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Cardiovascular Ultrasound
Published in: Cardiovascular Ultrasound 1/2017

Open Access 01-12-2017 | Technical notes

Quantification of the relative contribution of the different right ventricular wall motion components to right ventricular ejection fraction: the ReVISION method

Authors: Bálint Lakatos, Zoltán Tősér, Márton Tokodi, Alexandra Doronina, Annamária Kosztin, Denisa Muraru, Luigi P. Badano, Attila Kovács, Béla Merkely

Published in: Cardiovascular Ultrasound | Issue 1/2017

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Abstract

Three major mechanisms contribute to right ventricular (RV) pump function: (i) shortening of the longitudinal axis with traction of the tricuspid annulus towards the apex; (ii) inward movement of the RV free wall; (iii) bulging of the interventricular septum into the RV and stretching the free wall over the septum. The relative contribution of the aforementioned mechanisms to RV pump function may change in different pathological conditions.
Our aim was to develop a custom method to separately assess the extent of longitudinal, radial and anteroposterior displacement of the RV walls and to quantify their relative contribution to global RV ejection fraction using 3D data sets obtained by echocardiography.
Accordingly, we decomposed the movement of the exported RV beutel wall in a vertex based manner. The volumes of the beutels accounting for the RV wall motion in only one direction (either longitudinal, radial, or anteroposterior) were calculated at each time frame using the signed tetrahedron method. Then, the relative contribution of the RV wall motion along the three different directions to global RV ejection fraction was calculated either as the ratio of the given direction’s ejection fraction to global ejection fraction and as the frame-by-frame RV volume change (∆V/∆t) along the three motion directions.
The ReVISION (Right VentrIcular Separate wall motIon quantificatiON) method may contribute to a better understanding of the pathophysiology of RV mechanical adaptations to different loading conditions and diseases.
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Metadata
Title
Quantification of the relative contribution of the different right ventricular wall motion components to right ventricular ejection fraction: the ReVISION method
Authors
Bálint Lakatos
Zoltán Tősér
Márton Tokodi
Alexandra Doronina
Annamária Kosztin
Denisa Muraru
Luigi P. Badano
Attila Kovács
Béla Merkely
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Cardiovascular Ultrasound / Issue 1/2017
Electronic ISSN: 1476-7120
DOI
https://doi.org/10.1186/s12947-017-0100-0

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