Keywords: speckle tracking echocardiography, three-dimensional echocardiography, myocardial deformation, validation, clinical applications. Speckle tracking echocardiography (STE) is a new, non-invasive method for the assessment of left ventricular (LV) global and regional function. STE offers the. Early speckle-tracking echocardiography predicts left ventricle remodeling after acute st-segment elevation myocardial infarction.


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A significant advantage consists in the possibility of interrogating radial, circumferential and longitudinal deformation simultaneously from the same acquired loop.

How do I do it? Speckle-tracking echocardiography

By tracking these speckles, the strain, strain rate, tissue velocity and LV rotation speckle tracking echocardiography be easily calculated. Clinical Applications Myocardial Strain Measurement 2-D echocardiography is currently the first-line imaging modality for assessing global and regional function.


Using 2-D echocardiography, LV function is most often evaluated visually. Myocardial thickening and segmental wall motion can also be assessed, although these measures are even harder to assess, and are therefore most often visually estimated on the 2-D ultrasound images.

This qualitative approach suffers obvious limitations. Its accuracy, depends on the expertise of the speckle tracking echocardiography, resulting in large intra- and interobserver variabilities.

End-systole was defined by the aortic valve closure in the apical long-axis speckle tracking echocardiography.

Speckle tracking echocardiography

The regions of interest were manually outlined at end-systole by marking the endocardial borders in the apical views. A manual adjustment was performed if the automated speckle tracking echocardiography was suboptimal.

Peak systolic longitudinal myocardial strain was automatically calculated throughout the myocardium for each LV apical view and reported spatially - from base to apex and circumferentially - in a polar speckle tracking echocardiography map using a color-coded parametric representation.

The area of SAS was contoured and expressed as a percentage of the total myocardial area as described in a previous investigation.

Speckle Tracking Echocardiography | ECR Journal

Longitudinal peak strain values were averaged over 2 consecutive cardiac cycles. The lower frame rate has been seen to be a problem in stress speckle tracking echocardiographyas the peak stress shows a fairly high frame rate.


The lack of standardisation. Each vendor of ultrasound equipment, or analysis software, has different algorithms, that will perform differently speckle tracking echocardiography analysis.

In head to head comparisons, biases between analysis may be substantial, especially when compared to an external reference.

Real-time three-dimensional speckle tracking echocardiography: technic | RRCC

Due to industrial secrecy, the details of the different algorithms may also be largely unavailable, so a detailed investigation in modelling is difficult. When viewed from the apex, the apex rotates in anticlockwise direction during systole whereas the based rotates in the clockwise direction.

This opposite rotation of the LV apex and base during systole produces a wringing motion or twist of speckle tracking echocardiography LV which is critical to the normal systolic functioning of the LV.

Image Analysis Once all views have been obtained and are deemed satisfactory for STE, image analysis can begin. Again, this may be done either on or off the cart depending on your laboratory's set up.

Using speckle tracking echocardiography Doppler image for this AVC, placement is recommended over the 2D image due to improved temporal resolution found in Doppler; however, it is important to note that this may be difficult in the case of irregular heart rates or changing R to R intervals.

The placement of aortic valve closure marker by Doppler Click here to view Step 1: Confirm that the starting point is placed at the peak of the R wave; this will serve as the starting point. Under the measurement, package chooses event timing and selects AVC.

Speckle Tracking Echocardiography

This can be helpful in exposing certain disease states e. When prompted, scroll frame speckle tracking echocardiography frame until you see the AV close and place the AVC marker at that time point.

Launch the strain analysis software. Depending on your machine settings, STE is either semi-automated or automated image analysis, meaning that you may speckle tracking echocardiography may not need to place points to start the image analysis.

Chose the beat you wish to use by trimming the three-cycle loop down to the single beat you wish to analyze. Some vendors will show a systolic yo-yo view.


This is designed to help you place points better by seeing the myocardium moving. Time to place your tracking points.

  • Speckle tracking echocardiography - Wikipedia
  • How do I do it? Speckle-tracking echocardiography
  • 2. What is speckle-tracking echocardiography?