THREE-DIMENSIONAL ECHOCARDIOGRAPHY
Three-Dimensional Echocardiography
The Benefits of the Additional Dimension
Roberto M. Lang, MD*,*,
Victor Mor-Avi, PhD*,
Lissa Sugeng, MD*,
Petra S. Nieman, MD and
David J. Sahn, MD
* Cardiac Imaging Center, Departments of Medicine and Radiology, University of Chicago, Chicago, Illinois
Cardiac Fluid Dynamics and Imaging Laboratory, Oregon Health and Science University, Portland, Oregon
Manuscript received May 10, 2006;
revised manuscript received July 6, 2006,
accepted July 10, 2006.
* Reprint requests and correspondence: Dr. Roberto M. Lang, University of Chicago MC5084, 5841 South Maryland Avenue, Chicago, Illinois 60637 (Email: rlang{at}medicine.bsd.uchicago.edu).
Over the past 3 decades, echocardiography has become a major diagnostic tool in the arsenal of clinical cardiology for real-time imaging of cardiac dynamics. More and more, cardiologists' decisions are based on images created from ultrasound wave reflections. From the time ultrasound imaging technology provided the first insight into the human heart, our diagnostic capabilities have increased exponentially as a result of our growing knowledge and developing technology. One of the most significant developments of the last decades was the introduction of 3-dimensional (3D) imaging and its evolution from slow and labor-intense off-line reconstruction to real-time volumetric imaging. While continuing its meteoric rise instigated by constant technological refinements and continuing increase in computing power, this tool is guaranteed to be integrated in routine clinical practice. The major proven advantage of this technique is the improvement in the accuracy of the echocardiographic evaluation of cardiac chamber volumes, which is achieved by eliminating the need for geometric modeling and the errors caused by foreshortened views. Another benefit of 3D imaging is the realistic and unique comprehensive views of cardiac valves and congenital abnormalities. In addition, 3D imaging is extremely useful in the intraoperative and postoperative settings because it allows immediate feedback on the effectiveness of surgical interventions. In this article, we review the published reports that have provided the scientific basis for the clinical use of 3D ultrasound imaging of the heart and discuss its potential future applications.
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Abbreviations and Acronyms
| | 2D = 2-dimensional | | 3D = 3-dimensional | | EF = ejection fraction | | LV = left ventricle/ventricular | | MRI = magnetic resonance imaging | | TEE = transesophageal echocardiography |
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58(19):
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|
|
|
|
|
|
|
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|
|
|
|
|
|
|
J. Walker, N. Bhullar, N. Fallah-Rad, M. Lytwyn, M. Golian, T. Fang, A. R. Summers, P. K. Singal, I. Barac, I. D. Kirkpatrick, et al.
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28(21):
3429 - 3436.
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|
|
|
|
|
|
|
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Circ Cardiovasc Imaging,
July 1, 2010;
3(4):
415 - 423.
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[Full Text]
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|
|
|
|
|
|
|
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Eur Heart J Cardiovasc Imaging,
May 1, 2010;
11(4):
E17 - E17.
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[Full Text]
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|
|
|
|
|
|
|
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11(2):
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[Full Text]
[PDF]
|
|
|
|
|
|
|
K. T. Laser, M. Bunge, P. Hauffe, J. R. P. Argueta, A. Kelter-Klopping, P. Barth, S. Sarikouch, W. Burchert, D. Kececioglu, and H. Korperich
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Eur Heart J Cardiovasc Imaging,
March 1, 2010;
11(2):
138 - 148.
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|
|
|
|
|
|
|
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February 1, 2010;
224(2):
255 - 271.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. Bhattacharyya, C. Toumpanakis, M. Burke, A. M. Taylor, M. E. Caplin, and J. Davar
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Circ Cardiovasc Imaging,
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3(1):
103 - 111.
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[Full Text]
[PDF]
|
|
|
|
|
|
|
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Quantification of left ventricular volumes using three-dimensional echocardiographic speckle tracking: comparison with MRI
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July 1, 2009;
30(13):
1565 - 1573.
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[Full Text]
[PDF]
|
|
|
|
|
|
|
T. H. Marwick
The future of echocardiography
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July 1, 2009;
10(5):
594 - 601.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
F. Veronesi, E. G. Caiani, E. Toledo, C. Corsi, K. A. Collins, G. Lammertin, C. Lamberti, R. M. Lang, and V. Mor-Avi
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Eur Heart J Cardiovasc Imaging,
June 1, 2009;
10(4):
485 - 490.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. P. Badano, E. Agricola, L. P. de Isla, P. Gianfagna, and J. L. Zamorano
Evaluation of the tricuspid valve morphology and function by transthoracic real-time three-dimensional echocardiography
Eur Heart J Cardiovasc Imaging,
June 1, 2009;
10(4):
477 - 484.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
V. Mor-Avi, L. Sugeng, and R. M. Lang
Real-Time 3-Dimensional Echocardiography: An Integral Component of the Routine Echocardiographic Examination in Adult Patients?
Circulation,
January 20, 2009;
119(2):
314 - 329.
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. M. Lang, V. Mor-Avi, J. M. Dent, and C. M. Kramer
Three-dimensional echocardiography: is it ready for everyday clinical use?
J. Am. Coll. Cardiol. Img.,
January 1, 2009;
2(1):
114 - 117.
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. Nishikage, H. Nakai, V. Mor-Avi, R. M. Lang, I. S. Salgo, S. H. Settlemier, S. Husson, and M. Takeuchi
Quantitative assessment of left ventricular volume and ejection fraction using two-dimensional speckle tracking echocardiography
Eur Heart J Cardiovasc Imaging,
January 1, 2009;
10(1):
82 - 88.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. Bharucha, K. S. Roman, R. H. Anderson, and J. J. Vettukattil
Impact of Multiplanar Review of Three-Dimensional Echocardiographic Data on Management of Congenital Heart Disease
Ann. Thorac. Surg.,
September 1, 2008;
86(3):
875 - 881.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. Sugeng, V. Mor-Avi, and R. M Lang
Three-dimensional echocardiography: coming of age
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September 1, 2008;
94(9):
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[PDF]
|
|
|
|
|
|
|
L. Sugeng, S. K. Shernan, I. S. Salgo, L. Weinert, D. Shook, J. Raman, V. Jeevanandam, F. DuPont, S. Settlemier, B. Savord, et al.
Live 3-Dimensional Transesophageal Echocardiography: Initial Experience Using the Fully-Sampled Matrix Array Probe
J. Am. Coll. Cardiol.,
August 5, 2008;
52(6):
446 - 449.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A-C Pouleur, J-B le Polain de Waroux, A Pasquet, B L Gerber, O Gerard, P Allain, and J-L J Vanoverschelde
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August 1, 2008;
94(8):
1050 - 1057.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. De Castro, F. Faletra, E. Di Angelantonio, C. Conca, A. Marcantonio, M. Francone, D. Cartoni, F. Mirabelli, C. Gaudio, S. Caselli, et al.
Tomographic Left Ventricular Volumetric Emptying Analysis by Real-Time 3-Dimensional Echocardiography: Influence of Left Ventricular Dysfunction With and Without Electrical Dyssynchrony
Circ Cardiovasc Imaging,
July 1, 2008;
1(1):
41 - 49.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. H. Rahimtoola, V. Dilsizian, C. M. Kramer, T. H. Marwick, and J.-L. J. Vanoverschelde
Chronic ischemic left ventricular dysfunction from pathophysiology to imaging and its integration into clinical practice.
J. Am. Coll. Cardiol. Img.,
July 1, 2008;
1(4):
536 - 555.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
N. V. Vasilyev, P. M. Novotny, J. F. Martinez, H. Loyola, I. S. Salgo, R. D. Howe, and P. J. del Nido
Stereoscopic vision display technology in real-time three-dimensional echocardiography-guided intracardiac beating-heart surgery.
J. Thorac. Cardiovasc. Surg.,
June 1, 2008;
135(6):
1334 - 1341.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. Jenkins, M. Monaghan, G. Shirali, R. Guraraja, and T. H. Marwick
An intensive interactive course for 3D echocardiography: is 'crop till you drop' an effective learning strategy?
Eur Heart J Cardiovasc Imaging,
May 1, 2008;
9(3):
373 - 380.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. S. Yang, K. Srivathsan, E. Wissner, and K. Chandrasekaran
Real-Time 3-Dimensional Transesophageal Echocardiography: Novel Utility in Atrial Fibrillation Ablation With a Prosthetic Mitral Valve
Circulation,
April 8, 2008;
117(14):
e304 - e305.
[Full Text]
[PDF]
|
|
|
|
|
|
|
N. V. Vasilyev, I. Melnychenko, K. Kitahori, F. P. Freudenthal, A. Phillips, R. Kozlik-Feldmann, I. S. Salgo, P. J. del Nido, and E. A. Bacha
Beating-heart patch closure of muscular ventricular septal defects under real-time three-dimensional echocardiographic guidance: A preclinical study
J. Thorac. Cardiovasc. Surg.,
March 1, 2008;
135(3):
603 - 609.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. M. Simpson
Real-time three-dimensional echocardiography of congenital heart disease using a high frequency paediatric matrix transducer
Eur Heart J Cardiovasc Imaging,
March 1, 2008;
9(2):
222 - 224.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. N. Kirkpatrick, M. A. Vannan, J. Narula, and R. M. Lang
Echocardiography in Heart Failure: Applications, Utility, and New Horizons
J. Am. Coll. Cardiol.,
July 31, 2007;
50(5):
381 - 396.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
