Skip to main content
Top
Published in: The International Journal of Cardiovascular Imaging 10/2017

01-10-2017 | Original Paper

Feasibility of measurements of valve dimensions in en-face-3D transesophageal echocardiography

Authors: Sarah Eibel, Edwin Turton, Chirojit Mukherjee, Carmine Bevilacqua, Joerg Ender

Published in: The International Journal of Cardiovascular Imaging | Issue 10/2017

Login to get access

Abstract

Newest 3D software allows measurements directly in the en-face-3D TEE mode. Aim of the study was to ascertain whether measurements performed in the en-face-3D TEE mode are comparable with conventional measurement methods based on 2D TEE and 3D using the multiple plane reconstruction mode with the Qlab® software. En-face-3D TEE is used more frequently in daily clinical routine during cardiac operations. So far measurements could only be done based on 2D images or with the use of multi planar reconstruction mode with additional software. Measurement directly in the 3D image (en-face-3D TEE) would make measurements faster and easier to use in clinical practice. After approval by the local ethic committee and written informed consent from the patients additionally to a comprehensive perioperative 2D TEE examination a real time (RT) 3D zoom- dataset was recorded. Routine measurements of the length of anterior and posterior mitral valve leaflets as well as mitral valve and aortic valve areas were performed in en-face-3D TEE, multiplanar reconstruction mode using Qlab®-software (Philips, Netherlands) and 2D TEE standard views. Twenty nine patients with a mean age of 67 years undergoing elective cardiac surgery/interventions were enrolled in this study. Direct measurements in en-face-3D TEE mode lead to non significant underestimation of all parameters as compared to Qlab® and 2D TEE measurements. Measurements in en-face-3D TEE are feasible but lead to non significant underestimation compared to measurements performed with Qlab® or in 2D TEE views.
Literature
2.
go back to reference Lang RM, Badano LP, Tsang W, Adams DH, Agricola E, Buck T, Faletra FF, Franke A, Hung J, de Isla LP, Kamp O, Kasprzak JD, Lancellotti P, Marwick TH, McCulloch ML, Monaghan MJ, Nihoyannopoulos P, Pandian NG, Pellikka PA, Pepi M, Roberson DA, Shernan SK, Shirali GS, Sugeng L, Ten Cate FJ, Vannan MA, Zamorano JL, Zoghbi WA, American Society of E, European Association of E (2012) EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography. Eur Heart J Cardiovasc Imaging 13(1):1–46. doi:10.1093/ehjci/jer316 CrossRefPubMed Lang RM, Badano LP, Tsang W, Adams DH, Agricola E, Buck T, Faletra FF, Franke A, Hung J, de Isla LP, Kamp O, Kasprzak JD, Lancellotti P, Marwick TH, McCulloch ML, Monaghan MJ, Nihoyannopoulos P, Pandian NG, Pellikka PA, Pepi M, Roberson DA, Shernan SK, Shirali GS, Sugeng L, Ten Cate FJ, Vannan MA, Zamorano JL, Zoghbi WA, American Society of E, European Association of E (2012) EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography. Eur Heart J Cardiovasc Imaging 13(1):1–46. doi:10.​1093/​ehjci/​jer316 CrossRefPubMed
3.
go back to reference Zamorano J, Cordeiro P, Sugeng L, Perez de Isla L, Weinert L, Macaya C, Rodriguez E, Lang RM (2004) Real-time three-dimensional echocardiography for rheumatic mitral valve stenosis evaluation: an accurate and novel approach. J Am Coll Cardiol 43(11):2091–2096. doi:10.1016/j.jacc.2004.01.046 CrossRefPubMed Zamorano J, Cordeiro P, Sugeng L, Perez de Isla L, Weinert L, Macaya C, Rodriguez E, Lang RM (2004) Real-time three-dimensional echocardiography for rheumatic mitral valve stenosis evaluation: an accurate and novel approach. J Am Coll Cardiol 43(11):2091–2096. doi:10.​1016/​j.​jacc.​2004.​01.​046 CrossRefPubMed
4.
go back to reference Matsumura Y, Fukuda S, Tran H, Greenberg NL, Agler DA, Wada N, Toyono M, Thomas JD, Shiota T (2008) Geometry of the proximal isovelocity surface area in mitral regurgitation by 3-dimensional color Doppler echocardiography: difference between functional mitral regurgitation and prolapse regurgitation. Am Heart J 155(2):231–238. doi:10.1016/j.ahj.2007.09.002 CrossRefPubMed Matsumura Y, Fukuda S, Tran H, Greenberg NL, Agler DA, Wada N, Toyono M, Thomas JD, Shiota T (2008) Geometry of the proximal isovelocity surface area in mitral regurgitation by 3-dimensional color Doppler echocardiography: difference between functional mitral regurgitation and prolapse regurgitation. Am Heart J 155(2):231–238. doi:10.​1016/​j.​ahj.​2007.​09.​002 CrossRefPubMed
6.
go back to reference Mukherjee C, Tschernich H, Kaisers UX, Eibel S, Seeburger J, Ender J (2011) Real-time three-dimensional echocardiographic assessment of mitral valve: Is it really superior to 2D transesophageal echocardiography? Ann Card Anaesth 14(2):91–96. doi:10.4103/0971-9784.81562 CrossRefPubMed Mukherjee C, Tschernich H, Kaisers UX, Eibel S, Seeburger J, Ender J (2011) Real-time three-dimensional echocardiographic assessment of mitral valve: Is it really superior to 2D transesophageal echocardiography? Ann Card Anaesth 14(2):91–96. doi:10.​4103/​0971-9784.​81562 CrossRefPubMed
7.
go back to reference Grewal J, Mankad S, Freeman WK, Click RL, Suri RM, Abel MD, Oh JK, Pellikka PA, Nesbitt GC, Syed I, Mulvagh SL, Miller FA (2009) Real-time three-dimensional transesophageal echocardiography in the intraoperative assessment of mitral valve disease. J Am Soc Echocardiogr 22(1):34–41. doi:10.1016/j.echo.2008.11.008 CrossRefPubMed Grewal J, Mankad S, Freeman WK, Click RL, Suri RM, Abel MD, Oh JK, Pellikka PA, Nesbitt GC, Syed I, Mulvagh SL, Miller FA (2009) Real-time three-dimensional transesophageal echocardiography in the intraoperative assessment of mitral valve disease. J Am Soc Echocardiogr 22(1):34–41. doi:10.​1016/​j.​echo.​2008.​11.​008 CrossRefPubMed
9.
go back to reference Ender A, Eibel S, Hasheminejad E, Scholz M, Kaisers UX, Mukherjee C, Ender J (2012) Real-time 3 dimensional full volume data set : benefits in problem focused intraoperative transesophageal echocardiography. Anaesthesist 61(10):875–882. doi:10.1007/s00101-012-2088-z CrossRefPubMed Ender A, Eibel S, Hasheminejad E, Scholz M, Kaisers UX, Mukherjee C, Ender J (2012) Real-time 3 dimensional full volume data set : benefits in problem focused intraoperative transesophageal echocardiography. Anaesthesist 61(10):875–882. doi:10.​1007/​s00101-012-2088-z CrossRefPubMed
10.
go back to reference Shanewise JS, Cheung AT, Aronson S, Stewart WJ, Weiss RL, Mark JB, Savage RM, Sears-Rogan P, Mathew JP, Quinones MA, Cahalan MK, Savino JS (1999) ASE/SCA guidelines for performing a comprehensive intraoperative multiplane transesophageal echocardiography examination: recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography. Anesth Analg 89(4):870–884CrossRefPubMed Shanewise JS, Cheung AT, Aronson S, Stewart WJ, Weiss RL, Mark JB, Savage RM, Sears-Rogan P, Mathew JP, Quinones MA, Cahalan MK, Savino JS (1999) ASE/SCA guidelines for performing a comprehensive intraoperative multiplane transesophageal echocardiography examination: recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography. Anesth Analg 89(4):870–884CrossRefPubMed
11.
go back to reference Feneck R, Kneeshaw J, Fox K, Bettex D, Erb J, Flaschkampf F, Guarracino F, Ranucci M, Seeberger M, Sloth E, Tschernich H, Wouters P, Zamorano J (2010) Recommendations for reporting perioperative transoesophageal echo studies. Eur J Echocardiogr 11(5):387–393. doi:10.1093/ejechocard/jeq043 CrossRefPubMed Feneck R, Kneeshaw J, Fox K, Bettex D, Erb J, Flaschkampf F, Guarracino F, Ranucci M, Seeberger M, Sloth E, Tschernich H, Wouters P, Zamorano J (2010) Recommendations for reporting perioperative transoesophageal echo studies. Eur J Echocardiogr 11(5):387–393. doi:10.​1093/​ejechocard/​jeq043 CrossRefPubMed
12.
go back to reference Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1(8476):307–310CrossRefPubMed Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1(8476):307–310CrossRefPubMed
14.
15.
go back to reference Baumgartner H, Hung J, Bermejo J, Chambers JB, Evangelista A, Griffin BP, Iung B, Otto CM, Pellikka PA, Quinones M (2009) Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. Eur J Echocardiogr 10(1):1–25. doi:10.1093/ejechocard/jen303 CrossRefPubMed Baumgartner H, Hung J, Bermejo J, Chambers JB, Evangelista A, Griffin BP, Iung B, Otto CM, Pellikka PA, Quinones M (2009) Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. Eur J Echocardiogr 10(1):1–25. doi:10.​1093/​ejechocard/​jen303 CrossRefPubMed
17.
go back to reference Hien MD, Rauch H, Lichtenberg A, De Simone R, Weimer M, Ponta OA, Rosendal C (2013) Real-time three-dimensional transesophageal echocardiography: improvements in intraoperative mitral valve imaging. Anesth Analg 116(2):287–295. doi:10.1213/ANE.0b013e318262e154 CrossRefPubMed Hien MD, Rauch H, Lichtenberg A, De Simone R, Weimer M, Ponta OA, Rosendal C (2013) Real-time three-dimensional transesophageal echocardiography: improvements in intraoperative mitral valve imaging. Anesth Analg 116(2):287–295. doi:10.​1213/​ANE.​0b013e318262e154​ CrossRefPubMed
19.
go back to reference Noack T, Mukherjee C, Kiefer P, Emrich F, Vollroth M, Ionasec RI, Voigt I, Houle H, Ender J, Misfeld M, Mohr FW, Seeburger J (2015) Four-dimensional modelling of the mitral valve by real-time 3D transoesophageal echocardiography: proof of concept. Interact Cardiovasc Thorac Surg 20(2):200–208. doi:10.1093/icvts/ivu357 CrossRefPubMed Noack T, Mukherjee C, Kiefer P, Emrich F, Vollroth M, Ionasec RI, Voigt I, Houle H, Ender J, Misfeld M, Mohr FW, Seeburger J (2015) Four-dimensional modelling of the mitral valve by real-time 3D transoesophageal echocardiography: proof of concept. Interact Cardiovasc Thorac Surg 20(2):200–208. doi:10.​1093/​icvts/​ivu357 CrossRefPubMed
20.
go back to reference Zamorano JL, Badano LP, Bruce C, Chan KL, Goncalves A, Hahn RT, Keane MG, La Canna G, Monaghan MJ, Nihoyannopoulos P, Silvestry FE, Vanoverschelde JL, Gillam LD (2011) EAE/ASE recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease. J Am Soc Echocardiogr 24(9):937–965. doi:10.1016/j.echo.2011.07.003 CrossRefPubMed Zamorano JL, Badano LP, Bruce C, Chan KL, Goncalves A, Hahn RT, Keane MG, La Canna G, Monaghan MJ, Nihoyannopoulos P, Silvestry FE, Vanoverschelde JL, Gillam LD (2011) EAE/ASE recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease. J Am Soc Echocardiogr 24(9):937–965. doi:10.​1016/​j.​echo.​2011.​07.​003 CrossRefPubMed
21.
go back to reference Lang RM, Badano LP, Tsang W, Adams DH, Agricola E, Buck T, Faletra FF, Franke A, Hung J, de Isla LP, Kamp O, Kasprzak JD, Lancellotti P, Marwick TH, McCulloch ML, Monaghan MJ, Nihoyannopoulos P, Pandian NG, Pellikka PA, Pepi M, Roberson DA, Shernan SK, Shirali GS, Sugeng L, Ten Cate FJ, Vannan MA, Zamorano JL, Zoghbi WA, American Society of E, European Association of E (2012) EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography. J Am Soc Echocardiogr 25(1):3–46. doi:10.1016/j.echo.2011.11.010 CrossRefPubMed Lang RM, Badano LP, Tsang W, Adams DH, Agricola E, Buck T, Faletra FF, Franke A, Hung J, de Isla LP, Kamp O, Kasprzak JD, Lancellotti P, Marwick TH, McCulloch ML, Monaghan MJ, Nihoyannopoulos P, Pandian NG, Pellikka PA, Pepi M, Roberson DA, Shernan SK, Shirali GS, Sugeng L, Ten Cate FJ, Vannan MA, Zamorano JL, Zoghbi WA, American Society of E, European Association of E (2012) EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography. J Am Soc Echocardiogr 25(1):3–46. doi:10.​1016/​j.​echo.​2011.​11.​010 CrossRefPubMed
Metadata
Title
Feasibility of measurements of valve dimensions in en-face-3D transesophageal echocardiography
Authors
Sarah Eibel
Edwin Turton
Chirojit Mukherjee
Carmine Bevilacqua
Joerg Ender
Publication date
01-10-2017
Publisher
Springer Netherlands
Published in
The International Journal of Cardiovascular Imaging / Issue 10/2017
Print ISSN: 1569-5794
Electronic ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-017-1141-z

Other articles of this Issue 10/2017

The International Journal of Cardiovascular Imaging 10/2017 Go to the issue