Weyman Arthur E
Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA.
Rev Cardiovasc Med. 2009 Winter;10(1):4-13.
Future developments in echocardiography will likely focus on the continued evolution of existing techniques, such as real-time 3-dimensional (RT3D) imaging and contrast-enhanced imaging; higher resolution imaging; and greater flexibility in imaging systems due to miniaturization, enhanced connectivity, and integration with other techniques. Improvements in RT3D image quality may include expanded parallel processing and use of transesophageal matrix arrays. Two areas of future clinical potential for contrast-enhanced echocardiography/ultrasound are the use of targeted microbubbles for diagnostic and therapeutic applications and expanded vascular imaging. Although molecular imaging holds great promise for the future, in the short-term, it is likely that contrast will be used more extensively for vascular imaging to assess both the effects of interventions on local perfusion and the activity of atherosclerotic plaque based on the size/density of the vasa vasorum. The widespread use of ultrasound will be facilitated by the development of a convenient portable or readily available ultrasonic equivalent of the stethoscope.
超声心动图未来的发展可能会聚焦于现有技术的持续演进，如实时三维（RT3D）成像和对比增强成像；更高分辨率成像；以及由于小型化、增强的连通性和与其他技术的整合而使成像系统具有更大的灵活性。RT3D图像质量的改善可能包括扩展并行处理和使用经食管矩阵阵列。对比增强超声心动图/超声未来在临床应用方面的两个潜在领域是将靶向微泡用于诊断和治疗应用以及扩展血管成像。尽管分子成像在未来前景广阔，但短期内，对比剂可能会更广泛地用于血管成像，以基于滋养血管的大小/密度评估干预措施对局部灌注的影响以及动脉粥样硬化斑块的活性。便捷的便携式超声设备或类似听诊器的易于获取的超声设备的开发将推动超声的广泛应用。
