Robinson Shaun, Rana Bushra, Oxborough David, Steeds Rick, Monaghan Mark, Stout Martin, Pearce Keith, Harkness Allan, Ring Liam, Paton Maria, Akhtar Waheed, Bedair Radwa, Bhattacharyya Sanjeev, Collins Katherine, Oxley Cheryl, Sandoval Julie, Schofield MBChB Rebecca, Siva Anjana, Parker Karen, Willis James, Augustine Daniel X
North West Anglia NHS Foundation Trust, Peterborough, Cambridgeshire, UK.
Imperial College Healthcare NHS Trust, London, UK.
Echo Res Pract. 2020 Dec;7(4):G59-G93. doi: 10.1530/ERP-20-0026.
Since cardiac ultrasound was introduced into medical practice around the middle twentieth century, transthoracic echocardiography has developed to become a highly sophisticated and widely performed cardiac imaging modality in the diagnosis of heart disease. This evolution from an emerging technique with limited application, into a complex modality capable of detailed cardiac assessment has been driven by technological innovations that have both refined 'standard' 2D and Doppler imaging and led to the development of new diagnostic techniques. Accordingly, the adult transthoracic echocardiogram has evolved to become a comprehensive assessment of complex cardiac anatomy, function and haemodynamics. This guideline protocol from the British Society of Echocardiography aims to outline the minimum dataset required to confirm normal cardiac structure and function when performing a comprehensive standard adult echocardiogram and is structured according to the recommended sequence of acquisition. It is recommended that this structured approach to image acquisition and measurement protocol forms the basis of every standard adult transthoracic echocardiogram. However, when pathology is detected and further analysis becomes necessary, views and measurements in addition to the minimum dataset are required and should be taken with reference to the appropriate British Society of Echocardiography imaging protocol. It is anticipated that the recommendations made within this guideline will help standardise the local, regional and national practice of echocardiography, in addition to minimising the inter and intra-observer variation associated with echocardiographic measurement and interpretation.
自20世纪中叶心脏超声被引入医学实践以来，经胸超声心动图已发展成为一种高度复杂且广泛应用于心脏病诊断的心脏成像方式。从一种应用有限的新兴技术发展成为一种能够进行详细心脏评估的复杂方式，这一演变是由技术创新推动的，这些创新既完善了“标准”二维和多普勒成像，又促成了新诊断技术的发展。因此，成人经胸超声心动图已发展成为对复杂心脏解剖结构、功能和血流动力学的全面评估。英国超声心动图学会的本指南方案旨在概述在进行全面标准成人超声心动图检查时确认正常心脏结构和功能所需的最小数据集，并根据推荐的采集顺序进行编排。建议这种结构化的图像采集和测量方案构成每例标准成人经胸超声心动图的基础。然而，当检测到病变且需要进一步分析时，除了最小数据集之外，还需要进行其他视图和测量，并应参考英国超声心动图学会的适当成像方案。预计本指南中的建议将有助于使超声心动图的本地、区域和国家实践标准化，此外还能最大限度地减少与超声心动图测量和解读相关的观察者间和观察者内差异。
