Document Detail


Three-dimensional echocardiography: historical development and current applications.
MedLine Citation:
PMID:  11337688     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Three-dimensional (3D) echocardiography facilitates spatial recognition of intracardiac structures, potentially enhancing diagnostic confidence of conventional echocardiography. The accuracy of 3D images has been validated in vitro and in vivo. In vitro, a detail 1.0 mm in dimension and 2 details separated by 1.0 mm can be identified from a volume-rendered 3D image. In vitro 3D volume measurements are underestimated by approximately 4.0 mL. In vivo, left ventricular volume measurements correlate highly with both cineventriculography (limits of agreement +/-18 mL for end diastole and +/-10 mL for end systole) and magnetic resonance imaging, including measurements for patients with functionally single ventricles. Studies on congenital heart lesions have shown good accuracy and good reproducibility of dynamic "surgical" reconstructions of septal defects, aortoseptal continuity, atrioventricular junction, and both left and right ventricular outflow tract morphology. Transthoracic 3D echocardiography was shown feasible in 81% to 96% of patients with congenital heart defects and provided additional information to that available from conventional echocardiography in 36% of patients, mainly in more detailed description of mitral valve morphology, aortoseptal continuity, and atrial septum. In patients with mitral valve insufficiency, 3D echocardiography was shown to be accurate in the quantification of the dynamic mechanism of mitral regurgitation and in the assessment of mitral commissures in patients with mitral stenosis. This includes not only valve tissue reconstruction but also color flow intracardiac jets. Three-dimensional reconstructions of the aortic valve were achieved in 77% of patients, with an accuracy of 90%. In conclusion, the role of 3D echocardiography, which continues to evolve, shows promise in the assessment of congenital and acquired heart disease.
Authors:
A Lange; P Palka; D J Burstow; M J Godman
Related Documents :
9673948 - Transmural myocardial infarction caused by thromboembolism associated with mitral insuf...
8502338 - Predictive value of mitral and aortic valve sclerosis for survival in end-stage renal d...
21235918 - The plakoglobin knock-out mouse: a paradigm for the molecular analysis of cardiac cell ...
16245498 - The role of chordae tendineae in mitral valve competence.
12643388 - Ten-year echocardiographic and clinical follow-up of aortic carpentier-edwards pericard...
9396448 - Analysis of the degree of qrs fusion necessary for its visual detection: importance for...
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  14     ISSN:  0894-7317     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:  2001 May 
Date Detail:
Created Date:  2001-05-04     Completed Date:  2001-08-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  403-12     Citation Subset:  IM    
Affiliation:
Department of Cardiology, The Prince Charles Hospital, Chermside, Brisbane, Australia. AlekLange@hotmail.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Cardiac Volume
Echocardiography, Three-Dimensional*
Heart / physiology
Heart Defects, Congenital / ultrasonography
Heart Diseases / ultrasonography
Humans

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Transesophageal echocardiographic abnormalities in a case of cardiac sarcoidosis.
Next Document:  Health maintenance in a primary care clinic for urban, indigent adults.