Assessment of Myocardial Mechanics Using Speckle Tracking Echocardiography: Fundamentals and Clinical Applications

Holly Geyer, Giuseppe Caracciolo, Haruhiko Abe, Susan Wilansky, Scipione Carerj, Federico Gentile, Hans Joachim Nesser, Bijoy Khandheria, Jagat Narula, Partho P. Sengupta

Research output: Contribution to journalReview article

650 Scopus citations

Abstract

The authors summarize the recent developments in speckle-tracking echocardiography (STE), a relatively new technique that can be used in conjunction with two-dimensional or three-dimensional echocardiography for resolving the multidirectional components of left ventricular (LV) deformation. The tracking system is based on grayscale B-mode images and is obtained by automatic measurement of the distance between 2 pixels of an LV segment during the cardiac cycle, independent of the angle of insonation. The integration of STE with real-time cardiac ultrasound imaging overcomes some of the limitations of previous work in the field and has the potential to provide a unified framework to more accurately quantify the regional and global function of the left ventricle. STE holds promise to reduce interobserver and intraobserver variability in assessing regional LV function and to improve patient care while reducing health care costs through the early identification of subclinical disease. Following a brief overview of the approach, the authors pool the initial observations from clinical studies on the development, validation, merits, and limitations of STE.

Original languageEnglish (US)
Pages (from-to)351-369
Number of pages19
JournalJournal of the American Society of Echocardiography
Volume23
Issue number4
DOIs
StatePublished - Apr 2010

Keywords

  • Left ventricular deformation
  • Speckle tracking
  • Strain
  • Velocity Vector Imaging

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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