3D Volume Echocardiography: Answering the Challenges of the Right Heart

1,095 views

Published on

Dr. Michael Pfeiffer, a cardiologist and assistant professor of medicine at Penn State Hershey Heart and Vascular Institute in Hershey, Pa. discusses the advantages of 3D volume echocardiography in the right heart.

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
1,095
On SlideShare
0
From Embeds
0
Number of Embeds
537
Actions
Shares
0
Downloads
15
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

3D Volume Echocardiography: Answering the Challenges of the Right Heart

  1. 1. Sponsored by 3D Volume Echocardiography: Answering the Challenges of the Right Heart Michael Pfeiffer, MD Assistant Professor of Medicine Cardiology Penn State Hershey Heart and Vascular Institute Hershey, Pa.
  2. 2. Sponsored by Evolution of 3D Volume Imaging  Faster computers boost volume  Real-time, single-beat acquisition  Window into the right heart  Work toward quantitative measurements  More effective vs. CT, MR  Quantification of the right heart for the first time
  3. 3. Sponsored by Evolution of 3D Volume Imaging  More common in practices today  New availability of quantification  MR no longer needed as often  Quantified assessment of size and function in an easy acquisition
  4. 4. Sponsored by Evolution of 3D Volume Imaging  Ease of use  Semi-automated assessment  Information in physicians’ hands  Prevalence of echo & affordable price
  5. 5. Sponsored by The Challenges of the Right Heart  Adult congenital patients  Right heart: An indicator of severity and prognosis  Abnormal volume loading or pressure conditions  Morphology changes differently than left heart  Crescent shape of right heart  distortion  Moves in rarely predictable ways
  6. 6. Sponsored by How 3D Helps  Volume imaging allows quantification  3D echo will increase in value with more populations, namely in quantifying abnormal right hearts
  7. 7. Sponsored by Routine Imaging  Patients with abnormal conditions of right heart  Abnormal morphology and shape – volume imaging helps to define these conditions  No measurements yet to classify mild, moderate or severe pathology, dilation in right heart  Volume image opens opportunity to quantify cut points
  8. 8. Sponsored by Right Heart in Real Time  Quantification  Post-processing  Identify points  system picks views, endocardium is traced  Provides full volume tracing of right heart, quantified numbers of size, estimates of systolic function and volumes
  9. 9. Sponsored by Inside the Technology  More automation  Measurements – 3D volume, define where we slice through the heart  Better assess where we are looking in right heart via defined landmarks  Better refine 2D measurements – reproducible, predictable, confidence in measurement
  10. 10. Sponsored by Improved Patient Care  More concrete information for diagnosis and management  Avoids stress of MRI  3D allows more routine follow ups for patients  Real-time color flow analysis New views, size, flow, structural issues  3D PISA  Boost accuracy
  11. 11. Sponsored by Full Automation: Single Beat Analysis  Right heart presents challenges  Real-time 3D echo allows us to visualize  Improves visualization vs. MRI  MRI still requires user input vs. full automation  Advancements are coming: congenital right heart conditions, right heart under stress, pulmonary hypertension
  12. 12. Sponsored by Right Heart Imaging  Not as advanced as left heart imaging  Limited ability to image right heart  Single beat volume analysis offers potential to different normal and abnormal  Better patient management
  13. 13. Sponsored by Cost Comparisons  Gold standard = MRI; however echo requires less staff and affordable imaging equipment  Inpatient: No longer requires a dedicated room  Outpatient: Tested anywhere with echo  Easier access for physicians and patients
  14. 14. Sponsored by Payment and Pre-Authorization  Volume imaging reduces need for:  Pre-authorization  Screening  Lab work
  15. 15. Sponsored by Evolving Technology  Computer strength increasing capabilities  Fully-automated process possible  Increase in affordability and accessibility  Better picture quality with lower file size  Implementation broadening overseas
  16. 16. Sponsored by Value of 3D Volume Imaging  Right heart value sub-specialized in patients with right heart disease  Left heart used more regularly  More accurate quantifications
  17. 17. Sponsored by 3D Volume Echocardiography: Answering the Challenges of the Right Heart Michael Pfeiffer, MD Assistant Professor of Medicine Cardiology Penn State Hershey Heart and Vascular Institute Hershey, Pa.

×