brings together both...
Verathon Introduces BladderScan Prime Plus Portable 3-D Ultrasound
Technology | Ultrasound Imaging | November 16, 2017
Verathon Inc. announced the launch of its new portable 3-D ultrasound instrument, BladderScan Prime Plus. Powered by...
Philips Azurion Image-Guided Therapy Platform Improves Clinical Workflow for Interventional Procedures
News | Angiography | November 15, 2017
Philips announced the results of a comprehensive, independent, two-year study demonstrating the clinical workflow...
Study Unveils Brain Changes During Extended Space Missions
News | Neuro Imaging | November 14, 2017
November 14, 2017 — More people today are poised to explore space than ever before; those who do will experience the
Synthetic CT Images Suitable for Prostate Cancer Radiotherapy Planning
News | Treatment Planning | November 14, 2017
Spectronic Medical announced that new data for their MRIPlanner software, generating synthetic computed tomography (sCT...
Siemens Healthineers Introduces Share360 Tailored Service Portfolio
News | Imaging | November 10, 2017
November 10, 2017 — To address the specific needs of...
Konica Minolta Demonstrates Ultrasound Rheumatology Reporting Package at ACR/ARHP Annual Meeting
News | Orthopedic Imaging | November 08, 2017
Konica Minolta Healthcare Americas Inc. presented its ultrasound systems and wireless digital radiology (DR) imaging...
Fujifilm Highlights Women's Health and Pediatrics at RSNA 2017
News | Information Technology | November 08, 2017
November 8, 2017 — Fujifilm Healthcare will showcase a variety of imaging and information technology solutions at the
Study Suggests Breast Cancer Patients Forego Post-Surgery Treatment Due to Mistrust
News | Radiation Therapy | November 06, 2017
November 6, 2017 — Nearly one-third of women with...
Blood Test Rules Out Breast Cancer Regardless of Density
News | Oncology Diagnostics | November 03, 2017
November 3, 2017 — A new study published in ...
Overlay Init