Corbett Liam, O'Driscoll Patrick, Paton Maria, Oxborough David, Surkova Elena
Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK.
University of Leeds, Leeds, UK.
Echo Res Pract. 2024 Apr 3;11(1):8. doi: 10.1186/s44156-024-00044-1.
Three-dimensional echocardiography (3DE) imaging has permitted advancements in the quantification of left ventricular (LV) and right ventricular (RV) volumes and ejection fraction. We evaluated the availability of 3DE equipment / analysis software, the integration of 3DE assessment of the LV and RV in routine clinical practice, current training provisions in 3DE, and aimed to ascertain barriers preventing the routine use of 3DE for volumetric analysis. Through the British Society of Echocardiography (BSE) regional representatives' network, echocardiographers were invited to participate in an open online survey. A total of 181 participants from echocardiography departments in the United Kingdom (UK), the majority from tertiary centres (61%), completed the 28-question survey. For 3DE quantification, 3DE-LV was adopted more frequently than 3DE-RV (48% vs 11%, respectively). Imaging feasibility was a recognised factor in 3DE RV and LV adoption. Many respondents had access to 3D probes (93%). The largest observed barriers to 3DE routine use were training deficiencies, with 83% reporting they would benefit from additional training opportunities and the duration of time permitted for the scan, with 68% of responders reporting allowances of less than the BSE standard of 45-60 min per patient (8% < 30-min). Furthermore, of those respondents who had undertaken professional accreditation, competence in 3DE was not formally assessed in 89%. This UK survey also reported good accessibility to magnetic resonance imaging (72%), which was related to overall 3DE adoption. In summary, although 3DE is now readily available, it remains underutilised. Further training opportunities, integrated formal assessment, improved adoption of BSE minimum recommended scanning times, alongside industry and societal support, may increase 3DE utilisation in routine practice.
三维超声心动图（3DE）成像技术推动了左心室（LV）和右心室（RV）容积及射血分数定量分析的发展。我们评估了3DE设备/分析软件的可用性、LV和RV的3DE评估在常规临床实践中的整合情况、当前3DE方面的培训情况，并旨在确定阻碍3DE在容积分析中常规应用的障碍。通过英国超声心动图学会（BSE）区域代表网络，邀请超声心动图检查人员参与一项开放式在线调查。来自英国超声心动图科室的181名参与者完成了这项包含28个问题的调查，其中大多数来自三级中心（61%）。对于3DE定量分析，3DE-LV的应用频率高于3DE-RV（分别为48%和11%）。成像可行性是3DE在RV和LV应用中公认的一个因素。许多受访者可以使用3D探头（93%）。观察到的3DE常规应用的最大障碍是培训不足，83%的受访者表示他们将从额外的培训机会中受益，以及扫描允许的时间，68%的受访者表示扫描时间允许低于BSE标准的每位患者45 - 60分钟（8%＜30分钟）。此外，在那些获得专业认证的受访者中，89%的人3DE能力未得到正式评估。这项英国调查还报告了磁共振成像的可及性良好（72%），这与3DE的整体应用有关。总之，尽管3DE现在已很容易获得，但仍未得到充分利用。进一步的培训机会、综合正式评估、更好地采用BSE建议的最短扫描时间，以及行业和社会的支持，可能会增加3DE在常规实践中的应用。
