Quirino Ciampi, Mauro Pepi, Francesco Antonini-Canterin, Andrea Barbieri, Agata Barchitta, Giorgio Faganello, Sofia Miceli, Vito Maurizio Parato, Antonio Tota, Giuseppe Trocino, Massimiliana Abbate, Maria Accadia, Rossella Alemanni, Andrea Angelini, Francesco Anglano, Maurizio Anselmi, Iolanda Aquila, Simona Aramu, Enrico Avogadri, Giuseppe Azzaro, Luigi Badano, Anna Balducci, Flavia Ballocca, Alessandro Barbarossa, Giovanni Barbati, Valentina Barletta, Daniele Barone, Francesco Becherini, Giovanni Benfari, Monica Beraldi, Gianluigi Bergandi, Giuseppe Bilardo, Simone Maurizio Binno, Massimo Bolognesi, Stefano Bongiovi, Renato Maria Bragato, Gabriele Braggion, Rossella Brancaleoni, Francesca Bursi, Christian Cadeddu Dessalvi, Matteo Cameli, Antonella Canu, Mariano Capitelli, Anna Clara Maria Capra, Rosa Carbonara, Maria Carbone, Marco Carbonella, Nazario Carrabba, Grazia Casavecchia, Margherita Casula, Elena Chesi, Sebastiano Cicco, Rodolfo Citro, Rosangela Cocchia, Barbara Maria Colombo, Paolo Colonna, Maddalena Conte, Giovanni Corrado, Pietro Cortesi, Lauro Cortigiani, Marco Fabio Costantino, Fabiana Cozza, Umberto Cucchini, Myriam D'Angelo, Santina Da Ros, Fabrizio D'Andrea, Antonello D'Andrea, Francesca D'Auria, Giovanni De Caridi, Stefania De Feo, Giovanni Maria De Matteis, Simona De Vecchi, Carmen Del Giudice, Luca Dell'Angela, Lucrezia Delli Paoli, Ilaria Dentamaro, Paola Destefanis, Maria Di Fulvio, Renato Di Gaetano, Giovanna Di Giannuario, Angelo Di Gioia, Luigi Flavio Massimiliano Di Martino, Carmine Di Muro, Concetta Di Nora, Giovanni Di Salvo, Claudio Dodi, Sarah Dogliani, Federica Donati, Melissa Dottori, Giuseppe Epifani, Iacopo Fabiani, Francesca Ferrara, Luigi Ferrara, Stefania Ferrua, Gemma Filice, Maria Fiorino, Davide Forno, Alberto Garini, Gioachino Agostino Giarratana, Giuseppe Gigantino, Mauro Giorgi, Elisa Giubertoni, Cosimo Angelo Greco, Michele Grigolato, Walter Grosso Marra, Anna Holzl, Alessandra Iaiza, Andrea Iannaccone, Federica Ilardi, Egidio Imbalzano, Riccardo Inciardi, Corinna Antonia Inserra, Emilio Iori, Annibale Izzo, Giuseppe La Rosa, Graziana Labanti, Alberto Maria Lanzone, Laura Lanzoni, Ornella Lapetina, Elisa Leiballi, Mariateresa Librera, Carmenita Lo Conte, Maria Lo Monaco, Antonella Lombardo, Michelangelo Luciani, Paola Lusardi, Antonio Magnante, Alessandro Malagoli, Gelsomina Malatesta, Costantino Mancusi, Maria Teresa Manes, Fiore Manganelli, Francesca Mantovani, Vincenzo Manuppelli, Valeria Marchese, Lina Marinacci, Roberto Mattioli, Civelli Maurizio, Giuseppe Antonio Mazza, Stefano Mazza, Marco Melis, Giulia Meloni, Elisa Merli, Alberto Milan, Giovanni Minardi, Antonella Monaco, Ines Monte, Graziano Montresor, Antonella Moreo, Fabio Mori, Sofia Morini, Claudio Moro, Doralisa Morrone, Francesco Negri, Carmelo Nipote, Fulvio Nisi, Silvio Nocco, Luigi Novello, Luigi Nunziata, Alessandro Paoletti Perini, Antonello Parodi, Emilio Maria Pasanisi, Guido Pastorini, Rita Pavasini, Daisy Pavoni, Chiara Pedone, Francesco Pelliccia, Giovanni Pelliciari, Elisa Pelloni, Valeria Pergola, Giovanni Perillo, Enrica Petruccelli, Chiara Pezzullo, Gerardo Piacentini, Elisa Picardi, Giovanni Pinna, Massimiliano Pizzarelli, Alfredo Pizzuti, Matteo Maria Poggi, Alfredo Posteraro, Carmen Privitera, Debora Rampazzo, Carlo Ratti, Sara Rettegno, Fabrizio Ricci, Caterina Ricci, Cristina Rolando, Stefania Rossi, Chiara Rovera, Roberta Ruggieri, Maria Giovanna Russo, Nicola Sacchi, Antonino Saladino, Francesca Sani, Chiara Sartori, Virginia Scarabeo, Angela Sciacqua, Antonio Scillone, Pasquale Antonio Scopelliti, Alfredo Scorza, Angela Scozzafava, Francesco Serafini, Walter Serra, Sergio Severino, Beatrice Simeone, Domenico Sirico, Marco Solari, Gian Luca Spadaro, Laura Stefani, Antonio Strangio, Francesca Chiara Surace, Gloria Tamborini, Nicola Tarquinio, Eliezer Joseph Tassone, Isabella Tavarozzi, Bertrand Tchana, Giuseppe Tedesco, Monica Tinto, Daniela Torzillo, Antonio Totaro, Oreste Fabio Triolo, Federica Troisi, Maurizio Tusa, Federico Vancheri, Vincenzo Varasano, Amedeo Venezia, Anna Chiara Vermi, Bruno Villari, Giordano Zampi, Jessica Zannoni, Concetta Zito, Antonello Zugaro, Gianluca Di Bella, Scipione Carerj
{"title":"Organization and Activity of Italian Echocardiographic Laboratories: A Survey of the Italian Society of Echocardiography and Cardiovascular Imaging.","authors":"Quirino Ciampi, Mauro Pepi, Francesco Antonini-Canterin, Andrea Barbieri, Agata Barchitta, Giorgio Faganello, Sofia Miceli, Vito Maurizio Parato, Antonio Tota, Giuseppe Trocino, Massimiliana Abbate, Maria Accadia, Rossella Alemanni, Andrea Angelini, Francesco Anglano, Maurizio Anselmi, Iolanda Aquila, Simona Aramu, Enrico Avogadri, Giuseppe Azzaro, Luigi Badano, Anna Balducci, Flavia Ballocca, Alessandro Barbarossa, Giovanni Barbati, Valentina Barletta, Daniele Barone, Francesco Becherini, Giovanni Benfari, Monica Beraldi, Gianluigi Bergandi, Giuseppe Bilardo, Simone Maurizio Binno, Massimo Bolognesi, Stefano Bongiovi, Renato Maria Bragato, Gabriele Braggion, Rossella Brancaleoni, Francesca Bursi, Christian Cadeddu Dessalvi, Matteo Cameli, Antonella Canu, Mariano Capitelli, Anna Clara Maria Capra, Rosa Carbonara, Maria Carbone, Marco Carbonella, Nazario Carrabba, Grazia Casavecchia, Margherita Casula, Elena Chesi, Sebastiano Cicco, Rodolfo Citro, Rosangela Cocchia, Barbara Maria Colombo, Paolo Colonna, Maddalena Conte, Giovanni Corrado, Pietro Cortesi, Lauro Cortigiani, Marco Fabio Costantino, Fabiana Cozza, Umberto Cucchini, Myriam D'Angelo, Santina Da Ros, Fabrizio D'Andrea, Antonello D'Andrea, Francesca D'Auria, Giovanni De Caridi, Stefania De Feo, Giovanni Maria De Matteis, Simona De Vecchi, Carmen Del Giudice, Luca Dell'Angela, Lucrezia Delli Paoli, Ilaria Dentamaro, Paola Destefanis, Maria Di Fulvio, Renato Di Gaetano, Giovanna Di Giannuario, Angelo Di Gioia, Luigi Flavio Massimiliano Di Martino, Carmine Di Muro, Concetta Di Nora, Giovanni Di Salvo, Claudio Dodi, Sarah Dogliani, Federica Donati, Melissa Dottori, Giuseppe Epifani, Iacopo Fabiani, Francesca Ferrara, Luigi Ferrara, Stefania Ferrua, Gemma Filice, Maria Fiorino, Davide Forno, Alberto Garini, Gioachino Agostino Giarratana, Giuseppe Gigantino, Mauro Giorgi, Elisa Giubertoni, Cosimo Angelo Greco, Michele Grigolato, Walter Grosso Marra, Anna Holzl, Alessandra Iaiza, Andrea Iannaccone, Federica Ilardi, Egidio Imbalzano, Riccardo Inciardi, Corinna Antonia Inserra, Emilio Iori, Annibale Izzo, Giuseppe La Rosa, Graziana Labanti, Alberto Maria Lanzone, Laura Lanzoni, Ornella Lapetina, Elisa Leiballi, Mariateresa Librera, Carmenita Lo Conte, Maria Lo Monaco, Antonella Lombardo, Michelangelo Luciani, Paola Lusardi, Antonio Magnante, Alessandro Malagoli, Gelsomina Malatesta, Costantino Mancusi, Maria Teresa Manes, Fiore Manganelli, Francesca Mantovani, Vincenzo Manuppelli, Valeria Marchese, Lina Marinacci, Roberto Mattioli, Civelli Maurizio, Giuseppe Antonio Mazza, Stefano Mazza, Marco Melis, Giulia Meloni, Elisa Merli, Alberto Milan, Giovanni Minardi, Antonella Monaco, Ines Monte, Graziano Montresor, Antonella Moreo, Fabio Mori, Sofia Morini, Claudio Moro, Doralisa Morrone, Francesco Negri, Carmelo Nipote, Fulvio Nisi, Silvio Nocco, Luigi Novello, Luigi Nunziata, Alessandro Paoletti Perini, Antonello Parodi, Emilio Maria Pasanisi, Guido Pastorini, Rita Pavasini, Daisy Pavoni, Chiara Pedone, Francesco Pelliccia, Giovanni Pelliciari, Elisa Pelloni, Valeria Pergola, Giovanni Perillo, Enrica Petruccelli, Chiara Pezzullo, Gerardo Piacentini, Elisa Picardi, Giovanni Pinna, Massimiliano Pizzarelli, Alfredo Pizzuti, Matteo Maria Poggi, Alfredo Posteraro, Carmen Privitera, Debora Rampazzo, Carlo Ratti, Sara Rettegno, Fabrizio Ricci, Caterina Ricci, Cristina Rolando, Stefania Rossi, Chiara Rovera, Roberta Ruggieri, Maria Giovanna Russo, Nicola Sacchi, Antonino Saladino, Francesca Sani, Chiara Sartori, Virginia Scarabeo, Angela Sciacqua, Antonio Scillone, Pasquale Antonio Scopelliti, Alfredo Scorza, Angela Scozzafava, Francesco Serafini, Walter Serra, Sergio Severino, Beatrice Simeone, Domenico Sirico, Marco Solari, Gian Luca Spadaro, Laura Stefani, Antonio Strangio, Francesca Chiara Surace, Gloria Tamborini, Nicola Tarquinio, Eliezer Joseph Tassone, Isabella Tavarozzi, Bertrand Tchana, Giuseppe Tedesco, Monica Tinto, Daniela Torzillo, Antonio Totaro, Oreste Fabio Triolo, Federica Troisi, Maurizio Tusa, Federico Vancheri, Vincenzo Varasano, Amedeo Venezia, Anna Chiara Vermi, Bruno Villari, Giordano Zampi, Jessica Zannoni, Concetta Zito, Antonello Zugaro, Gianluca Di Bella, Scipione Carerj","doi":"10.4103/jcecho.jcecho_16_23","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The Italian Society of Echocardiography and Cardiovascular Imaging (SIECVI) conducted a national survey to understand better how different echocardiographic modalities are used and accessed in Italy.</p><p><strong>Methods: </strong>We analyzed echocardiography laboratory activities over a month (November 2022). Data were retrieved via an electronic survey based on a structured questionnaire, uploaded on the SIECVI website.</p><p><strong>Results: </strong>Data were obtained from 228 echocardiographic laboratories: 112 centers (49%) in the northern, 43 centers (19%) in the central, and 73 (32%) in the southern regions. During the month of observation, we collected 101,050 transthoracic echocardiography (TTE) examinations performed in all centers. As concern other modalities there were performed 5497 transesophageal echocardiography (TEE) examinations in 161/228 centers (71%); 4057 stress echocardiography (SE) examinations in 179/228 centers (79%); and examinations with ultrasound contrast agents (UCAs) in 151/228 centers (66%). We did not find significant regional variations between the different modalities. The usage of picture archiving and communication system (PACS) was significantly higher in the northern (84%) versus central (49%) and southern (45%) centers (<i>P</i> < 0.001). Lung ultrasound (LUS) was performed in 154 centers (66%), without difference between cardiology and noncardiology centers. The evaluation of left ventricular (LV) ejection fraction was evaluated mainly using the qualitative method in 223 centers (94%), occasionally with the Simpson method in 193 centers (85%), and with selective use of the three-dimensional (3D) method in only 23 centers (10%). 3D TTE was present in 137 centers (70%), and 3D TEE in all centers where TEE was done (71%). The assessment of LV diastolic function was done routinely in 80% of the centers. Right ventricular function was evaluated using tricuspid annular plane systolic excursion in all centers, using tricuspid valve annular systolic velocity by tissue Doppler imaging in 53% of the centers, and using fractional area change in 33% of the centers. When we divided into cardiology (179, 78%) and noncardiology (49, 22%) centers, we found significant differences in the SE (93% vs. 26%, <i>P</i> < 0.001), TEE (85% vs. 18%), UCA (67% vs. 43%, <i>P</i> < 0001), and STE (87% vs. 20%, <i>P</i> < 0.001). The incidence of LUS evaluation was similar between the cardiology and noncardiology centers (69% vs. 61%, P = NS).</p><p><strong>Conclusions: </strong>This nationwide survey demonstrated that digital infrastructures and advanced echocardiography modalities, such as 3D and STE, are widely available in Italy with a notable diffuse uptake of LUS in the core TTE examination, a suboptimal diffusion of PACS recording, and conservative use of UCA, 3D, and strain. There are significant differences between northern and central-southern regions and echocardiographic laboratories that pertain to the cardiac unit. This inhomogeneous distribution of technology represents one of the main issues that must be solved to standardize the practice of echocardiography.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328129/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Cardiovascular Echography","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jcecho.jcecho_16_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/5/29 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The Italian Society of Echocardiography and Cardiovascular Imaging (SIECVI) conducted a national survey to understand better how different echocardiographic modalities are used and accessed in Italy.
Methods: We analyzed echocardiography laboratory activities over a month (November 2022). Data were retrieved via an electronic survey based on a structured questionnaire, uploaded on the SIECVI website.
Results: Data were obtained from 228 echocardiographic laboratories: 112 centers (49%) in the northern, 43 centers (19%) in the central, and 73 (32%) in the southern regions. During the month of observation, we collected 101,050 transthoracic echocardiography (TTE) examinations performed in all centers. As concern other modalities there were performed 5497 transesophageal echocardiography (TEE) examinations in 161/228 centers (71%); 4057 stress echocardiography (SE) examinations in 179/228 centers (79%); and examinations with ultrasound contrast agents (UCAs) in 151/228 centers (66%). We did not find significant regional variations between the different modalities. The usage of picture archiving and communication system (PACS) was significantly higher in the northern (84%) versus central (49%) and southern (45%) centers (P < 0.001). Lung ultrasound (LUS) was performed in 154 centers (66%), without difference between cardiology and noncardiology centers. The evaluation of left ventricular (LV) ejection fraction was evaluated mainly using the qualitative method in 223 centers (94%), occasionally with the Simpson method in 193 centers (85%), and with selective use of the three-dimensional (3D) method in only 23 centers (10%). 3D TTE was present in 137 centers (70%), and 3D TEE in all centers where TEE was done (71%). The assessment of LV diastolic function was done routinely in 80% of the centers. Right ventricular function was evaluated using tricuspid annular plane systolic excursion in all centers, using tricuspid valve annular systolic velocity by tissue Doppler imaging in 53% of the centers, and using fractional area change in 33% of the centers. When we divided into cardiology (179, 78%) and noncardiology (49, 22%) centers, we found significant differences in the SE (93% vs. 26%, P < 0.001), TEE (85% vs. 18%), UCA (67% vs. 43%, P < 0001), and STE (87% vs. 20%, P < 0.001). The incidence of LUS evaluation was similar between the cardiology and noncardiology centers (69% vs. 61%, P = NS).
Conclusions: This nationwide survey demonstrated that digital infrastructures and advanced echocardiography modalities, such as 3D and STE, are widely available in Italy with a notable diffuse uptake of LUS in the core TTE examination, a suboptimal diffusion of PACS recording, and conservative use of UCA, 3D, and strain. There are significant differences between northern and central-southern regions and echocardiographic laboratories that pertain to the cardiac unit. This inhomogeneous distribution of technology represents one of the main issues that must be solved to standardize the practice of echocardiography.
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