European heart journal. Imaging methods and practice最新文献

{"title":"Multimodal imaging of papillary fibroelastoma.","authors":"Lady Diana Quintana Reusche, Kevin Velarde-Acosta, Luis Falcón-Quispe, Angela Cachicatari-Beltran, Kelly Cupe-Chacalcaje, Dante Urdanivia-Ruiz, Eliana Rafael-Horna, Robert Lozano Purizaca, Roberto Baltodano-Arellano","doi":"10.1093/ehjimp/qyag133","DOIUrl":"https://doi.org/10.1093/ehjimp/qyag133","url":null,"abstract":"<p><p>Papillary fibroelastoma is a rare primary cardiac tumor with a benign histology. However, it can cause serious complications, primarily thromboembolism to the brain. Multimodal imaging is important for tumor detection, tissue characterization, assessing complications, planning surgery, and postoperative follow-up. In summary, multimodal imaging plays an essential role in managing papillary fibroelastoma and is crucial in determining interventional decisions.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"4 4","pages":"qyag133"},"PeriodicalIF":0.0,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13685626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149248070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Divergent aortic root cusp-to-cusp measurement techniques on CMR: geometric implications and threshold reclassification.","authors":"Jo M Zelis, Arie van Dijk, Toon D Duijnhouwer, Khibar Salah, Robin H Heijmen, Robin Nijveldt","doi":"10.1093/ehjimp/qyag173","DOIUrl":"10.1093/ehjimp/qyag173","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate discrepancies between current European guidelines (ESC vs. EACTS) regarding aortic root cusp-to-cusp measurements and assess their impact on risk stratification for prophylactic root replacement.</p><p><strong>Methods and results: </strong>A retrospective analysis was performed on a relative young cohort of 50 patients (mean age 42 years) who underwent non-contrast 3D cardiovascular magnetic resonance (CMR) imaging. We compared the widest-to-widest cusp measurements and the middle cusp-to-cusp measurements with each other and against a traced aortic root perimeter. The widest cusp-to-cusp measurement yielded systematically higher values compared to the middle measurement, showing a significant mean difference of 3.60 mm (<i>P</i> < 0.001). The middle measurement demonstrated better statistical agreement with the traced aortic root perimeter, achieving a Lin's Concordance Correlation Coefficient (CCC) of 0.98 and a Mean Absolute Error (MAE) of 3.96 mm. Conversely, widest cusp-to-cusp measurements exhibited substantially lower agreement (CCC 0.80) and significantly higher error rates (MAE 16.88 mm), consistently overestimating the perimeter. This led to the upward reclassification of 10.0% (5/50) and 16.0% (8/50) of patients across the 40 and 45 mm guideline thresholds, respectively.</p><p><strong>Conclusion: </strong>Cusp-to-cusp measurement techniques recommended by ESC and EACTS produce systematically divergent aortic root dimensions, resulting in significant patient reclassification across clinical thresholds. Although the middle measurement aligns more closely with the traced anatomical perimeter, the principal finding of this study is that guideline choice fundamentally alters patient categorization. Standardization of aortic root measurement conventions is essential to ensure consistent international care, improve research comparability, and reconcile historical risk thresholds with modern 3D imaging.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"4 4","pages":"qyag173"},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Temporal interpretation of right ventricular strain after pulmonary embolism.","authors":"Hasan Burak Isleyen, Sercan Bulut","doi":"10.1093/ehjimp/qyag174","DOIUrl":"10.1093/ehjimp/qyag174","url":null,"abstract":"","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"4 4","pages":"qyag174"},"PeriodicalIF":0.0,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13678200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beta-blocker exposure and dobutamine hyperaemia in heart failure with reduced ejection fraction.","authors":"Philip Hasbak, Ronan M G Berg","doi":"10.1093/ehjimp/qyag167","DOIUrl":"10.1093/ehjimp/qyag167","url":null,"abstract":"","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"4 4","pages":"qyag167"},"PeriodicalIF":0.0,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13678217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute deoxygenation during M-TEER: a note of caution.","authors":"Michael Wester, Michael Paulus, Andreas Luchner, Christian Schach, Bernhard Unsöld, Lars S Maier, Can Martin Sag, Christine Meindl, Kurt Debl","doi":"10.1093/ehjimp/qyag171","DOIUrl":"10.1093/ehjimp/qyag171","url":null,"abstract":"<p><strong>Aims: </strong>Right-to-left (R-L) shunting through an iatrogenic atrial septal defect (iASD) after mitral transcatheter edge-to-edge repair (M-TEER) is a rare but potentially life-threatening complication. We aimed to identify factors associated with clinically relevant R-L shunting requiring emergency iASD closure.</p><p><strong>Methods and results: </strong>We retrospectively analysed 444 consecutive patients undergoing successful M-TEER between 2017 and 2026. Clinical, echocardiographic, and invasive haemodynamic parameters were compared between patients requiring emergency iASD closure and the remaining cohort. Six patients (1.3%) required emergency iASD closure due to R-L shunting and acute deoxygenation. All presented with severe tricuspid regurgitation, RV dilatation, and impaired RV function. Following M-TEER, right atrial pressure exceeded left atrial pressure in five patients. Compared with controls, affected patients demonstrated reduced tricuspid annular plane systolic excursion (15 ± 2 vs. 19 ± 4 mm), fractional area change (FAC) (27 ± 5% vs. 43 ± 6%), and RV free wall strain (-13 ± 2% vs. -22 ± 5%). Echocardiography underestimated invasively measured systolic pulmonary artery pressure (25.8 vs. 40.3 mmHg; <i>P</i> = 0.035). Oxygen saturation decreased by 3-8%, with one patient developing cardiogenic shock.</p><p><strong>Conclusion: </strong>Severe tricuspid regurgitation, RV dysfunction, and elevated right atrial pressure may identify patients at risk for clinically relevant R-L shunting after M-TEER. Comprehensive RV assessment, including FAC and strain, combined with invasive hemodynamic evaluation, may improve risk stratification and facilitate timely iASD closure.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"4 4","pages":"qyag171"},"PeriodicalIF":0.0,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of cardiac image quality from single-probe handheld ultrasound devices.","authors":"Anna Grimaldo, Benjamin Koethe, Shane Williams, Eileen W Mai, Joseph Nguyen, Monica M Dehn, Lisa Small, Jennie An, Veronique Recile, Denise Daudelin, Ludovic Trinquart, David M Kent, Ayan R Patel, Michael Hughes, Benjamin S Wessler","doi":"10.1093/ehjimp/qyag172","DOIUrl":"https://doi.org/10.1093/ehjimp/qyag172","url":null,"abstract":"<p><strong>Aims: </strong>This study aims to assess quality of cardiac ultrasound imaging from commercially available single-probe handheld devices.</p><p><strong>Methods and results: </strong>Cardiac imaging from single-probe handheld ultrasound devices was prospectively acquired by registered cardiac sonographers. Videos were graded on a scale of 1 (uninterpretable) to 5 (diagnostic-quality imaging) by 2 sonographers. The average image quality score for each cine loop was analysed. Interpretable imaging was defined as an average IQ score ≥ 2. Good image quality was defined as an average IQ score ≥ 4. Imaging from single-probe devices representing 518 videos from 206 patients was assessed. The mean age was 72 (SD 11.1) years. Agreement on image quality was moderate (weighted kappa 0.50, 95% CI 0.45-0.55). The correlation between sonographer quality grades was 0.60. The median average IQ score was 2.5 (1.5). 454 (88%) of the videos were interpretable (average IQ ≥ 2). At least one interpretable video was obtained for 187 (91%) patients. 62/518 (12%) of videos had good image quality (average score ≥ 4). There was a trend towards lower image quality with increasing BMI categories [16-25, median 3.0 (2.0, 3.5), 25-29, median 3.0 (2.0, 3.5), > 29 median 2.5 (2.0, 3.0), <i>P</i> < 0.001].</p><p><strong>Conclusion: </strong>Basic interpretable imaging from single-probe handheld ultrasound devices can be obtained for most patients under idealized conditions, suggesting possible use for enhanced cardiac disease detection. Since imaging from a significant minority of patients is uninterpretable and lower image quality is associated with higher BMI, rigorous assessment of image quality is essential prior to image interpretation.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"4 4","pages":"qyag172"},"PeriodicalIF":0.0,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13685631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149248096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A framework for increasing scanner efficiency: the utility of a 'Short aorta' protocol to increase cardiac MRI capacity at the Yorkshire Heart Centre.","authors":"Henry Procter, Jun Hui Tan, Lizette Cash, Marilena Giannoudi, Sindhoora Kotha, Sven Plein, Ananth Kidambi, Eylem Levelt, Anshuman Sengupta, Nicholas Jex","doi":"10.1093/ehjimp/qyag163","DOIUrl":"10.1093/ehjimp/qyag163","url":null,"abstract":"<p><p>There are rising demands for cardiovascular magnetic resonance imaging (CMR) worldwide. Thoracic aorta assessment is a common CMR indication. There are many benefits to shorter scan times including improved patient experience, as well as efficiency of a service. This service development project aimed to optimize the current 'aorta' protocol in a large tertiary CMR centre in the United Kingdom (which includes aortic valve [AV] and left ventricle [LV] assessment), with the aim to reduce scanning and reporting times. A 'Short aorta' protocol was devised (where only the thoracic aorta is assessed). The 'Short aorta' protocol requires a 30-minute scan slot, whereas the 'Full aorta' protocol (assessing thoracic aorta, AV and LV function) requires 60 minutes. This project retrospectively analysed clinical and scan characteristics of patients referred to the Yorkshire Heart Centre for CMR before and after introduction of a 'Short aorta' protocol. Over the two 13-week audit periods, thoracic aorta assessment was the main indication for 137 CMR referrals. Based on clinical indication, 95 (69%) could have used the 'Short aorta' protocol. After introduction of the 'Short aorta' protocol, 39 (46%) of 85 scans were protocolled as 'Short aorta'. This resulted in significantly reduced scan times compared to the original 'aorta' protocol: 18 (IQR 15, 21) vs. 37 (IQR 32, 42) minutes; <i>P</i> = <0.0001). Over the second audit period, 1.2 h of scanner time per week was saved. With appropriate protocolling and booking, 1.9 h of scanner time could be saved. This is significant capacity which can improve waiting times, offering better service for patients.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"4 3","pages":"qyag163"},"PeriodicalIF":0.0,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Absent right pulmonary artery with patent ductus arteriosus and Eisenmenger syndrome.","authors":"José Martín Alanís-Naranjo, Regina de la Mora-Cervantes, Cielmar Galeana-Abarca, Ana María Rosas-Vázquez","doi":"10.1093/ehjimp/qyag169","DOIUrl":"https://doi.org/10.1093/ehjimp/qyag169","url":null,"abstract":"","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"4 4","pages":"qyag169"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13676300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preserved and reduced ejection fraction manifest as two unique phenotypes of diastolic dysfunction-a mechanistic study.","authors":"Hayden McColl, Morgan Brookes, Michelle Price, Elias Fulthorp, Michele McGrady, Sean Lal, Martin Ugander","doi":"10.1093/ehjimp/qyag147","DOIUrl":"https://doi.org/10.1093/ehjimp/qyag147","url":null,"abstract":"<p><strong>Aims: </strong>Diastolic dysfunction is commonplace in patients with preserved (pEF) and reduced (rEF) ejection fraction (EF). Differences in treatment response suggest that these classifications represent two unique phenotypes of diastolic dysfunction. We aimed to evaluate if patients with pEF and rEF would exhibit different mechanics of diastolic dysfunction. Patients with normal EF and normal diastolic function, or grade 2 or 3 diastolic dysfunction with pEF or rEF by echocardiography, were retrospectively identified.</p><p><strong>Methods and results: </strong>Diastolic function was assessed using the parameterized diastolic filling method, which allows for quantification of key mechanistic properties such as myocardial stiffness and damping using the early mitral inflow pattern of the E-wave from Doppler echocardiography. Patients with diastolic dysfunction and pEF (n = 75) or rEF (n = 75) did not differ in E/e', tricuspid regurgitation peak velocity, or left atrial volume index (<i>P</i> > 0.05 for all). Ventricular stiffness (mmHg/mL) did not differ between controls [0.13 (0.06-0.20)] and patients with either pEF [0.12 (0.06-0.18)] or rEF [0.11 (0.05-0.17), <i>P</i> > 0.3 for all], while damping (g/s) was increased in pEF [24.1 (20.5-33.2), <i>P</i> < 0.001] but reduced in rEF (16.1 [12.5-19.8], <i>P</i> = 0.005) when compared with controls [19.8 (15.1-24.8)].</p><p><strong>Conclusion: </strong>Whilst pEF and rEF do not differ in key conventional echocardiographic measures of diastolic dysfunction, they are two unique physiological conditions where diastolic dysfunction manifests fundamentally differently. These findings challenge traditional assumptions about the role of myocardial stiffness in ventricular filling and underscore the importance of damping as a key component of diastolic dysfunction.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"4 3","pages":"qyag147"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13631922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aortic valve assessment by cardiovascular magnetic resonance.","authors":"Chi Ho Fung, Abhishek Shetye, Nikoo Aziminia, George Thornton, Jonathan Bennett, P R Scully, T A Treibel","doi":"10.1093/ehjimp/qyag164","DOIUrl":"https://doi.org/10.1093/ehjimp/qyag164","url":null,"abstract":"","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"4 3","pages":"qyag164"},"PeriodicalIF":0.0,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13631921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}