Chen Meiling, Lee Wen-Huang, Lu Cheng-Hui, Chang Hao-Chih, Tung Cheng-Chang, Siow Yih-Ying, Lee Hsiang-Chun, Wang Chun-Li, Hung Kuo-Chun, Tsai Wei-Chuan, Yu Wen-Chung, Lin Lung-Chun, Liang Hsin-Yueh
Division of Cardiology, Department of Internal Medicine, Changhua Christian Hospital, Changhua.
Department of Internal Medicine, College of Medicine and Hospital, National Cheng Kung University, Tainan.
Acta Cardiol Sin. 2025 Jan;41(1):1-49. doi: 10.6515/ACS.202501_41(1).20240722C.
Transthoracic echocardiography plays a crucial role in clinical diagnosis and is increasingly being used around the world. Comprehensive echocardiographic examinations require accurate measurements and the operators to have excellent technical skills. Despite the availability of several published echocardiographic guidelines, the absence of recommended operational manuals in daily practice has resulted in significant variation in the content of echocardiography reports across different medical institutions. This variability has created communication barriers between medical institutions and also hampered the development of a national echocardiography database in Taiwan. Balancing quality and efficiency is a critical concern in echocardiography, and most published guidelines for echocardiography primarily focus on disease categorization. In the current document, we focus on information about the scanning sequence, including scanning techniques, common pitfalls, simple disease interpretation, and the recommended intensity. Based on a growing body of research, we particularly emphasize right-sided imaging and measurement information. We also discuss equipment settings, which have often been overlooked but are essential to obtaining good imaging and accurate measurements. Our recommendations could enhance clinicians' and sonographers' understanding of the core aspects of echocardiography and were developed with consideration of the health-care payment system in Taiwan. Implementing our recommendations may subsequently enable the establishment of a national echocardiography database in Taiwan.
经胸超声心动图在临床诊断中起着至关重要的作用，并且在全球范围内的使用越来越广泛。全面的超声心动图检查需要准确的测量以及操作人员具备出色的技术技能。尽管已有多篇已发表的超声心动图指南，但日常实践中缺乏推荐的操作手册导致不同医疗机构的超声心动图报告内容存在显著差异。这种变异性在医疗机构之间造成了沟通障碍，也阻碍了台湾全国超声心动图数据库的发展。在超声心动图中，平衡质量和效率是一个关键问题，大多数已发表的超声心动图指南主要侧重于疾病分类。在本文件中，我们重点关注扫描顺序的信息，包括扫描技术、常见陷阱、简单疾病解读以及推荐的强度。基于越来越多的研究，我们特别强调右侧成像和测量信息。我们还讨论了设备设置，这一点常常被忽视，但对于获得良好的图像和准确的测量至关重要。我们的建议可以增强临床医生和超声技师对超声心动图核心方面的理解，并且是在考虑台湾医疗支付系统的情况下制定的。实施我们的建议可能随后有助于在台湾建立全国超声心动图数据库。
