Real time three-dimensional stress echocardiography advantages and limitations

Ghassan H. Abusaid, Masood Ahmad

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

The role of two-dimensional stress echocardiography (2D-SE) is well established for diagnosis and prognosis of patients with known or suspected coronary artery disease. 2D-SE has its limitations as multiple views of the left ventricle (LV) must be obtained within 90 seconds of peak stress from more than window to completely visualize all LV segments. 2D-SE is operator-dependent and requires advanced skills to match the same myocardial segments during stress. LV foreshortening is a frequently encountered problem in 2D-SE that may result in false negative studies. Real time three-dimensional SE (RT-3D-SE) can overcome many limitations of 2D-SE. In 3D-SE, overall wall motion of the entire LV is assessed simultaneously in different planes. 3D images can be displayed in multiplane or multislice views for ease of comparison with greater accuracy and interobserver agreement when compared to 2D. 3D-SE is quantitative, provides rapid image acquisition, requires lower level of operator skills, and avoids LV foreshortening by correct alignment of imaging planes. 3D-SE is easily applied during pharmacologic stress and is feasible during exercise-induced stress. Despite these advantages, 3D has lower temporal and spatial resolution than 2D and requires longer analysis time. With advances in transducer technology, smaller matrix footprints, and automated softwares, 3D full LV volume image acquisition can be obtained with a single beat that is less prone to artifacts. We will discuss the current application of RT-3D-SE, highlight the pros and cons of 3D-SE over conventional 2D-SE, and review major studies on 3D-SE and future implications. (Echocardiography 2012;29:200-206)

Original languageEnglish (US)
Pages (from-to)200-206
Number of pages7
JournalEchocardiography
Volume29
Issue number2
DOIs
StatePublished - Feb 2012

Fingerprint

Three-Dimensional Echocardiography
Stress Echocardiography
Heart Ventricles
Echocardiography
Transducers
Artifacts
Coronary Artery Disease
Software
Exercise
Technology

Keywords

  • contrast echocardiography
  • coronary artery disease
  • live three-dimensional transthoracic echocardiography
  • myocardial ischemia
  • stress echocardiography
  • three-dimensional transthoracic echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Real time three-dimensional stress echocardiography advantages and limitations. / Abusaid, Ghassan H.; Ahmad, Masood.

In: Echocardiography, Vol. 29, No. 2, 02.2012, p. 200-206.

Research output: Contribution to journalArticle

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