Role and application of three-dimensional transthoracic echocardiography in the assessment of left and right ventricular volumes and ejection fraction: a UK nationwide survey-Reference-Cited by-同舟云学术

Role and application of three-dimensional transthoracic echocardiography in the assessment of left and right ventricular volumes and ejection fraction: a UK nationwide survey

Published:2024-04-03 Issue:1 Volume:11 Page:
ISSN:2055-0464
Container-title:Echo Research & Practice
language:en
Short-container-title:Echo Res Pract

Author:

Corbett Liam,O’Driscoll Patrick,Paton Maria,Oxborough David,Surkova Elena

Abstract

AbstractThree-dimensional echocardiography (3DE) imaging has permitted advancements in the quantification of left ventricular (LV) and right ventricular (RV) volumes and ejection fraction. We evaluated the availability of 3DE equipment / analysis software, the integration of 3DE assessment of the LV and RV in routine clinical practice, current training provisions in 3DE, and aimed to ascertain barriers preventing the routine use of 3DE for volumetric analysis. Through the British Society of Echocardiography (BSE) regional representatives’ network, echocardiographers were invited to participate in an open online survey. A total of 181 participants from echocardiography departments in the United Kingdom (UK), the majority from tertiary centres (61%), completed the 28-question survey. For 3DE quantification, 3DE-LV was adopted more frequently than 3DE-RV (48% vs 11%, respectively). Imaging feasibility was a recognised factor in 3DE RV and LV adoption. Many respondents had access to 3D probes (93%). The largest observed barriers to 3DE routine use were training deficiencies, with 83% reporting they would benefit from additional training opportunities and the duration of time permitted for the scan, with 68% of responders reporting allowances of less than the BSE standard of 45–60 min per patient (8% < 30-min). Furthermore, of those respondents who had undertaken professional accreditation, competence in 3DE was not formally assessed in 89%. This UK survey also reported good accessibility to magnetic resonance imaging (72%), which was related to overall 3DE adoption. In summary, although 3DE is now readily available, it remains underutilised. Further training opportunities, integrated formal assessment, improved adoption of BSE minimum recommended scanning times, alongside industry and societal support, may increase 3DE utilisation in routine practice.

Publisher

Springer Science and Business Media LLC

Link

https://link.springer.com/content/pdf/10.1186/s44156-024-00044-1.pdf

Reference34 articles.

1. Lang RM, Badano LP, Mor-Avi V, Afilalo J, Armstrong A, Ernande L, Flachskampf FA, Foster E, Goldstein SA, Kuznetsova T, Lancellotti P, Muraru D, Picard MH, Rietzschel ER, Rudski L, Spencer KT, Tsang W, Voigt JU. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American society of echocardiography and the European association of cardiovascular imaging. J Am Soc Echocardiogr. 2015;28(1):1–39. https://doi.org/10.1016/j.echo.2014.10.003.

2. Harkness A, Ring L, Augustine DX, Oxborough D, Robinson S, Sharma V, Education Committee of the British Society of Echocardiography. Normal reference intervals for cardiac dimensions and function for use in echocardiographic practice: a guideline from the British Society of Echocardiography. Echo Res Pract. 2020;7(1):G1–18. https://doi.org/10.1530/erp-19-0050.

3. Barbieri A, Pepi M. Three-dimensional echocardiography based on automation and machine learning principles and the renaissance of cardiac morphometry. J Clin Med. 2022;11(15):4357–4357. https://doi.org/10.3390/jcm11154357.

4. Genovese D, Rashedi N, Weinert L, Narang A, Addetia K, Patel AR, Prater D, Gonçalves A, Mor-Avi V, Lang RM. Machine learning-based three-dimensional echocardiographic quantification of right ventricular size and function: validation against cardiac magnetic resonance. J Am Soc Echocardiogr. 2019;32(8):969–77. https://doi.org/10.1016/j.echo.2019.04.001.

5. Bhave NM, Lang RM. Evaluation of left ventricular structure and function by three-dimensional echocardiography. Curr Opin Crit Care. 2013;19(5):387–96. https://doi.org/10.1097/mcc.0b013e328364d75e.