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Current Status of 3-Dimensional Speckle Tracking Echocardiography: A Review from Our Experiences

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초록

Cardiac function analysis is the main focus of echocardiography. Left ventricular ejection fraction (LVEF) has been the clinicalstandard, however, LVEF is not enough to investigate myocardial function. For the last decade, speckle tracking echocardiography(STE) has been the novel clinical tool for regional and global myocardial function analysis. However, 2-dimensional imagingmethods have limitations in assessing 3-dimensional (3D) cardiac motion. In contrast, 3D echocardiography also has beenwidely used, in particular, to measure LV volume measurements and assess valvular diseases. Joining the technology bandwagon,3D-STE was introduced in 2008. Experimental studies and clinical investigations revealed the reliability and feasibility of3D-STE-derived data. In addition, 3D-STE provides a novel deformation parameter, area change ratio, which have the potentialfor more accurate assessment of overall and regional myocardial function. In this review, we introduced the features of the methodology,validation, and clinical application of 3D-STE based on our experiences for 7 years.

Abstract

Cardiac function analysis is the main focus of echocardiography. Left ventricular ejection fraction (LVEF) has been the clinicalstandard, however, LVEF is not enough to investigate myocardial function. For the last decade, speckle tracking echocardiography(STE) has been the novel clinical tool for regional and global myocardial function analysis. However, 2-dimensional imagingmethods have limitations in assessing 3-dimensional (3D) cardiac motion. In contrast, 3D echocardiography also has beenwidely used, in particular, to measure LV volume measurements and assess valvular diseases. Joining the technology bandwagon,3D-STE was introduced in 2008. Experimental studies and clinical investigations revealed the reliability and feasibility of3D-STE-derived data. In addition, 3D-STE provides a novel deformation parameter, area change ratio, which have the potentialfor more accurate assessment of overall and regional myocardial function. In this review, we introduced the features of the methodology,validation, and clinical application of 3D-STE based on our experiences for 7 years.

참고문헌 (37)

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