Technology | April 07, 2014

Study presented at ACC 2014 Scientific Sessions demonstrates free wall strain imaging as an improved index when compared to TAPSE and S’ for evaluation of RV function

Epsilon Imaging EchoInsight Cardio Oncology Echo Cardiac Ultrasound

April 7, 2014 — Epsilon Imaging Inc. has expanded its EchoInsight automated measurement suite for improved analysis and interpretation in echo. Based on the ASE guidelines, this expanded feature suite includes automated linear, area and volumetric measurements designed to save time and improve standardization in echo analysis. Developed specifically for the clinical environment, EchoInsight is vendor-neutral and now includes an automated measurement suite, practical application-specific strain imaging, and rapid study comparison and trending for comprehensive assessment and patient monitoring in echo.

At ACC 2014, Roberto Lang, et al., from the University of Chicago Medicine, presented “Right Ventricular (RV) Free Wall Strain — A Better Index of Right Ventricular Performance than TAPSE and Doppler Tissue Velocity?” The study analyzed 158 patients who had both cardiac magnetic resonance imaging (MRI) and a 2-D echo within 1.5±3 days. RV ejection fraction was measured using cardiac MRI  — the gold standard. Tricuspid annular peak systolic excursion (TAPSE), tricuspid lateral annular systolic velocity (S’), and free wall longitudinal strain were measured with echo. EchoInsight was used in this study for strain analysis. The study demonstrated strain has a higher correlation to the gold standard (MRI EF) over TAPSE and S’, suggesting strain to be an improved index for assessing RV function with echo.

“EchoInsight offers quick and reliable visualization and analysis with practical strain imaging for function assessment and comparison over time,” said Roberto Lang, M.D., University of Chicago Medicine. “Our study demonstrates the utility of strain imaging when assessing RV function in 2-D imaging. EchoInsight brings robust and intuitive tissue motion analysis along with automated measurements to clinical practice. This added quantitative data in a practical solution can assist clinicians by improving confidence in interpretation when conducting 2-D echocardiography.”

By assisting clinicians to quickly and easily integrate strain imaging into the clinical environment, EchoInsight enables improved analysis and interpretation of studies. EchoInsight provides intuitive features and clinically-specific applications with straightforward information to improve confidence in echo assessment. The platform offers customized integration to healthcare IT as a digital imaging and communications in medicine (DICOM) compliant platform, along with premier customer support.

Standard features include automated processing, rapid review and study comparison, efficient endocardial border tracing, intuitive visualization and analysis, click-of-a-button wall motion assessment, automated measurement suite based on guidelines and concise, visual-based reporting with picture archive and communication system (PACS) archival ability.

Clinical applications include:

  • EchoInsight for Stress Echo with rapid rest-stress study comparison, and global and regional wall and chamber function analysis based on strain and ejection fraction (EF).
  • EchoInsight for Cardio Oncology with rapid serial study comparison, and global and regional longitudinal strain and EF trending with percent change from baseline.
  • EchoInsight for RV with rapid serial comparison, global and regional longitudinal strain and fractional area change (FAC) analysis and trending, and tricuspid annular plane systolic excursion (TAPSE) and S’ measurements.

For more information: epsilon-imaging.com


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