University of Queensland, Brisbane, Australia.
Heart Lung Circ. 2010 Mar;19(3):175-84. doi: 10.1016/j.hlc.2010.01.006. Epub 2010 Feb 19.
For over 30 of its 50-year history, echocardiography has provided noninvasive, widely available and inexpensive imaging. This technique now has a huge evidence base that is incorporated in the guidelines for many cardiac diseases, to the extent that echocardiography (2DE) has a central position in modern cardiac diagnosis and management. The paradox is that in contributing the lion's share of cardiac imaging, echocardiography has become removed from the province of the imaging specialist and its role as an interesting and worthwhile source of investigation and training has been superseded by the newer methodologies including cardiac computed tomography (CCT) and cardiac magnetic resonance (CMR). However, the clinical contribution of potential advances are likely to be realised only if "advanced echocardiography" - including deformation, contrast and three-dimensional imaging - are differentiated from the "plain vanilla" of routine echocardiography. Successful translation of these advances into clinical practice will show that these new techniques are complimentary and in some cases competitive with the new imaging methodologies. This review seeks to provide a perspective of how echocardiography will integrate with the new imaging methodologies for the most common indications for cardiac imaging, with specific attention to the contribution of new methodologies including three-dimensional echocardiography (3DE) and deformation imaging.
在其 50 年历史的 30 多年中，超声心动图提供了非侵入性、广泛可用且廉价的成像。这项技术现在拥有庞大的证据基础，被纳入许多心脏病的指南中，以至于超声心动图（二维）在现代心脏诊断和管理中占据核心地位。矛盾的是，尽管超声心动图在心脏成像方面做出了巨大贡献，但它已经脱离了影像专家的范畴，其作为有趣且有价值的调查和培训来源的角色已经被包括心脏计算机断层扫描（CCT）和心脏磁共振（CMR）在内的新技术方法所取代。然而，如果不能将“高级超声心动图”（包括应变、对比和三维成像）与常规超声心动图的“原味”区分开来，那么潜在进展的临床贡献可能难以实现。这些新技术在临床实践中的成功应用将表明，这些新技术是互补的，在某些情况下与新的成像方法具有竞争力。本文旨在探讨超声心动图将如何与新的成像方法相结合，以满足心脏成像最常见的适应证，并特别关注新技术方法（包括三维超声心动图（3DE）和应变成像）的贡献。
