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Fournier E, Batteux C, Mostefa-Kara M, Valdeolmillos E, Maltret A, Cohen S, Van Aerschot I, Guirgis L, Azarine A, Sigal-Cinqualbre A, Provost B, Radojevic-Liegeois J, Roussin R, Zoghbi J, Belli E, Hascoët S. Cardiac tomography-echocardiography imaging fusion: a new approach to congenital heart disease. REVISTA ESPANOLA DE CARDIOLOGIA (ENGLISH ED.) 2023; 76:10-18. [PMID: 35570123 DOI: 10.1016/j.rec.2022.04.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/11/2021] [Accepted: 03/17/2022] [Indexed: 06/15/2023]
Abstract
INTRODUCTION AND OBJECTIVES Diagnosis, management, and surgical decision-making in children and adults with congenital heart disease are largely based on echocardiography findings. A recent development in cardiac imaging is fusion of different imaging modalities. Our objective was to evaluate the feasibility of computed tomography (CT) and 3-dimensional (3D) transthoracic echocardiography (TTE) fusion in children and adults with congenital heart disease. METHODS We prospectively included 14 patients, 13 of whom had congenital heart disease, and who underwent both CT and 3D TTE as part of their usual follow-up. We described the steps required to complete the fusion process (alignment, landmarks, and superimposition), navigation, and image evaluation. RESULTS Median age was 9.5 [2.7-15.7] years, 57% were male, and median body surface area was 0.9 m2 [0.6-1.7]. Congenital heart disease was classified as simple (n=4, 29%), moderate (n=4, 29%), or complex (n=6, 42%). 3D TTE-CT fusion was successful in all patients. Median total time to complete the fusion process was 735 [628-1163] seconds, with no significant difference according to the degree of complexity of the defects. Landmarks were significantly modified in complex congenital heart disease. CONCLUSIONS We established the feasibility and accuracy of 3D TTE-CT fusion in a population of children and adults with a variety of congenital heart diseases. The simultaneous visualization of many intracardiac structures may help to understand the anatomical features of congenital heart disease without limitations regarding age, weight, or complexity of the congenital defects.
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Affiliation(s)
- Emmanuelle Fournier
- Pôle des Cardiopathies Congénitales de l'Enfant et de l'Adulte, Centre de Référence Malformations Cardiaques Congénitales Complexes (M3C), Hôpital Marie Lannelongue, Groupe hospitalier Paris Saint Joseph, Université Paris-Saclay, Le Plessis Robinson, France
| | - Clément Batteux
- Pôle des Cardiopathies Congénitales de l'Enfant et de l'Adulte, Centre de Référence Malformations Cardiaques Congénitales Complexes (M3C), Hôpital Marie Lannelongue, Groupe hospitalier Paris Saint Joseph, Université Paris-Saclay, Le Plessis Robinson, France; UMRS 999, INSERM, Hôpital Marie Lannelongue, Université Paris-Saclay, Le Plessis Robinson, France
| | - Meriem Mostefa-Kara
- Pôle des Cardiopathies Congénitales de l'Enfant et de l'Adulte, Centre de Référence Malformations Cardiaques Congénitales Complexes (M3C), Hôpital Marie Lannelongue, Groupe hospitalier Paris Saint Joseph, Université Paris-Saclay, Le Plessis Robinson, France
| | - Estibaliz Valdeolmillos
- Pôle des Cardiopathies Congénitales de l'Enfant et de l'Adulte, Centre de Référence Malformations Cardiaques Congénitales Complexes (M3C), Hôpital Marie Lannelongue, Groupe hospitalier Paris Saint Joseph, Université Paris-Saclay, Le Plessis Robinson, France; UMRS 999, INSERM, Hôpital Marie Lannelongue, Université Paris-Saclay, Le Plessis Robinson, France
| | - Alice Maltret
- Pôle des Cardiopathies Congénitales de l'Enfant et de l'Adulte, Centre de Référence Malformations Cardiaques Congénitales Complexes (M3C), Hôpital Marie Lannelongue, Groupe hospitalier Paris Saint Joseph, Université Paris-Saclay, Le Plessis Robinson, France
| | - Sarah Cohen
- Pôle des Cardiopathies Congénitales de l'Enfant et de l'Adulte, Centre de Référence Malformations Cardiaques Congénitales Complexes (M3C), Hôpital Marie Lannelongue, Groupe hospitalier Paris Saint Joseph, Université Paris-Saclay, Le Plessis Robinson, France
| | - Isabelle Van Aerschot
- Pôle des Cardiopathies Congénitales de l'Enfant et de l'Adulte, Centre de Référence Malformations Cardiaques Congénitales Complexes (M3C), Hôpital Marie Lannelongue, Groupe hospitalier Paris Saint Joseph, Université Paris-Saclay, Le Plessis Robinson, France
| | - Lisa Guirgis
- Pôle des Cardiopathies Congénitales de l'Enfant et de l'Adulte, Centre de Référence Malformations Cardiaques Congénitales Complexes (M3C), Hôpital Marie Lannelongue, Groupe hospitalier Paris Saint Joseph, Université Paris-Saclay, Le Plessis Robinson, France
| | - Arshid Azarine
- UMRS 999, INSERM, Hôpital Marie Lannelongue, Université Paris-Saclay, Le Plessis Robinson, France; Département de Radiologie, Hôpital Marie Lannelongue, Groupe hospitalier Paris Saint Joseph, Université Paris-Saclay, Le Plessis Robinson, France
| | - Anne Sigal-Cinqualbre
- Département de Radiologie, Hôpital Marie Lannelongue, Groupe hospitalier Paris Saint Joseph, Université Paris-Saclay, Le Plessis Robinson, France
| | - Bastien Provost
- Pôle des Cardiopathies Congénitales de l'Enfant et de l'Adulte, Centre de Référence Malformations Cardiaques Congénitales Complexes (M3C), Hôpital Marie Lannelongue, Groupe hospitalier Paris Saint Joseph, Université Paris-Saclay, Le Plessis Robinson, France
| | - Jelena Radojevic-Liegeois
- Pôle des Cardiopathies Congénitales de l'Enfant et de l'Adulte, Centre de Référence Malformations Cardiaques Congénitales Complexes (M3C), Hôpital Marie Lannelongue, Groupe hospitalier Paris Saint Joseph, Université Paris-Saclay, Le Plessis Robinson, France
| | - Régine Roussin
- Pôle des Cardiopathies Congénitales de l'Enfant et de l'Adulte, Centre de Référence Malformations Cardiaques Congénitales Complexes (M3C), Hôpital Marie Lannelongue, Groupe hospitalier Paris Saint Joseph, Université Paris-Saclay, Le Plessis Robinson, France
| | - Joy Zoghbi
- Pôle des Cardiopathies Congénitales de l'Enfant et de l'Adulte, Centre de Référence Malformations Cardiaques Congénitales Complexes (M3C), Hôpital Marie Lannelongue, Groupe hospitalier Paris Saint Joseph, Université Paris-Saclay, Le Plessis Robinson, France
| | - Emre Belli
- Pôle des Cardiopathies Congénitales de l'Enfant et de l'Adulte, Centre de Référence Malformations Cardiaques Congénitales Complexes (M3C), Hôpital Marie Lannelongue, Groupe hospitalier Paris Saint Joseph, Université Paris-Saclay, Le Plessis Robinson, France
| | - Sebastien Hascoët
- Pôle des Cardiopathies Congénitales de l'Enfant et de l'Adulte, Centre de Référence Malformations Cardiaques Congénitales Complexes (M3C), Hôpital Marie Lannelongue, Groupe hospitalier Paris Saint Joseph, Université Paris-Saclay, Le Plessis Robinson, France; UMRS 999, INSERM, Hôpital Marie Lannelongue, Université Paris-Saclay, Le Plessis Robinson, France.
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Sun F, Sun A, Chen Y, Xiao Y, Zhang X, Qiao W, Tan X, Liang Y, Li D, Yang S, Ren W. Novel TrueVue series of 3D echocardiography: Revealing the pathological morphology of congenital heart disease. Front Physiol 2022; 13:1000007. [PMID: 36148295 PMCID: PMC9485809 DOI: 10.3389/fphys.2022.1000007] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Accepted: 08/16/2022] [Indexed: 11/13/2022] Open
Abstract
Aims: This study explored the advantages and limitations of novel series of three-dimensional (3D) echocardiographic techniques and summarized their application methods for congenital heart diseases (CHDs). Method and result: Two-dimensional (2D), traditional 3D echocardiography, and TrueVue plus light and/or Glass novel 3D technologies were performed on 62 patients with CHD, and a clinical survey was designed to judge whether the novel 3D images were more helpful for understanding the cardiac condition and guide treatment than traditional 3D images. TrueVue increased the visual resolution and simulated the true texture of cardiac tissue, significantly improving the display ability of abnormal anatomical structures in CHDs. TrueVue Glass displayed the blood channel and the internal structure of cardiac cavity more intuitively, indicating a new observation aspect not shown by conventional echocardiography. The clinical survey results showed that the new 3D imaging methods effectively increased the diagnostic confidence of echocardiographers, enabled surgeons to better understand the details of lesions, promoted efficient communication, and improved the confidence of both doctors and patients in treatment. Conclusion: The combined application of TrueVue, TrueVue Light, and TrueVue Glass more closely simulated real anatomical features, showed more comprehensive and subtle blood flow in the lumen, not only increased the visual effect but also provided more useful diagnostic information, improved the accuracy of evaluation and treatment of CHD when compared to traditional imaging techniques, indicating that this combined application has significant clinical value.
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Affiliation(s)
- Feifei Sun
- Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China
| | - Aijiao Sun
- Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China
| | - Yixin Chen
- Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China
| | - Yangjie Xiao
- Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China
| | - Xintong Zhang
- Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China
| | - Wei Qiao
- Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China
| | - Xueying Tan
- Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China
| | - Yanxiao Liang
- Department of Cardiac Surgery, Shengjing Hospital of China Medical University, Shenyang, China
| | - Dongyu Li
- Department of Cardiac Surgery, Shengjing Hospital of China Medical University, Shenyang, China
| | - Shu Yang
- Department of Ultrasound, Philips Medical Technology, Shenyang, China
| | - Weidong Ren
- Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China
- *Correspondence: Weidong Ren,
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Yang HS. Three-dimensional echocardiography in adult congenital heart disease. Korean J Intern Med 2017; 32:577-588. [PMID: 28704916 PMCID: PMC5511944 DOI: 10.3904/kjim.2016.251] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2016] [Accepted: 06/16/2017] [Indexed: 12/27/2022] Open
Abstract
Congenital heart disease (CHD) is now more common in adults than in children due to improvements in fetal echo, neonatal and pediatric care, and surgical techniques leading to dramatically increased survivability into adulthood. Adult patients with CHD, regardless of prior cardiac surgery, experience further cardiac problems or therapeutic challenges; therefore, a non-invasive, easily accessible echocardiographic examination is an essential follow-up tool. Among echocardiographic modalities, three-dimensional (3D) echocardiography provides better delineation of spatial relationships in complex cardiac geometries and more accurate volumetric information without geometric assumptions. For atrial septal defects, an en face view of the tissue defect allows better decisions on device closure. For tricuspid valve malformations, an en face view provides diagnostic information that is difficult to obtain from routine 2D tomography. In repaired tetralogy of fallot with pulmonary regurgitation, preoperative 3D echocardiography- based right ventricular volume may be used to determine the timing of a pulmonary valve replacement in conjunction with cardiovascular magnetic imaging. For optimal adult CHD care, 3D echocardiography is an important complement to routine 2D echocardiography.
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Affiliation(s)
- Hyun Suk Yang
- Correspondence to Hyun Suk Yang, M.D. Division of Cardiovascular Medicine, Department of Internal Medicine, Konkuk University Medical Center, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 05030, Korea Tel: +82-2-2030-7519 Fax: +82-2-2030-7748 E-mail:
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Kurian J, Sotardi S, Liszewski MC, Gomes WA, Hoffman T, Taragin BH. Three-dimensional ultrasound of the neonatal brain: technical approach and spectrum of disease. Pediatr Radiol 2017; 47:613-627. [PMID: 28058483 DOI: 10.1007/s00247-016-3753-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2016] [Revised: 10/11/2016] [Accepted: 11/02/2016] [Indexed: 10/20/2022]
Abstract
Brain pathology is an important cause of morbidity and mortality in neonates, especially in the premature population. While conventional two-dimensional neurosonography is traditionally used for screening, diagnosis and monitoring of brain disorders such as germinal matrix hemorrhage, periventricular leukomalacia and hydrocephalus, three-dimensional ultrasonography has gained popularity in a variety of clinical applications in recent years. Three-dimensional ultrasonography is not yet widely utilized in pediatric imaging but is a potentially powerful tool for evaluating the neonatal brain. Three-dimensional neurosonography allows imaging of the entire brain in a single volumetric sweep and offers the capability of reconstructing images in the axial plane and performing volumetric analyses that are unavailable in conventional two-dimensional neurosonography. The purpose of this article is two-fold: (1) to present the technical aspects of three-dimensional neurosonography and (2) to illustrate the potential applications of three-dimensional neurosonography in the context of commonly encountered neonatal neuropathology.
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Affiliation(s)
- Jessica Kurian
- Department of Radiology, Montefiore Medical Center and the Albert Einstein College of Medicine, 111 East 210th St., Bronx, NY, 10467, USA.
| | - Susan Sotardi
- Department of Radiology, Montefiore Medical Center and the Albert Einstein College of Medicine, 111 East 210th St., Bronx, NY, 10467, USA
| | - Mark C Liszewski
- Department of Radiology, Montefiore Medical Center and the Albert Einstein College of Medicine, 111 East 210th St., Bronx, NY, 10467, USA
| | - William A Gomes
- Department of Radiology, Montefiore Medical Center and the Albert Einstein College of Medicine, 111 East 210th St., Bronx, NY, 10467, USA
| | - Thomas Hoffman
- Department of Radiology, Montefiore Medical Center and the Albert Einstein College of Medicine, 111 East 210th St., Bronx, NY, 10467, USA
| | - Benjamin H Taragin
- Department of Radiology, Montefiore Medical Center and the Albert Einstein College of Medicine, 111 East 210th St., Bronx, NY, 10467, USA
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Magunia H, Rosenberger P. [Application fields of intraoperative transesophageal 3D echocardiography]. Anaesthesist 2015; 63:662-72, 674-7. [PMID: 24994014 DOI: 10.1007/s00101-014-2346-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Intraoperative transesophageal echocardiography (TEE) is an established diagnostic tool and has to be regarded as the standard of care for intraoperative monitoring and cardiac surgical decision-making. Furthermore, intraoperative TEE is also used for monitoring and assessment of hemodynamic changes and the detection of previously unknown pathologies. In the past few years 3D-TEE has extended the spectrum of 2D-TEE by allowing pathomorphological features to be more easily and intuitively linked to the anatomy of the heart and the great vessels. Thus, a comprehensive 2D-TEE examination is favorably complemented by focused 3D-TEE. Especially during mitral valve surgery, 3D-TEE has proven its superiority in the diagnosis of the underlying pathology as demonstrated by a large number of studies in this field. This review presents the available data about the role of intraoperative 3D-TEE echocardiography and introduces practical fields of application.
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Affiliation(s)
- H Magunia
- Universitätsklinik für Anästhesiologie und Intensivmedizin, Eberhard-Karls-Universität, Hoppe-Seyler-Str. 3, 72076, Tübingen, Deutschland,
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