J Cardiovasc Ultrasound.  2012 Mar;20(1):1-22. 10.4250/jcu.2012.20.1.1.

Current Clinical Applications of Transthoracic Three-Dimensional Echocardiography

Affiliations
  • 1Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy. lpbadano@gmail.com

Abstract

The advent of three-dimensional echocardiography (3DE) has significantly improved the impact of non-invasive imaging on our understanding and management of cardiac diseases in clinical practice. Transthoracic 3DE enables an easier, more accurate and reproducible interpretation of the complex cardiac anatomy, overcoming the intrinsic limitations of conventional echocardiography. The availability of unprecedented views of cardiac structures from any perspective in the beating heart provides valuable clinical information and new levels of confidence in diagnosing heart disease. One major advantage of the third dimension is the improvement in the accuracy and reproducibility of chamber volume measurement by eliminating geometric assumptions and errors caused by foreshortened views. Another benefit of 3DE is the realistic en face views of heart valves, enabling a better appreciation of the severity and mechanisms of valve diseases in a unique, noninvasive manner. The purpose of this review is to provide readers with an update on the current clinical applications of transthoracic 3DE, emphasizing the incremental benefits of 3DE over conventional two-dimensional echocardiography.

Keyword

Three-dimensional echocardiography; Left ventricle; Right ventricle; Mitral valve; Aortic valve; Tricuspid valve; Left atrium

MeSH Terms

Aortic Valve
Echocardiography
Echocardiography, Three-Dimensional
Heart
Heart Atria
Heart Diseases
Heart Valves
Heart Ventricles
Imidazoles
Mitral Valve
Nitro Compounds
Tricuspid Valve
Imidazoles
Nitro Compounds

Figure

  • Fig. 1 Different acquisition modalities available with three-dimensional echocardiography: A: Zoom mode; it can acquired either single-beat (to encompass a specific region or structures like en-face valve display without the need of cropping) or multi-beat to improve spatial and temporal resolution while maintaining the small volume size (e.g. to assess rapidly moving structures like vegetations). B: Real-time acquisition with a limited depth (usually around 30° in elevation) generally used to monitor interventional procedures. C: Multi-beat full-volume (reaching up to 100° in elevation) to encompass a large part of the heart in order to assess spatial relationships between cardiac structures or quantitate size and function of cardiac chambers. D: Three-dimensional color mode to assess shape and extension of regurgitant jets and determine the location and size of cardiac defects.

  • Fig. 2 Schematic representation of two-dimensional (i.e. tomographic; A) and single-beat three-dimensional (i.e. volumetric; B) of the left ventricular short-axis at mitral valve level. Volumetric rendering displays many more details and allow better appreciation of spatial relationship among cardiac structures. C shows the multi-beat acquisition modality: two to six consecutive single-beat sub-volumes are stitched together to obtain a full-volume with higher spatial and temporal resolution.

  • Fig. 3 From the same pyramidal three-dimensional data set, the left ventricle can be analyzed using different display modalities: volume rendering, to visualize morphology and spatial relationships among adjacent structures; surface-rendering, for quantitative purposes; and multi-slice (multiple two-dimensional tomographic views extracted automatically from a single 3D data set) for morphological and functional analysis at different regional levels.

  • Fig. 4 Normal mitral valve visualized en-face by transthoracic three-dimensional echocardiography: A: Left ventricular perspective. B: Left atrial perspective or "surgical view". RV: right ventricle, AML: acute myleogenous leukemia, PML: promyelocytic leukemia, LAA: left atrial appendage, Ao: aorta, RA: right atrium.

  • Fig. 5 Degenerative mitral valve disease: A: Apical long-axis view showing a flail of posterior mitral leaflet. B: Volume rendering of the showing the location and extent of the prolapsing segment. C and D: Surface rendering of the valve leaflets, annulus and aortic annulus to provide an automated quantitative analysis of valve morphology and geometry useful to plan the surgical approach.

  • Fig. 6 Multi-slice display of the left ventricle in a patient with antero-septal myocardial infarction. The three panels on the left show three apical views obtained by rotational slicing of the pyramidal data set. The nine panels on the right show nine short-axis views (from mitral valve level, indicated by the dashed white line on left panels - lower panel on the right, to the apical level, indicated by the dashed yellow line on left panels, upper panel on the left) obtained by parallel slicing of the pyramidal data set. All these views can be changed in both the angle of rotation (longitudinal views) and in the position within the ventricle (short axis views) according to the clinical need during postprocessing.

  • Fig. 7 Left ventricular volume and ejection fraction measurement using three-dimensional full-volume data set. The three longitudinal views (4-, 2-chamber, and long-axis vie and the adjustable short axis view are used to visualize the accuracy of the semiautomated endocardial tracking. On the right a time-volume curve showing the change in left ventricular volume during the cardiac cycle.

  • Fig. 8 The endocardial surface can be subdivided in 16 or 17 color-coded areas corresponding to the left ventricular segmentation. Each segment can be assimilated to a pyramid with the base on the endocardium and the apex at the gravity center of the ventricle. The time to minimal volume of each segment can be measured on the corresponding time-volume curves and the standard deviation of the time to minimal volume of the 16/17 segments has been reported as an index of intraventricular dyssynchrony. A shows synchronous left ventricular contraction (all segments reach the minimal volume approximately at the same time). B shows a dyssynchronous left ventricular contraction showed by the large temporal dispersion of the time to minimal segmental volume.

  • Fig. 9 Left ventricular mass measurement using three-dimensional echocardiography. Using automated or semi-automated endocardial and epicardial boundary detection endocardial and epicardial volumes are measured (A). By subtracting the left ventricular cavity volume from the epicardial volume, the volume of myocardium is obtained (B). Left ventricular mass is calculated by multiplying myocardial volume by its specific gravity (1.05 g/cm3).

  • Fig. 10 Three-dimensional speckle-tracking analysis of left ventricular longitudinal myocardial deformation using two different platforms. Results can be displayed as bull's eye plots (A) and/or time-strain curves (B).

  • Fig. 11 Schematic representation of the position of 3 apical views of left ventricle obtainable with conventional 2D echocardiography. As shown, the 3 longitudinal slices cover only a very limited part of left ventricular circumference and cannot be changed anymore once acquired, if proven unsatisfactory or foreshortened.

  • Fig. 12 A: Surface rendering of the right ventricle obtained by transthoracic three-dimensional echocardiography. B: Time-volume curve showing right volume changes during cardiac cycle. C: Results of the quantitative analysis are shown.

  • Fig. 13 En-face view of a large atrial septal defect from the right atrial perspective obtained by cropping the free wall of the right atrium from a full-volume three-dimensional data-set encompassing the base of the heart. The morphology and size of the defect can be appreciated and quantitated, as well as the extent of peripheral rims and relationships with surrounding cardiac structures. ASD: atrial septal defect, CS: coronary sinus, RA: right atrium, RV: right ventricle.

  • Fig. 14 Bicuspid aortic valve displayed with closed (A) and open (B) leaflets.

  • Fig. 15 Rheumatic mitral stenosis. Volume rendering display from the left ventricular (A) and atrial (B) perspectives. The cut plane shown in A has been optimized to be perpendicular to the direction of the orifice to obtain an accurate orifice area planimetry. The thickened leaflets and fused commissures are well visualized (white arrows). LVOT: left ventricular outflow tract.

  • Fig. 16 A: Three-dimensional color flow acquisition using transesophageal approach showing the origin and the three-dimensional shape of the jet. B: A cut-plane at the level of the jet vena contracta (yellow dashed line) allows to display the actual area and shape of the vena contracta for quantification.

  • Fig. 17 Normal aortic valve in diastole, full-volume acquisition from transthoracic parasternal approach. Volume rendering display from the aortic (A) and left ventricular outflow tract (B) perspectives.

  • Fig. 18 Normal tricuspid valve. Volume rendering display from the right ventricular (A) and atrial (B) perspectives. ATL: anterior tricuspid leaflet, PTL: posterior tricuspid leaflet, STL: septal tricuspid leaflet.

  • Fig. 19 Semi-automated quantification of left atrial volumes (maximal, VMAX; pre A-wave, VpreA; and minimal, VMIN), shape (sphericity indexes at maximal and minimal volumes, VMAX SI and VMIN SI, respectively) and phasic functions (total and active emptying fraction or stroke volumes, Total EF or SV and TrueEF or ASV, respectively) based on three-dimensional echocardiography.


Reference

1. Lang RM, Badano LP, Tsang W, Adams DH, Agricola E, Buck T, Faletra FF, Franke A, Hung J, de Isla LP, Kamp O, Kasprzak JD, Lancellotti P, Marwick TH, McCulloch ML, Monaghan MJ, Nihoyannopoulos P, Pandian NG, Pellikka PA, Pepi M, Roberson DA, Shernan SK, Shirali GS, Sugeng L, Ten Cate FJ, Vannan MA, Zamorano JL, Zoghbi WA. EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography. Eur Heart J Cardiovasc Imaging. 2012. 13:1–46.
Article
2. Muraru D, Badano LP, Piccoli G, Gianfagna P, Del Mestre L, Ermacora D, Proclemer A. Validation of a novel automated border-detection algorithm for rapid and accurate quantitation of left ventricular volumes based on three-dimensional echocardiography. Eur J Echocardiogr. 2010. 11:359–368.
Article
3. Jenkins C, Bricknell K, Chan J, Hanekom L, Marwick TH. Comparison of two- and three-dimensional echocardiography with sequential magnetic resonance imaging for evaluating left ventricular volume and ejection fraction over time in patients with healed myocardial infarction. Am J Cardiol. 2007. 99:300–306.
Article
4. Jenkins C, Bricknell K, Hanekom L, Marwick TH. Reproducibility and accuracy of echocardiographic measurements of left ventricular parameters using real-time three-dimensional echocardiography. J Am Coll Cardiol. 2004. 44:878–886.
Article
5. Kühl HP, Schreckenberg M, Rulands D, Katoh M, Schäfer W, Schummers G, Bücker A, Hanrath P, Franke A. High-resolution transthoracic real-time three-dimensional echocardiography: quantitation of cardiac volumes and function using semi-automatic border detection and comparison with cardiac magnetic resonance imaging. J Am Coll Cardiol. 2004. 43:2083–2090.
Article
6. Caiani EG, Corsi C, Zamorano J, Sugeng L, MacEneaney P, Weinert L, Battani R, Gutiérrez-Chico JL, Koch R, Perez de Isla L, Mor-Avi V, Lang RM. Improved semiautomated quantification of left ventricular volumes and ejection fraction using 3-dimensional echocardiography with a full matrix-array transducer: comparison with magnetic resonance imaging. J Am Soc Echocardiogr. 2005. 18:779–788.
Article
7. Shiota T, McCarthy PM, White RD, Qin JX, Greenberg NL, Flamm SD, Wong J, Thomas JD. Initial clinical experience of real-time three-dimensional echocardiography in patients with ischemic and idiopathic dilated cardiomyopathy. Am J Cardiol. 1999. 84:1068–1073.
Article
8. Zeidan Z, Erbel R, Barkhausen J, Hunold P, Bartel T, Buck T. Analysis of global systolic and diastolic left ventricular performance using volume-time curves by real-time three-dimensional echocardiography. J Am Soc Echocardiogr. 2003. 16:29–37.
Article
9. Chan J, Jenkins C, Khafagi F, Du L, Marwick TH. What is the optimal clinical technique for measurement of left ventricular volume after myocardial infarction? A comparative study of 3-dimensional echocardiography, single photon emission computed tomography, and cardiac magnetic resonance imaging. J Am Soc Echocardiogr. 2006. 19:192–201.
Article
10. Corsi C, Lang RM, Veronesi F, Weinert L, Caiani EG, MacEneaney P, Lamberti C, Mor-Avi V. Volumetric quantification of global and regional left ventricular function from real-time three-dimensional echocardiographic images. Circulation. 2005. 112:1161–1170.
Article
11. Sugeng L, Mor-Avi V, Weinert L, Niel J, Ebner C, Steringer-Mascherbauer R, Schmidt F, Galuschky C, Schummers G, Lang RM, Nesser HJ. Quantitative assessment of left ventricular size and function: side-by-side comparison of real-time three-dimensional echocardiography and computed tomography with magnetic resonance reference. Circulation. 2006. 114:654–661.
Article
12. Nikitin NP, Constantin C, Loh PH, Ghosh J, Lukaschuk EI, Bennett A, Hurren S, Alamgir F, Clark AL, Cleland JG. New generation 3-dimensional echocardiography for left ventricular volumetric and functional measurements: comparison with cardiac magnetic resonance. Eur J Echocardiogr. 2006. 7:365–372.
Article
13. Jacobs LD, Salgo IS, Goonewardena S, Weinert L, Coon P, Bardo D, Gerard O, Allain P, Zamorano JL, de Isla LP, Mor-Avi V, Lang RM. Rapid online quantification of left ventricular volume from real-time three-dimensional echocardiographic data. Eur Heart J. 2006. 27:460–468.
Article
14. Gutiérrez-Chico JL, Zamorano JL, Pérez de Isla L, Orejas M, Almería C, Rodrigo JL, Ferreirós J, Serra V, Macaya C. Comparison of left ventricular volumes and ejection fractions measured by three-dimensional echocardiography versus by two-dimensional echocardiography and cardiac magnetic resonance in patients with various cardiomyopathies. Am J Cardiol. 2005. 95:809–813.
Article
15. van den Bosch AE, Robbers-Visser D, Krenning BJ, Voormolen MM, McGhie JS, Helbing WA, Roos-Hesselink JW, Simoons ML, Meijboom FJ. Real-time transthoracic three-dimensional echocardiographic assessment of left ventricular volume and ejection fraction in congenital heart disease. J Am Soc Echocardiogr. 2006. 19:1–6.
Article
16. Pouleur AC, le Polain de Waroux JB, Pasquet A, Gerber BL, Gérard O, Allain P, Vanoverschelde JL. Assessment of left ventricular mass and volumes by three-dimensional echocardiography in patients with or without wall motion abnormalities: comparison against cine magnetic resonance imaging. Heart. 2008. 94:1050–1057.
Article
17. Qi X, Cogar B, Hsiung MC, Nanda NC, Miller AP, Yelamanchili P, Baysan O, Wu YS, Lan GY, Ko JS, Cheng CH, Lin CC, Huang CM, Yin WH, Young MS. Live/real time three-dimensional transthoracic echocardiographic assessment of left ventricular volumes, ejection fraction, and mass compared with magnetic resonance imaging. Echocardiography. 2007. 24:166–173.
Article
18. Bicudo LS, Tsutsui JM, Shiozaki A, Rochitte CE, Arteaga E, Mady C, Ramires JA, Mathias W Jr. Value of real time three-dimensional echocardiography in patients with hypertrophic cardiomyopathy: comparison with two-dimensional echocardiography and magnetic resonance imaging. Echocardiography. 2008. 25:717–726.
Article
19. Shimada YJ, Shiota T. A meta-analysis and investigation for the source of bias of left ventricular volumes and function by three-dimensional echocardiography in comparison with magnetic resonance imaging. Am J Cardiol. 2011. 107:126–138.
Article
20. Mor-Avi V, Jenkins C, Kühl HP, Nesser HJ, Marwick T, Franke A, Ebner C, Freed BH, Steringer-Mascherbauer R, Pollard H, Weinert L, Niel J, Sugeng L, Lang RM. Real-time 3-dimensional echocardiographic quantification of left ventricular volumes: multicenter study for validation with magnetic resonance imaging and investigation of sources of error. JACC Cardiovasc Imaging. 2008. 1:413–423.
Article
21. Tighe DA, Rosetti M, Vinch CS, Chandok D, Muldoon D, Wiggin B, Dahlberg ST, Aurigemma GP. Influence of image quality on the accuracy of real time three-dimensional echocardiography to measure left ventricular volumes in unselected patients: a comparison with gated-SPECT imaging. Echocardiography. 2007. 24:1073–1080.
Article
22. Krenning BJ, Kirschbaum SW, Soliman OI, Nemes A, van Geuns RJ, Vletter WB, Veltman CE, Ten Cate FJ, Roelandt JR, Geleijnse ML. Comparison of contrast agent-enhanced versus non-contrast agent-enhanced real-time three-dimensional echocardiography for analysis of left ventricular systolic function. Am J Cardiol. 2007. 100:1485–1489.
Article
23. Jenkins C, Moir S, Chan J, Rakhit D, Haluska B, Marwick TH. Left ventricular volume measurement with echocardiography: a comparison of left ventricular opacification, three-dimensional echocardiography, or both with magnetic resonance imaging. Eur Heart J. 2009. 30:98–106.
Article
24. Mannaerts HF, van der Heide JA, Kamp O, Stoel MG, Twisk J, Visser CA. Early identification of left ventricular remodelling after myocardial infarction, assessed by transthoracic 3D echocardiography. Eur Heart J. 2004. 25:680–687.
Article
25. Mor-Avi V, Sugeng L, Weinert L, MacEneaney P, Caiani EG, Koch R, Salgo IS, Lang RM. Fast measurement of left ventricular mass with real-time three-dimensional echocardiography: comparison with magnetic resonance imaging. Circulation. 2004. 110:1814–1818.
Article
26. Caiani EG, Corsi C, Sugeng L, MacEneaney P, Weinert L, Mor-Avi V, Lang RM. Improved quantification of left ventricular mass based on endocardial and epicardial surface detection with real time three dimensional echocardiography. Heart. 2006. 92:213–219.
Article
27. Qin JX, Shiota T, Thomas JD. Determination of left ventricular volume, ejection fraction, and myocardial mass by real-time three-dimensional echocardiography. Echocardiography. 2000. 17:781–786.
Article
28. Oe H, Hozumi T, Arai K, Matsumura Y, Negishi K, Sugioka K, Ujino K, Takemoto Y, Inoue Y, Yoshikawa J. Comparison of accurate measurement of left ventricular mass in patients with hypertrophied hearts by real-time three-dimensional echocardiography versus magnetic resonance imaging. Am J Cardiol. 2005. 95:1263–1267.
Article
29. van den Bosch AE, Robbers-Visser D, Krenning BJ, McGhie JS, Helbing WA, Meijboom FJ, Roos-Hesselink JW. Comparison of real-time three-dimensional echocardiography to magnetic resonance imaging for assessment of left ventricular mass. Am J Cardiol. 2006. 97:113–117.
Article
30. Takeuchi M, Nishikage T, Mor-Avi V, Sugeng L, Weinert L, Nakai H, Salgo IS, Gerard O, Lang RM. Measurement of left ventricular mass by real-time three-dimensional echocardiography: validation against magnetic resonance and comparison with two-dimensional and m-mode measurements. J Am Soc Echocardiogr. 2008. 21:1001–1005.
Article
31. Galderisi M, Henein MY, D'hooge J, Sicari R, Badano LP, Zamorano JL, Roelandt JR. European Association of Echocardiography. Recommendations of the European Association of Echocardiography: how to use echo-Doppler in clinical trials: different modalities for different purposes. Eur J Echocardiogr. 2011. 12:339–353.
Article
32. Jaochim Nesser H, Sugeng L, Corsi C, Weinert L, Niel J, Ebner C, Steringer-Mascherbauer R, Schmidt F, Schummers G, Lang RM, Mor-Avi V. Volumetric analysis of regional left ventricular function with real-time three-dimensional echocardiography: validation by magnetic resonance and clinical utility testing. Heart. 2007. 93:572–578.
Article
33. Seo Y, Ishizu T, Enomoto Y, Sugimori H, Yamamoto M, Machino T, Kawamura R, Aonuma K. Validation of 3-dimensional speckle tracking imaging to quantify regional myocardial deformation. Circ Cardiovasc Imaging. 2009. 2:451–459.
Article
34. Aggeli C, Giannopoulos G, Misovoulos P, Roussakis G, Christoforatou E, Kokkinakis C, Brili S, Stefanadis C. Real-time three-dimensional dobutamine stress echocardiography for coronary artery disease diagnosis: validation with coronary angiography. Heart. 2007. 93:672–675.
Article
35. Badano LP, Muraru D, Rigo F, Del Mestre L, Ermacora D, Gianfagna P, Proclemer A. High volume-rate three-dimensional stress echocardiography to assess inducible myocardial ischemia: a feasibility study. J Am Soc Echocardiogr. 2010. 23:628–635.
Article
36. Kapetanakis S, Kearney MT, Siva A, Gall N, Cooklin M, Monaghan MJ. Real-time three-dimensional echocardiography: a novel technique to quantify global left ventricular mechanical dyssynchrony. Circulation. 2005. 112:992–1000.
37. Kapetanakis S, Bhan A, Murgatroyd F, Kearney MT, Gall N, Zhang Q, Yu CM, Monaghan MJ. Real-time 3D echo in patient selection for cardiac resynchronization therapy. JACC Cardiovasc Imaging. 2011. 4:16–26.
Article
38. Shimada YJ, Shiota M, Siegel RJ, Shiota T. Accuracy of right ventricular volumes and function determined by three-dimensional echocardiography in comparison with magnetic resonance imaging: a meta-analysis study. J Am Soc Echocardiogr. 2010. 23:943–953.
Article
39. Grapsa J, O'Regan DP, Pavlopoulos H, Durighel G, Dawson D, Nihoyannopoulos P. Right ventricular remodelling in pulmonary arterial hypertension with three-dimensional echocardiography: comparison with cardiac magnetic resonance imaging. Eur J Echocardiogr. 2010. 11:64–73.
Article
40. Sugeng L, Mor-Avi V, Weinert L, Niel J, Ebner C, Steringer-Mascherbauer R, Bartolles R, Baumann R, Schummers G, Lang RM, Nesser HJ. Multimodality comparison of quantitative volumetric analysis of the right ventricle. JACC Cardiovasc Imaging. 2010. 3:10–18.
Article
41. van der Zwaan HB, Helbing WA, McGhie JS, Geleijnse ML, Luijnenburg SE, Roos-Hesselink JW, Meijboom FJ. Clinical value of real-time three-dimensional echocardiography for right ventricular quantification in congenital heart disease: validation with cardiac magnetic resonance imaging. J Am Soc Echocardiogr. 2010. 23:134–140.
Article
42. Leibundgut G, Rohner A, Grize L, Bernheim A, Kessel-Schaefer A, Bremerich J, Zellweger M, Buser P, Handke M. Dynamic assessment of right ventricular volumes and function by real-time three-dimensional echocardiography: a comparison study with magnetic resonance imaging in 100 adult patients. J Am Soc Echocardiogr. 2010. 23:116–126.
Article
43. Muraru D, Badano LP, Ermacora D, Piccoli G, Iliceto S. Sources of variation and bias in assessing left ventricular volumes and dyssynchrony using three-dimensional echocardiography. Int J Cardiovasc Imaging. 2011. [Epub ahead of print].
Article
44. Monaghan M. Echocardiographic assessment of left ventricular dyssynchrony--is three-dimensional echocardiography just the latest kid on the block? J Am Soc Echocardiogr. 2009. 22:240–241.
Article
45. Badano LP, Ginghina C, Easaw J, Muraru D, Grillo MT, Lancellotti P, Pinamonti B, Coghlan G, Marra MP, Popescu BA, De Vita S. Right ventricle in pulmonary arterial hypertension: haemodynamics, structural changes, imaging, and proposal of a study protocol aimed to assess remodelling and treatment effects. Eur J Echocardiogr. 2010. 11:27–37.
Article
46. Tamborini G, Marsan NA, Gripari P, Maffessanti F, Brusoni D, Muratori M, Caiani EG, Fiorentini C, Pepi M. Reference values for right ventricular volumes and ejection fraction with real-time three-dimensional echocardiography: evaluation in a large series of normal subjects. J Am Soc Echocardiogr. 2010. 23:109–115.
Article
47. Amaki M, Nakatani S, Kanzaki H, Kyotani S, Nakanishi N, Shigemasa C, Hisatome I, Kitakaze M. Usefulness of three-dimensional echocardiography in assessing right ventricular function in patients with primary pulmonary hypertension. Hypertens Res. 2009. 32:419–422.
Article
48. Grapsa J, Gibbs JS, Dawson D, Watson G, Patni R, Athanasiou T, Punjabi PP, Howard LS, Nihoyannopoulos P. Morphologic and functional remodeling of the right ventricle in pulmonary hypertension by real time three dimensional echocardiography. Am J Cardiol. 2012. 109:906–913.
Article
49. Tamborini G, Muratori M, Brusoni D, Celeste F, Maffessanti F, Caiani EG, Alamanni F, Pepi M. Is right ventricular systolic function reduced after cardiac surgery? A two- and three-dimensional echocardiographic study. Eur J Echocardiogr. 2009. 10:630–634.
Article
50. Giusca S, Dambrauskaite V, Scheurwegs C, D'hooge J, Claus P, Herbots L, Magro M, Rademakers F, Meyns B, Delcroix M, Voigt JU. Deformation imaging describes right ventricular function better than longitudinal displacement of the tricuspid ring. Heart. 2010. 96:281–288.
Article
51. Acar P. [Three-dimensional echocardiography in congenital heart disease]. Arch Pediatr. 2006. 13:51–56.
52. Rawlins DB, Austin C, Simpson JM. Live three-dimensional paediatric intraoperative epicardial echocardiography as a guide to surgical repair of atrioventricular valves. Cardiol Young. 2006. 16:34–39.
Article
53. Seliem MA, Fedec A, Cohen MS, Ewing S, Farrell PE Jr, Rychik J, Schultz AH, Gaynor JW, Spray TL. Real-time 3-dimensional echocardiographic imaging of congenital heart disease using matrix-array technology: freehand real-time scanning adds instant morphologic details not well delineated by conventional 2-dimensional imaging. J Am Soc Echocardiogr. 2006. 19:121–129.
Article
54. Monte I, Grasso S, Licciardi S, Badano LP. Head-to-head comparison of real-time three-dimensional transthoracic echocardiography with transthoracic and transesophageal two-dimensional contrast echocardiography for the detection of patent foramen ovale. Eur J Echocardiogr. 2010. 11:245–249.
Article
55. Cheng TO, Xie MX, Wang XF, Wang Y, Lu Q. Real-time 3-dimensional echocardiography in assessing atrial and ventricular septal defects: an echocardiographic-surgical correlative study. Am Heart J. 2004. 148:1091–1095.
Article
56. Kasliwal RR, Chouhan NS, Sinha A, Gupta P, Tandon S, Trehan N. Real-time three-dimensional transthoracic echocardiography. Indian Heart J. 2005. 57:128–137.
57. Sinha A, Nanda NC, Misra V, Khanna D, Dod HS, Vengala S, Mehmood F, Singh V. Live three-dimensional transthoracic echocardiographic assessment of transcatheter closure of atrial septal defect and patent foramen ovale. Echocardiography. 2004. 21:749–753.
Article
58. van der Zwaan HB, Helbing WA, Boersma E, Geleijnse ML, McGhie JS, Soliman OI, Roos-Hesselink JW, Meijboom FJ. Usefulness of real-time three-dimensional echocardiography to identify right ventricular dysfunction in patients with congenital heart disease. Am J Cardiol. 2010. 106:843–850.
Article
59. Muraru D, Badano LP, Del Mestre L, Gianfagna P, Proclemer A, Livi U. Real-time three dimensional echocardiography in the postoperative follow-up of type-A aortic dissection--a case report. J Am Soc Echocardiogr. 2010. 23:682.e1-4.
Article
60. Pepi M, Tamborini G, Bartorelli AL, Trabattoni D, Maltagliati A, De Vita S, Andreini D, Pontone G. Usefulness of three-dimensional echocardiographic reconstruction of the Amplatzer septal occluder in patients undergoing atrial septal closure. Am J Cardiol. 2004. 94:1343–1347.
Article
61. Zamorano JL, Badano LP, Bruce C, Chan KL, Gonçalves A, Hahn RT, Keane MG, La Canna G, Monaghan MJ, Nihoyannopoulos P, Silvestry FE, Vanoverschelde JL, Gillam LD, Vahanian A, Di Bello V, Buck T. Document Reviewers: European Association of Echocardiography (EAE): American Society of Echocardiography (ASE): The ASE Guidelines and Standards Committee and the ASE Board of Directors. EAE/ASE recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease. Eur J Echocardiogr. 2011. 12:557–584.
Article
62. Lang RM, Tsang W, Weinert L, Mor-Avi V, Chandra S. Valvular heart disease. The value of 3-dimensional echocardiography. J Am Coll Cardiol. 2011. 58:1933–1944.
63. Sugeng L, Coon P, Weinert L, Jolly N, Lammertin G, Bednarz JE, Thiele K, Lang RM. Use of real-time 3-dimensional transthoracic echocardiography in the evaluation of mitral valve disease. J Am Soc Echocardiogr. 2006. 19:413–421.
Article
64. Zamorano J, Perez de Isla L, Sugeng L, Cordeiro P, Rodrigo JL, Almeria C, Weinert L, Feldman T, Macaya C, Lang RM, Hernandez Antolin R. Non-invasive assessment of mitral valve area during percutaneous balloon mitral valvuloplasty: role of real-time 3D echocardiography. Eur Heart J. 2004. 25:2086–2091.
Article
65. Zamorano J, Cordeiro P, Sugeng L, Perez de Isla L, Weinert L, Macaya C, Rodríguez E, Lang RM. Real-time three-dimensional echocardiography for rheumatic mitral valve stenosis evaluation: an accurate and novel approach. J Am Coll Cardiol. 2004. 43:2091–2096.
Article
66. Xie MX, Wang XF, Cheng TO, Wang J, Lu Q. Comparison of accuracy of mitral valve area in mitral stenosis by real-time, three-dimensional echocardiography versus two-dimensional echocardiography versus Doppler pressure half-time. Am J Cardiol. 2005. 95:1496–1499.
Article
67. Anwar AM, Attia WM, Nosir YF, Soliman OI, Mosad MA, Othman M, Geleijnse ML, El-Amin AM, Ten Cate FJ. Validation of a new score for the assessment of mitral stenosis using real-time three-dimensional echocardiography. J Am Soc Echocardiogr. 2010. 23:13–22.
Article
68. Pepi M, Tamborini G, Maltagliati A, Galli CA, Sisillo E, Salvi L, Naliato M, Porqueddu M, Parolari A, Zanobini M, Alamanni F. Head-to-head comparison of two- and three-dimensional transthoracic and transesophageal echocardiography in the localization of mitral valve prolapse. J Am Coll Cardiol. 2006. 48:2524–2530.
Article
69. Chandra S, Salgo IS, Sugeng L, Weinert L, Tsang W, Takeuchi M, Spencer KT, O'Connor A, Cardinale M, Settlemier S, Mor-Avi V, Lang RM. Characterization of degenerative mitral valve disease using morphologic analysis of real-time three-dimensional echocardiographic images: objective insight into complexity and planning of mitral valve repair. Circ Cardiovasc Imaging. 2011. 4:24–32.
Article
70. Tamborini G, Muratori M, Maltagliati A, Galli CA, Naliato M, Zanobini M, Alamanni F, Salvi L, Sisillo E, Fiorentini C, Pepi M. Pre-operative transthoracic real-time three-dimensional echocardiography in patients undergoing mitral valve repair: accuracy in cases with simple vs. complex prolapse lesions. Eur J Echocardiogr. 2010. 11:778–785.
Article
71. Park SM, Chai J, Jeon MJ, Lee CK, Kim DH, Park KS. 3D geometry of mitral annulus in mitral valve prolapse in comparison with normal: real-time 3D echocardiography study. J Am Coll Cardiol. 2005. 45:Suppl A. 281A.
72. Maffessanti F, Marsan NA, Tamborini G, Sugeng L, Caiani EG, Gripari P, Alamanni F, Jeevanandam V, Lang RM, Pepi M. Quantitative analysis of mitral valve apparatus in mitral valve prolapse before and after annuloplasty: a three-dimensional intraoperative transesophageal study. J Am Soc Echocardiogr. 2011. 24:405–413.
Article
73. Kim DH, Handschumacher MD, Levine RA, Choi YS, Kim YJ, Yun SC, Song JM, Kang DH, Song JK. In vivo measurement of mitral leaflet surface area and subvalvular geometry in patients with asymmetrical septal hypertrophy: insights into the mechanism of outflow tract obstruction. Circulation. 2010. 122:1298–1307.
Article
74. Watanabe N, Ogasawara Y, Yamaura Y, Kawamoto T, Toyota E, Akasaka T, Yoshida K. Quantitation of mitral valve tenting in ischemic mitral regurgitation by transthoracic real-time three-dimensional echocardiography. J Am Coll Cardiol. 2005. 45:763–769.
Article
75. Chaput M, Handschumacher MD, Tournoux F, Hua L, Guerrero JL, Vlahakes GJ, Levine RA. Mitral leaflet adaptation to ventricular remodeling: occurrence and adequacy in patients with functional mitral regurgitation. Circulation. 2008. 118:845–852.
Article
76. Vahanian A, Baumgartner H, Bax J, Butchart E, Dion R, Filippatos G, Flachskampf F, Hall R, Iung B, Kasprzak J, Nataf P, Tornos P, Torracca L, Wenink A. Task Force on the Management of Valvular Hearth Disease of the European Society of Cardiology. ESC Committee for Practice Guidelines. Guidelines on the management of valvular heart disease: The Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology. Eur Heart J. 2007. 28:230–268.
Article
77. Lancellotti P, Moura L, Pierard LA, Agricola E, Popescu BA, Tribouilloy C, Hagendorff A, Monin JL, Badano L, Zamorano JL. European Association of Echocardiography. European Association of Echocardiography recommendations for the assessment of valvular regurgitation. Part 2: mitral and tricuspid regurgitation (native valve disease). Eur J Echocardiogr. 2010. 11:307–332.
Article
78. Chandra S, Salgo IS, Sugeng L, Weinert L, Settlemier SH, Mor-Avi V, Lang RM. A three-dimensional insight into the complexity of flow convergence in mitral regurgitation: adjunctive benefit of anatomic regurgitant orifice area. Am J Physiol Heart Circ Physiol. 2011. 301:H1015–H1024.
Article
79. Little SH, Pirat B, Kumar R, Igo SR, McCulloch M, Hartley CJ, Xu J, Zoghbi WA. Three-dimensional color Doppler echocardiography for direct measurement of vena contracta area in mitral regurgitation: in vitro validation and clinical experience. JACC Cardiovasc Imaging. 2008. 1:695–704.
Article
80. Skaug TR, Hergum T, Amundsen BH, Skjaerpe T, Torp H, Haugen BO. Quantification of mitral regurgitation using high pulse repetition frequency three-dimensional color Doppler. J Am Soc Echocardiogr. 2010. 23:1–8.
Article
81. Song JM, Kim MJ, Kim YJ, Kang SH, Kim JJ, Kang DH, Song JK. Three-dimensional characteristics of functional mitral regurgitation in patients with severe left ventricular dysfunction: a real-time three-dimensional colour Doppler echocardiography study. Heart. 2008. 94:590–596.
Article
82. Otani K, Takeuchi M, Kaku K, Sugeng L, Yoshitani H, Haruki N, Ota T, Mor-Avi V, Lang RM, Otsuji Y. Assessment of the aortic root using real-time 3D transesophageal echocardiography. Circ J. 2010. 74:2649–2657.
Article
83. Muraru D, Badano LP, Vannan M, Iliceto S. Assessment of aortic valve complex by three-dimensional echocardiography: a framework for its effective application in clinical practice. Eur Heart J Cardiovasc Imaging. 2012. Forthcoming.
Article
84. Veronesi F, Corsi C, Sugeng L, Mor-Avi V, Caiani EG, Weinert L, Lamberti C, Lang RM. A study of functional anatomy of aortic-mitral valve coupling using 3D matrix transesophageal echocardiography. Circ Cardiovasc Imaging. 2009. 2:24–31.
Article
85. Khaw AV, von Bardeleben RS, Strasser C, Mohr-Kahaly S, Blankenberg S, Espinola-Klein C, Münzel TF, Schnabel R. Direct measurement of left ventricular outflow tract by transthoracic real-time 3D-echocardiography increases accuracy in assessment of aortic valve stenosis. Int J Cardiol. 2009. 136:64–71.
Article
86. Gutiérrez-Chico JL, Zamorano JL, Prieto-Moriche E, Hernández-Antolín RA, Bravo-Amaro M, Pérez de Isla L, Sanmartín-Fernández M, Baz-Alonso JA, Iñiguez-Romo A. Real-time three-dimensional echocardiography in aortic stenosis: a novel, simple, and reliable method to improve accuracy in area calculation. Eur Heart J. 2008. 29:1296–1306.
Article
87. Goland S, Trento A, Iida K, Czer LS, De Robertis M, Naqvi TZ, Tolstrup K, Akima T, Luo H, Siegel RJ. Assessment of aortic stenosis by three-dimensional echocardiography: an accurate and novel approach. Heart. 2007. 93:801–807.
Article
88. Messika-Zeitoun D, Serfaty JM, Brochet E, Ducrocq G, Lepage L, Detaint D, Hyafil F, Himbert D, Pasi N, Laissy JP, Iung B, Vahanian A. Multimodal assessment of the aortic annulus diameter: implications for transcatheter aortic valve implantation. J Am Coll Cardiol. 2010. 55:186–194.
89. Paelinck BP, Van Herck PL, Rodrigus I, Claeys MJ, Laborde JC, Parizel PM, Vrints CJ, Bosmans JM. Comparison of magnetic resonance imaging of aortic valve stenosis and aortic root to multimodality imaging for selection of transcatheter aortic valve implantation candidates. Am J Cardiol. 2011. 108:92–98.
Article
90. Vida VL, Hoehn R, Larrazabal LA, Gauvreau K, Marx GR, del Nido PJ. Usefulness of intra-operative epicardial three-dimensional echocardiography to guide aortic valve repair in children. Am J Cardiol. 2009. 103:852–856.
Article
91. Mori Y, Shiota T, Jones M, Wanitkun S, Irvine T, Li X, Delabays A, Pandian NG, Sahn DJ. Three-dimensional reconstruction of the color Doppler-imaged vena contracta for quantifying aortic regurgitation: studies in a chronic animal model. Circulation. 1999. 99:1611–1617.
Article
92. Li X, Jones M, Irvine T, Rusk RA, Mori Y, Hashimoto I, Von Ramm OT, Li J, Zetts A, Pemberton J, Sahn DJ. Real-time 3-dimensional echocardiography for quantification of the difference in left ventricular versus right ventricular stroke volume in a chronic animal model study: Improved results using C-scans for quantifying aortic regurgitation. J Am Soc Echocardiogr. 2004. 17:870–875.
Article
93. Tamborini G, Fusini L, Gripari P. Feasibility and accuracy of 3D TEE vs computed tomography in the evaluation of aortic valve annulus to left main ostium distance in patients candidates to transcatheter aortic valve implantation. J Am Coll Cardiol Img. 2012. Forthcoming.
94. Fukuda S, Saracino G, Matsumura Y, Daimon M, Tran H, Greenberg NL, Hozumi T, Yoshikawa J, Thomas JD, Shiota T. Three-dimensional geometry of the tricuspid annulus in healthy subjects and in patients with functional tricuspid regurgitation: a real-time, 3-dimensional echocardiographic study. Circulation. 2006. 114:1 Suppl. I492–I498.
95. Dreyfus GD, Corbi PJ, Chan KM, Bahrami T. Secondary tricuspid regurgitation or dilatation: which should be the criteria for surgical repair? Ann Thorac Surg. 2005. 79:127–132.
Article
96. Anwar AM, Geleijnse ML, Soliman OI, McGhie JS, Nemes A, ten Cate FJ. Evaluation of rheumatic tricuspid valve stenosis by real-time three-dimensional echocardiography. Heart. 2007. 93:363–364.
Article
97. Badano LP, Agricola E, Perez de Isla L, Gianfagna P, Zamorano JL. Evaluation of the tricuspid valve morphology and function by transthoracic real-time three-dimensional echocardiography. Eur J Echocardiogr. 2009. 10:477–484.
Article
98. Muraru D, Badano LP, Sarais C, Soldà E, Iliceto S. Evaluation of tricuspid valve morphology and function by transthoracic three-dimensional echocardiography. Curr Cardiol Rep. 2011. 13:242–249.
Article
99. Esposito R, Badano LP, Muraru D, Agricolà E, Mele D, Sciomer S, Nistri S, Galderisi M, Mondillo S. Gruppo di Studio di Ecocardiografia della Societá Italiana di Cardiologia. [Tricuspid valve morphology and function evaluated by transthoracic real-time three-dimensional echocardiography]. G Ital Cardiol (Rome). 2010. 11:549–556.
100. Ton-Nu TT, Levine RA, Handschumacher MD, Dorer DJ, Yosefy C, Fan D, Hua L, Jiang L, Hung J. Geometric determinants of functional tricuspid regurgitation: insights from 3-dimensional echocardiography. Circulation. 2006. 114:143–149.
Article
101. Song JM, Jang MK, Choi YS, Kim YJ, Min SY, Kim DH, Kang DH, Song JK. The vena contracta in functional tricuspid regurgitation: a real-time three-dimensional color Doppler echocardiography study. J Am Soc Echocardiogr. 2011. 24:663–670.
Article
102. Kelly NF, Platts DG, Burstow DJ. Feasibility of pulmonary valve imaging using three-dimensional transthoracic echocardiography. J Am Soc Echocardiogr. 2010. 23:1076–1080.
Article
103. Pothineni KR, Wells BJ, Hsiung MC, Nanda NC, Yelamanchili P, Suwanjutah T, Prasad AN, Hansalia S, Lin CC, Yin WH, Young MS. Live/real time three-dimensional transthoracic echocardiographic assessment of pulmonary regurgitation. Echocardiography. 2008. 25:911–917.
Article
104. Kronzon I, Sugeng L, Perk G, Hirsh D, Weinert L, Garcia Fernandez MA, Lang RM. Real-time 3-dimensional transesophageal echocardiography in the evaluation of post-operative mitral annuloplasty ring and prosthetic valve dehiscence. J Am Coll Cardiol. 2009. 53:1543–1547.
Article
105. Thompson KA, Shiota T, Tolstrup K, Gurudevan SV, Siegel RJ. Utility of three-dimensional transesophageal echocardiography in the diagnosis of valvular perforations. Am J Cardiol. 2011. 107:100–102.
Article
106. Pérez de Isla L, Zamorano J, Malangatana G, Almería C, Rodrigo JL, Cordeiro P, Macaya C. Usefulness of real-time 3-dimensional echocardiography in the assessment of infective endocarditis: initial experience. J Ultrasound Med. 2005. 24:231–233.
107. Kort S. Real-time 3-dimensional echocardiography for prosthetic valve endocarditis: initial experience. J Am Soc Echocardiogr. 2006. 19:130–139.
Article
108. Plana JC. Badano LP, Lang RM, Zamorano JL, editors. Three-dimensional echocadiography to assess intra-cardiac masses. Texbook of real-time three-dimensional echocardiography. 2011. London: Springer-Verlag;111–119.
109. Faletra FF, Ho SY, Auricchio A. Anatomy of right atrial structures by real-time 3D transesophageal echocardiography. JACC Cardiovasc Imaging. 2010. 3:966–975.
Article
110. Miyasaka Y, Tsujimoto S, Maeba H, Yuasa F, Takehana K, Dote K, Iwasaka T. Left atrial volume by real-time three-dimensional echocardiography: validation by 64-slice multidetector computed tomography. J Am Soc Echocardiogr. 2011. 24:680–686.
Article
111. Marsan NA, Tops LF, Holman ER, Van de Veire NR, Zeppenfeld K, Boersma E, van der Wall EE, Schalij MJ, Bax JJ. Comparison of left atrial volumes and function by real-time three-dimensional echocardiography in patients having catheter ablation for atrial fibrillation with persistence of sinus rhythm versus recurrent atrial fibrillation three months later. Am J Cardiol. 2008. 102:847–853.
Article
112. Delgado V, Vidal B, Sitges M, Tamborero D, Mont L, Berruezo A, Azqueta M, Paré C, Brugada J. Fate of left atrial function as determined by real-time three-dimensional echocardiography study after radiofrequency catheter ablation for the treatment of atrial fibrillation. Am J Cardiol. 2008. 101:1285–1290.
Article
113. Takahashi A, Funabashi N, Kataoka A, Yajima R, Takahashi M, Uehara M, Takaoka H, Saito M, Yamaguchi C, Lee K, Komuro I, Nomura F. Quantitative evaluation of right atrial volume and right atrial emptying fraction by 320-slice computed tomography compared with three-dimensional echocardiography. Int J Cardiol. 2011. 146:96–99.
Article
114. Nucifora G, Faletra FF, Regoli F, Pasotti E, Pedrazzini G, Moccetti T, Auricchio A. Evaluation of the left atrial appendage with real-time 3-dimensional transesophageal echocardiography: implications for catheter-based left atrial appendage closure. Circ Cardiovasc Imaging. 2011. 4:514–523.
Article
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