Real-time three-dimensional speckle tracking echocardiography: technical aspects and clinical applications

Regina Sorrentino, Roberta Esposito, Enrica Pezzullo, Maurizio Galderisi Department of Advanced Biomedical Sciences, Interdepartmental Laboratory of Cardiac Imaging, Federico II University Hospital, Naples, Italy Abstract: Three-dimensional speckle tracking echocardiograph...

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Main Authors: Sorrentino R, Esposito R, Pezzullo E, Galderisi M
Format: Article
Language:English
Published: Dove Medical Press 2016-11-01
Series:Research Reports in Clinical Cardiology
Subjects:
Online Access:https://www.dovepress.com/real-time-three-dimensional-speckle-tracking-echocardiography-technica-peer-reviewed-article-RRCC
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author Sorrentino R
Esposito R
Pezzullo E
Galderisi M
author_facet Sorrentino R
Esposito R
Pezzullo E
Galderisi M
author_sort Sorrentino R
collection DOAJ
description Regina Sorrentino, Roberta Esposito, Enrica Pezzullo, Maurizio Galderisi Department of Advanced Biomedical Sciences, Interdepartmental Laboratory of Cardiac Imaging, Federico II University Hospital, Naples, Italy Abstract: Three-dimensional speckle tracking echocardiography (3D STE) is a novel technique for the quantification of cardiac deformation based on tracking of ultrasonic speckles in gray scale full-volume 3D images. Developments in ultrasound technologies have made 3D speckle tracking widely available. Two-dimensional echocardiography has intrinsic limitations regarding estimation of left ventricular (LV) volumes, ejection fraction, and LV mechanics, due to its inherent foreshortening errors and dependency on geometric models. The development of 3D echocardiography has improved reproducibility and accuracy. Data regarding the feasibility, accuracy, and clinical applications of 3D STE are rapidly assembling. From the tracking results, 3D STE derives several parameters, including longitudinal, circumferential and radial strain, as well as a combined assessment of longitudinal and circumferential strain, termed area strain. 3D STE can also quantify LV rotational movements such as rotation, twist, and torsion. 3D STE provides a better insight on global and regional myocardial deformation. Main applications include detection of subclinical myocardial involvement in heart failure, arterial hypertension, dyssynchrony, and ischemic heart disease. Emerging areas of application include a large spectrum of heart-involving systemic conditions, such as prediction of rejection in heart transplant patients, early detection of cardiotoxicity in patients receiving chemotherapy for cancer, and deeper physiological understanding of LV contraction mechanics in different types of athletes. Aim of this review is to discuss background, technical acquisition and processing aspects as well as recognized and developing clinical applications of this emerging ultrasound technology. Keywords: speckle tracking echocardiography, three-dimensional echocardiography, myocardial deformation, validation, clinical applications
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spelling doaj.art-1154931d1e434b7dbc38082f3d154f252022-12-22T02:30:29ZengDove Medical PressResearch Reports in Clinical Cardiology1179-84752016-11-01Volume 714715830200Real-time three-dimensional speckle tracking echocardiography: technical aspects and clinical applicationsSorrentino REsposito RPezzullo EGalderisi MRegina Sorrentino, Roberta Esposito, Enrica Pezzullo, Maurizio Galderisi Department of Advanced Biomedical Sciences, Interdepartmental Laboratory of Cardiac Imaging, Federico II University Hospital, Naples, Italy Abstract: Three-dimensional speckle tracking echocardiography (3D STE) is a novel technique for the quantification of cardiac deformation based on tracking of ultrasonic speckles in gray scale full-volume 3D images. Developments in ultrasound technologies have made 3D speckle tracking widely available. Two-dimensional echocardiography has intrinsic limitations regarding estimation of left ventricular (LV) volumes, ejection fraction, and LV mechanics, due to its inherent foreshortening errors and dependency on geometric models. The development of 3D echocardiography has improved reproducibility and accuracy. Data regarding the feasibility, accuracy, and clinical applications of 3D STE are rapidly assembling. From the tracking results, 3D STE derives several parameters, including longitudinal, circumferential and radial strain, as well as a combined assessment of longitudinal and circumferential strain, termed area strain. 3D STE can also quantify LV rotational movements such as rotation, twist, and torsion. 3D STE provides a better insight on global and regional myocardial deformation. Main applications include detection of subclinical myocardial involvement in heart failure, arterial hypertension, dyssynchrony, and ischemic heart disease. Emerging areas of application include a large spectrum of heart-involving systemic conditions, such as prediction of rejection in heart transplant patients, early detection of cardiotoxicity in patients receiving chemotherapy for cancer, and deeper physiological understanding of LV contraction mechanics in different types of athletes. Aim of this review is to discuss background, technical acquisition and processing aspects as well as recognized and developing clinical applications of this emerging ultrasound technology. Keywords: speckle tracking echocardiography, three-dimensional echocardiography, myocardial deformation, validation, clinical applicationshttps://www.dovepress.com/real-time-three-dimensional-speckle-tracking-echocardiography-technica-peer-reviewed-article-RRCCSpeckle-tracking echocardiographyThree-dimensional echocardiographyMyocardial deformationValidationClinical applications
spellingShingle Sorrentino R
Esposito R
Pezzullo E
Galderisi M
Real-time three-dimensional speckle tracking echocardiography: technical aspects and clinical applications
Research Reports in Clinical Cardiology
Speckle-tracking echocardiography
Three-dimensional echocardiography
Myocardial deformation
Validation
Clinical applications
title Real-time three-dimensional speckle tracking echocardiography: technical aspects and clinical applications
title_full Real-time three-dimensional speckle tracking echocardiography: technical aspects and clinical applications
title_fullStr Real-time three-dimensional speckle tracking echocardiography: technical aspects and clinical applications
title_full_unstemmed Real-time three-dimensional speckle tracking echocardiography: technical aspects and clinical applications
title_short Real-time three-dimensional speckle tracking echocardiography: technical aspects and clinical applications
title_sort real time three dimensional speckle tracking echocardiography technical aspects and clinical applications
topic Speckle-tracking echocardiography
Three-dimensional echocardiography
Myocardial deformation
Validation
Clinical applications
url https://www.dovepress.com/real-time-three-dimensional-speckle-tracking-echocardiography-technica-peer-reviewed-article-RRCC
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AT espositor realtimethreedimensionalspeckletrackingechocardiographytechnicalaspectsandclinicalapplications
AT pezzulloe realtimethreedimensionalspeckletrackingechocardiographytechnicalaspectsandclinicalapplications
AT galderisim realtimethreedimensionalspeckletrackingechocardiographytechnicalaspectsandclinicalapplications