Volume 29, Issue 8 pp. 997-1010

Three-Dimensional Speckle-Tracking Echocardiography: Methodological Aspects and Clinical Potential

Jose A. Urbano-Moral M.D.

Jose A. Urbano-Moral M.D.

Cardiovascular Imaging and Hemodynamic Laboratory, Tufts Medical Center, Boston, Massachusetts

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Ayan R. Patel M.D.

Ayan R. Patel M.D.

Cardiovascular Imaging and Hemodynamic Laboratory, Tufts Medical Center, Boston, Massachusetts

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Martin S. Maron M.D.

Martin S. Maron M.D.

Cardiovascular Imaging and Hemodynamic Laboratory, Tufts Medical Center, Boston, Massachusetts

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Jose A. Arias-Godinez M.D.

Jose A. Arias-Godinez M.D.

Cardiovascular Imaging and Hemodynamic Laboratory, Tufts Medical Center, Boston, Massachusetts

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Natesa G. Pandian M.D.

Natesa G. Pandian M.D.

Cardiovascular Imaging and Hemodynamic Laboratory, Tufts Medical Center, Boston, Massachusetts

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First published: 12 July 2012
Citations: 102
Natesa G. Pandian, M.D., Cardiovascular Imaging and Hemodynamic Laboratory, Tufts Medical Center, 800 Washington Street, #32, Boston, MA 02111. Fax: 617 636 8070; E-mail: [email protected]

Disclosures and/or Conflict of Interest: The Cardiovascular Imaging and Hemodynamic Laboratory at Tufts Medical Center has received equipment grants from Toshiba Medical Systems (Tustin, California) and TomTec Imaging Systems (Chicago, Illinois).

Jose A. Urbano-Moral has received a research grant from Fundacion Alfonso Martin Escudero (Madrid, Spain).

Abstract

Speckle-tracking echocardiography (STE) is an advanced echocardiographic technique that allows a novel approach to the assessment of cardiac physiology through the study of myocardial mechanics. In its three-dimensional (3D) modality, it overcomes the drawbacks inherent to other echocardiographic techniques, namely two-dimensional echocardiography and tissue Doppler imaging. Several research studies and software improvements have led 3D-STE to become a promising tool for accurate evaluation of global and regional cardiac function. This article addresses the image acquisition, analytical methods, and parameters of myocardial mechanics that could be derived from 3D-STE. This systematic guidance may help to establish its usefulness in the global and regional evaluation of cardiac function, and to facilitate its clinical application.

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