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KMID : 0390620120200010001
Journal of Cardiovascular Ultrasound
2012 Volume.20 No. 1 p.1 ~ p.22
Current Clinical Applications of Transthoracic Three-Dimensional Echocardiography
Luigi P. Badano

Francesca Boccalini
Denisa Muraru
Lucia Dal Bianco
Diletta Peluso
Roberto Bellu
Giacomo Zoppellaro
Sabino Iliceto
Abstract
The advent of three-dimensional echocardiography (3DE) has significantly improved the impact of non-invasive imaging on our understanding and management of cardiac diseases in clinical practice. Transthoracic 3DE enables an easier, more accurate and reproducible interpretation of the complex cardiac anatomy, overcoming the intrinsic limitations of conventional echocardiography. The availability of unprecedented views of cardiac structures from any perspective in the beating heart provides valuable clinical information and new levels of confidence in diagnosing heart disease. One major advantage of the third dimension is the improvement in the accuracy and reproducibility of chamber volume measurement by eliminating geometric assumptions and errors caused by foreshortened views. Another benefit of 3DE is the realistic en face views of heart valves, enabling a better appreciation of the severity and mechanisms of valve diseases in a unique, noninvasive manner. The purpose of this review is to provide readers with an update on the current clinical applications of transthoracic 3DE, emphasizing the incremental benefits of 3DE over conventional two-dimensional echocardiography.
KEYWORD
Three-dimensional echocardiography, Left ventricle, Right ventricle, Mitral valve, Aortic valve, Tricuspid valve, Left atrium.
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