European Heart Journal - Imaging Methods and Practice最新文献

{"title":"Appraisal of amyloidosis imaging practices in the Middle East/North Africa (PYP-MENA)","authors":"Firas Al Badarin, Masoud Garashi, A. Aljizeeri, R. Tabbalat, Adel Allam, Salah Eddine Bouyoucef, Ammar Chauhdary","doi":"10.1093/ehjimp/qyad025","DOIUrl":"https://doi.org/10.1093/ehjimp/qyad025","url":null,"abstract":"\u0000 \u0000 \u0000 Whereas recommendations to optimize performance and yield of cardiac scintigraphy studies with bone-seeking tracers have been published, little is known about real-world adherence to these best practices, especially outside North America and Europe. Accordingly, we described imaging practices with this modality in a sample of nuclear laboratories in the Middle East/North Africa (MENA) region.\u0000 \u0000 \u0000 \u0000 Laboratories performing radionuclide imaging for cardiac amyloidosis in the MENA region were invited to participate in this study to describe installed camera systems, type and dose of bone-avid tracers used, imaging protocols, and criteria used for study interpretation. Out of 19 invited sites, 10 completed the survey (70% government-run; 90% accredited), sites have been involved with amyloid imaging for a median of 49 months (interquartile range 24–60). The median injected dose was 20 mCi (range 10–25), and PYP was used by 90% of sites in this sample. Planar imaging with single photon emission computed tomography (SPECT) reconstruction was performed at all sites, including seven sites that performed SPECT/CT reconstruction. Lastly, only 50% of sites relied on evidence of myocardial uptake by SPECT to confirm the diagnosis of ATTR cardiomyopathy, while the rest relied on visual assessment and heart/contralateral ratio.\u0000 \u0000 \u0000 \u0000 This study is the first to describe variation in imaging practices across sites in the MENA region, especially in acquisition protocols and interpretation standards. Eliminating heterogeneities identified by this study will harmonize image interpretation and reporting and will facilitate successful conduct of regional multi-centre studies.\u0000","PeriodicalId":508944,"journal":{"name":"European Heart Journal - Imaging Methods and Practice","volume":"17 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139635087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atrial function after percutaneous occluder device and suture-mediated patent fossa ovalis closure","authors":"C. Tarsia, C. Gaspardone, A. De Santis, E. D’Ascoli, F. Piccioni, G. Sgueglia, M. Iamele, S. Leonetti, Benedetta Giannico, A. Gaspardone","doi":"10.1093/ehjimp/qyae008","DOIUrl":"https://doi.org/10.1093/ehjimp/qyae008","url":null,"abstract":"\u0000 \u0000 \u0000 Suture-mediated patent fossa ovalis (PFO) closure is a recent technique, achieving closure by means of a simple suture. The differences between traditional occluders and suture might have different impacts on atrial function. The aim of this study was to evaluate atrial function after PFO closure by direct suture and traditional occluders.\u0000 \u0000 \u0000 \u0000 We prospectively studied 40 patients, 20 undergoing PFO closure by occluder and 20 by suture. Trans-thoracic echocardiography was carried out the day before and 1 year after the procedure. Left atrial (LA) and right atrial (RA) function was evaluated by using speckle-tracking analysis assessing the strain values of the reservoir (st-RES), conduit (st-CD), and contraction phase (st-CT). Compared with values baseline PFO closure, at 1-year follow-up, patients with occluder implantation had significantly worse indices of LA and RA reservoir (LA st-RES P < 0.001; RA st-RES P < 0.001), conduit (LA st-CD P < 0.001; RA st-CD P < 0.001), and contraction function (LA st-CT P < 0.05; RA st-CT P < 0.05). In patients with suture-mediated PFO closure, no significant differences were observed in the same indices of reservoir (LA st-RES P = 0.848; RA st-RES P = 0.183), conduit (LA st-CD P = 0.156; RA st-CD P = 0.419), and contraction function (LA st-CT P = 0.193; RA st-CT P = 0.375).\u0000 \u0000 \u0000 \u0000 Suture-mediated PFO closure does not alter atrial function. Conversely, PFO closure by metallic occluders is associated with a deterioration of atrial function. This detrimental effect on atrial function could favour the development of atrial arrhythmias.\u0000","PeriodicalId":508944,"journal":{"name":"European Heart Journal - Imaging Methods and Practice","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140516682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The importance of patient characteristics, operators, and image quality for the accuracy of heart failure diagnosis by general practitioners using handheld ultrasound devices","authors":"M. Magelssen, A. Hjorth-Hansen, G. Andersen, T. Graven, J. Kleinau, K. Skjetne, L. Løvstakken, H. Dalen, O. Mjølstad","doi":"10.1093/ehjimp/qyad047","DOIUrl":"https://doi.org/10.1093/ehjimp/qyad047","url":null,"abstract":"To evaluate if characteristics of patients, operators and image quality could explain the accuracy of heart failure (HF) diagnostics by general practitioners (GPs) using handheld ultrasound devices (HUD) with automatic decision-support software and telemedical support. Patients referred to an outpatient cardiac clinic due to symptoms indicating HF were examined by one of five GPs after dedicated training. In total 166 patients were included (median (interquartile range) age 73 (63-78) years; mean ± standard deviation ejection fraction 53 ± 10%). The GPs considered whether the patients had HF in four diagnostic steps: I) clinical examination, II) adding focused cardiac HUD examination, III) adding automatic decision-support software measuring mitral annular plane systolic excursion (autoMAPSE) and ejection fraction (autoEF), and IV) adding telemedical support. Overall, characteristics of patients, operators, and image quality explained little of the diagnostic accuracy. Except for atrial fibrillation (lower accuracy for HUD alone and after adding autoEF (p < 0.05)), no patient characteristics influenced the accuracy. Some differences between operators were found after adding autoMAPSE (p < 0.05). Acquisition errors of the four-chamber view and a poor visualisation of the mitral plane was associated with reduced accuracy after telemedical support (p < 0.05). Characteristics of patients, operators and image quality explained just minor parts of the modest accuracy of GPs HF diagnostics using HUDs with and without decision-support software. Atrial fibrillation and not well standardised recordings challenged the diagnostic accuracy. However, the accuracy was only modest in well recorded images indicating a need for refinement of the technology.","PeriodicalId":508944,"journal":{"name":"European Heart Journal - Imaging Methods and Practice","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139147165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of extra-coronary peripheral arteriopathy in spontaneous coronary dissection; State of the art in non-invasive imaging techniques and future perspectives","authors":"E. Androulakis, C. Kourek, A. Vrettos, N. Kontopodis, E. Lioudaki, Maria Prasinou, Andreas Xanthopoulos, Alexandros Antonopoulos, A. Briasoulis, Raad Mohiaddin","doi":"10.1093/ehjimp/qyad044","DOIUrl":"https://doi.org/10.1093/ehjimp/qyad044","url":null,"abstract":"Spontaneous coronary artery dissection (SCAD) has been recognized as an important cause of acute coronary syndrome (ACS) in women ≤50 years old, and up to 43% of pregnancy-associated myocardial infarction. SCAD has a strong association with extra-coronary arteriopathies, including either more common entities such as dissections, intracranial or other aneurysms, and extra-coronary and coronary arterial tortuosity or less common inherited vascular disorders such as Ehlers Danlos syndrome, Marfan syndrome and Loeys Dietz syndrome, leading to the conclusion that systemic arterial disorders may underlie SCAD. Fibromuscular dysplasia (FMD) is the most common extra-coronary vascular abnormality identified among these patients, also sharing a common genetic variant with SCAD. The American Heart Association, in a scientific statement regarding the management of SCAD, recommends that patients with SCAD should undergo additional evaluation with imaging techniques including either computed tomography angiography (CTA) or magnetic resonance angiography (MRA). MRA has been shown to have sufficient diagnostic accuracy in identifying extra-coronary arterial abnormalities, almost equal to CTA and conventional angiography. The aim of this review is to appraise the most recent important evidence of extra-coronary arteriopathy in the setting of SCAD and to discuss the strengths and weaknesses of various non-invasive imaging methods for screening of extra-coronary arteriopathies in patients with SCAD.","PeriodicalId":508944,"journal":{"name":"European Heart Journal - Imaging Methods and Practice","volume":"4 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139156841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current National Availability of Advanced Echocardiography Imaging: Real World Data From an Italian Society of Echocardiography and Cardiovascular Imaging (SIECVI) Survey","authors":"Andrea Barbieri, F. Mantovani, Q. Ciampi, A. Barchitta, Giorgio Faganello, Sofia Miceli, V. Parato, A. Tota, Giuseppe Trocino, Francesco Antonini-Canterin, S. Carerj, M. Pepi","doi":"10.1093/ehjimp/qyad046","DOIUrl":"https://doi.org/10.1093/ehjimp/qyad046","url":null,"abstract":"Advanced echocardiographic imaging (AEI) techniques, such as three-dimensional (3D) and multi-chamber speckle-tracking deformation imaging (strain) analysis, have been shown to be more accurate in assessing heart chamber geometry and function when compared to conventional echocardiography providing additional prognostic value. However, incorporating AEI alongside standard examinations may be heterogeneous between echo laboratories (echo labs). Thus, our goal was to gain a better understanding of the many AEI modalities that are available and employed in Italy. The Italian Society of Echocardiography and Cardiovascular Imaging (SIECVI) conducted a national survey over a month (November 2022) to describe the use of AEI in Italy. Data were retrieved via an electronic survey based on a structured questionnaire uploaded on the SIECVI website. Data obtained from 173 echo-labs were divided into three groups, according to the numbers of echocardiograms performed: <250 exams (low-volume activity, 53 centers), between 251 and 550 exams (moderate-volume activity, 62 centers) and ≥550 exams (high-volume activity, 58 centers). Transthoracic echocardiography (TTE) 3D was in use in 75% of centers with a consistent difference between low activity volume (55%), medium (71%), and high-volume (85%), p=0.002, while 3D transesophageal echocardiography (TEE) was in use in 84% of centers, reaching the 95% in high activity volume echo-labs (p=0.006). In centers with available 3D TTE, it was used for the left ventricle (LV) analysis in 67%, for the right ventricle (RV) in 45%, and for the left atrium (LA) in 40%, showing greater use in high-volume centers compared to low and medium-volume centers (all p<0.04). Strain analysis was utilized in most echo labs (80%), with a trend toward greater use in high-volume centers than low and medium-volume centers (77%, 74%, and 90%, respectively; p=0.08). In centers with available strain analysis, it was mainly employed for the LV (80%) and much less frequently for the RV and LA (49% and 48%, respectively). In Italy, the AEI modalities are more frequently available in centers with high-volume activity but employed only in a few applications, being more frequent in analyzing the LV compared to the RV and LA. Therefore, the echocardiography community and SIECVI should promote uniformity and effective training across the Italian centers. Meanwhile, collaborations across centers with various resources and expertise should be encouraged to use the benefits of the AEI.","PeriodicalId":508944,"journal":{"name":"European Heart Journal - Imaging Methods and Practice","volume":"8 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139168786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contractile Asymmetry and Survival in Patients with Left Bundle Branch Block Treated with Cardiac Resynchronization Therapy","authors":"Nareen Kader, Liv Therese Holm-Nielsen, B. Tayal, Sam Riahi, A. Sommer, Jens C. Nielsen, M. Kronborg, C. Stephansen, N. H. Andersen, N. Risum, Peter Søgaard, T. Zaremba","doi":"10.1093/ehjimp/qyad045","DOIUrl":"https://doi.org/10.1093/ehjimp/qyad045","url":null,"abstract":"Currently, electrical rather than mechanical parameters of delayed left ventricular (LV) activation are used for patient selection for cardiac resynchronization therapy (CRT). However, despite adhering to current guideline-based criteria, about one-third of heart failure (HF) patients fail to derive benefit from CRT. This study sought to investigate the prognostic survival significance of a recently introduced index of contractile asymmetry (ICA) based on deformation of entire opposing LV walls in the context of selecting patients with HF and left bundle branch block (LBBB) for CRT. We analyzed 367 patients with HF and LBBB undergoing CRT (31.6% females, 69±9 years, ischemic etiology in 50.7%, LV ejection fraction 27±6%). ICA was calculated using LV strain rate values from curved anatomical M-mode plots of apical 2D-echocardiography images. The predictive value of ICA was assessed using Kaplan-Meier analysis and Cox proportional hazards models. During a median follow-up time of 5.54 years, death or cardiac transplantation occurred in 105 (28.6%) cases. Higher baseline ICA values in all apical views, particularly in the 2-chamber view (ICA-2ch), were associated with increased event-free survival, unadjusted hazard ratio was 0.28 (95% confidence interval 0.18-0.46). Higher ICA-2ch (>0.319 s-1) consistently predicted survival across clinical subgroups and remained significant after covariate adjustment, while the event rate sharply increased in low ICA-2ch cases. Additionally, including ICA-2ch improved the predictive value of the multivariate risk model containing the typical LBBB pattern. Pre-implant ICA suggests a quantitative prognostic threshold for both long-term survival and adverse outcomes following CRT implantation.","PeriodicalId":508944,"journal":{"name":"European Heart Journal - Imaging Methods and Practice","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139167998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of double-chambered right ventricle flow using 4D flow MRI - right ventricular helical flow may not disappear even after surgical intervention-","authors":"Hideharu Oka, Keita Ito, Sadahiro Nakagawa, Kunihiro Iwata, Kouichi Nakau","doi":"10.1093/ehjimp/qyad042","DOIUrl":"https://doi.org/10.1093/ehjimp/qyad042","url":null,"abstract":"","PeriodicalId":508944,"journal":{"name":"European Heart Journal - Imaging Methods and Practice","volume":"56 9-10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139182892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiac output drop reflects circulatory attrition after Fontan completion: serial cardiac magnetic resonance study","authors":"Sara C Arrigoni, Rolf M F Berger, T. Ebels, D. Postmus, E. Hoendermis, Paul H Schoof, T. Willems, J. V. van Melle","doi":"10.1093/ehjimp/qyad039","DOIUrl":"https://doi.org/10.1093/ehjimp/qyad039","url":null,"abstract":"Cardiac magnetic resonance (CMR) imaging is a main diagnostic tool in follow-up of Fontan patients. However, the value of serial CMR’s for evaluation of Fontan attrition is unknown. Prospective study of serial CMR’s in patients after Fontan completion. Analysis of time-dependent evolution of blood flow distribution, ventricular volumes and function. Prospective single center study of 281 CMR’s (between 2012-2022) in 88 Fontan patients with distribution of blood flows, measurements of ventricular volumes and ejection fraction. Linear mix model regression for repeated measurements was used to analyze changes of measurements across serial CMR’s. During a time interval of 10 years, the median number of CMR’s per patient was 3 (range 1-5). Indexed flows of ascending aorta, caval veins, pulmonary arteries decreased significantly across serial CMR’s. Although a decrease of mean indexed aortic flow (3.03 ± 0.10 L/min/m2 at 1st CMR versus 2.36 ± 0.14 L/min/m2 at 4th CMR, p < 0.001) was observed, ejection fraction did not decline (50 ± 1% at 1st CMR versus 54 ± 2% at 4th CMR, p = 0.070). Indexed ventricular volume did not differ significantly across serial CMR’s. The decrease of indexed aortic and cavo-pulmonary flows reflects the attrition of univentricular circulation and can be detected by means of serial CMR’s. Ventricular systolic dysfunction does not contribute significantly to this attrition. In order to detect significant change of indexed aortic flow, we recommend performing serial CMR’s as routine practice in the Fontan population.","PeriodicalId":508944,"journal":{"name":"European Heart Journal - Imaging Methods and Practice","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139233047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}