Role and application of three-dimensional transthoracic echocardiography in the assessment of left and right ventricular volumes and ejection fraction: a UK nationwide survey
Abstract Three-dimensional echocardiography (3DE) imaging has permitted advancements in the quantification of left ventricular (LV) and right ventricular (RV) volumes and ejection fraction. We evaluated the availability of 3DE equipment / analysis software, the integration of 3DE assessment of the L...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | Echo Research and Practice |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s44156-024-00044-1 |
| _version_ | 1797219769678561280 |
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| author | Liam Corbett Patrick O’Driscoll Maria Paton David Oxborough Elena Surkova |
| author_facet | Liam Corbett Patrick O’Driscoll Maria Paton David Oxborough Elena Surkova |
| author_sort | Liam Corbett |
| collection | DOAJ |
| description | Abstract Three-dimensional echocardiography (3DE) imaging has permitted advancements in the quantification of left ventricular (LV) and right ventricular (RV) volumes and ejection fraction. We evaluated the availability of 3DE equipment / analysis software, the integration of 3DE assessment of the LV and RV in routine clinical practice, current training provisions in 3DE, and aimed to ascertain barriers preventing the routine use of 3DE for volumetric analysis. Through the British Society of Echocardiography (BSE) regional representatives’ network, echocardiographers were invited to participate in an open online survey. A total of 181 participants from echocardiography departments in the United Kingdom (UK), the majority from tertiary centres (61%), completed the 28-question survey. For 3DE quantification, 3DE-LV was adopted more frequently than 3DE-RV (48% vs 11%, respectively). Imaging feasibility was a recognised factor in 3DE RV and LV adoption. Many respondents had access to 3D probes (93%). The largest observed barriers to 3DE routine use were training deficiencies, with 83% reporting they would benefit from additional training opportunities and the duration of time permitted for the scan, with 68% of responders reporting allowances of less than the BSE standard of 45–60 min per patient (8% < 30-min). Furthermore, of those respondents who had undertaken professional accreditation, competence in 3DE was not formally assessed in 89%. This UK survey also reported good accessibility to magnetic resonance imaging (72%), which was related to overall 3DE adoption. In summary, although 3DE is now readily available, it remains underutilised. Further training opportunities, integrated formal assessment, improved adoption of BSE minimum recommended scanning times, alongside industry and societal support, may increase 3DE utilisation in routine practice. |
| first_indexed | 2024-04-24T12:38:55Z |
| format | Article |
| id | doaj.art-f19e6baa9ac4473d9ebd2332c37abffd |
| institution | Directory Open Access Journal |
| issn | 2055-0464 |
| language | English |
| last_indexed | 2024-04-24T12:38:55Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Echo Research and Practice |
| spelling | doaj.art-f19e6baa9ac4473d9ebd2332c37abffd2024-04-07T11:22:31ZengBMCEcho Research and Practice2055-04642024-04-0111111010.1186/s44156-024-00044-1Role and application of three-dimensional transthoracic echocardiography in the assessment of left and right ventricular volumes and ejection fraction: a UK nationwide surveyLiam Corbett0Patrick O’Driscoll1Maria Paton2David Oxborough3Elena Surkova4Liverpool Heart and Chest Hospital NHS Foundation TrustLiverpool Heart and Chest Hospital NHS Foundation TrustUniversity of LeedsResearch Institute of Sports and Exercise Science and Liverpool Centre for Cardiovascular ScienceRoyal Brompton and Harefield Hospitals, Guy’s and St. Thomas’ NHS Foundation TrustAbstract Three-dimensional echocardiography (3DE) imaging has permitted advancements in the quantification of left ventricular (LV) and right ventricular (RV) volumes and ejection fraction. We evaluated the availability of 3DE equipment / analysis software, the integration of 3DE assessment of the LV and RV in routine clinical practice, current training provisions in 3DE, and aimed to ascertain barriers preventing the routine use of 3DE for volumetric analysis. Through the British Society of Echocardiography (BSE) regional representatives’ network, echocardiographers were invited to participate in an open online survey. A total of 181 participants from echocardiography departments in the United Kingdom (UK), the majority from tertiary centres (61%), completed the 28-question survey. For 3DE quantification, 3DE-LV was adopted more frequently than 3DE-RV (48% vs 11%, respectively). Imaging feasibility was a recognised factor in 3DE RV and LV adoption. Many respondents had access to 3D probes (93%). The largest observed barriers to 3DE routine use were training deficiencies, with 83% reporting they would benefit from additional training opportunities and the duration of time permitted for the scan, with 68% of responders reporting allowances of less than the BSE standard of 45–60 min per patient (8% < 30-min). Furthermore, of those respondents who had undertaken professional accreditation, competence in 3DE was not formally assessed in 89%. This UK survey also reported good accessibility to magnetic resonance imaging (72%), which was related to overall 3DE adoption. In summary, although 3DE is now readily available, it remains underutilised. Further training opportunities, integrated formal assessment, improved adoption of BSE minimum recommended scanning times, alongside industry and societal support, may increase 3DE utilisation in routine practice.https://doi.org/10.1186/s44156-024-00044-13D echocardiographyEjection fractionLeft ventricleRight ventricleSurveyChamber quantification |
| spellingShingle | Liam Corbett Patrick O’Driscoll Maria Paton David Oxborough Elena Surkova Role and application of three-dimensional transthoracic echocardiography in the assessment of left and right ventricular volumes and ejection fraction: a UK nationwide survey Echo Research and Practice 3D echocardiography Ejection fraction Left ventricle Right ventricle Survey Chamber quantification |
| title | Role and application of three-dimensional transthoracic echocardiography in the assessment of left and right ventricular volumes and ejection fraction: a UK nationwide survey |
| title_full | Role and application of three-dimensional transthoracic echocardiography in the assessment of left and right ventricular volumes and ejection fraction: a UK nationwide survey |
| title_fullStr | Role and application of three-dimensional transthoracic echocardiography in the assessment of left and right ventricular volumes and ejection fraction: a UK nationwide survey |
| title_full_unstemmed | Role and application of three-dimensional transthoracic echocardiography in the assessment of left and right ventricular volumes and ejection fraction: a UK nationwide survey |
| title_short | Role and application of three-dimensional transthoracic echocardiography in the assessment of left and right ventricular volumes and ejection fraction: a UK nationwide survey |
| title_sort | role and application of three dimensional transthoracic echocardiography in the assessment of left and right ventricular volumes and ejection fraction a uk nationwide survey |
| topic | 3D echocardiography Ejection fraction Left ventricle Right ventricle Survey Chamber quantification |
| url | https://doi.org/10.1186/s44156-024-00044-1 |
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