ASE’s Comprehensive Strain Imaging

ASE’s Comprehensive Strain Imaging

1st Edition - May 1, 2021

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  • Editors: Thomas Marwick, Theodore Abraham
  • eBook ISBN: 9780323759489
  • Hardcover ISBN: 9780323759472

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Strain imaging (also known as speckle-tracking echocardiography or STE) is a rapidly growing, affordable, and versatile cardiac imaging technology of great interest to clinicians in both inpatient and outpatient settings. ASE's Comprehensive Strain Imaging is the first reference designed to help you master a wide range of strain imaging/STE applications, including screening, diagnosis, treatment, and follow up. Written and edited by a team of international experts from the American Society of Echocardiography (ASE), this new resource provides the information you need to optimize imaging acquisition and analysis using this important new echocardiography method.

Table of Contents

  • Cover image
  • Title page
  • Table of Contents
  • Copyright
  • Dedication
  • List of contributors
  • Preface
  • Video table of contents
  •     List of Tables
  •     List of Illustrations
  • 1.  Strain imaging applications and techniques
  •     Background
  •     The physics of strain
  •     The physiology of strain
  •     Echocardiographic strain methodologies
  •     Acquisition and processing
  •     Defining the normal range
  •     Strain measurements in cardiac chambers other than the left ventricle
  •     Clinical applications
  •     Conclusion
  •     References
  • 2.  Detection of subclinical heart failure
  •     Introduction
  •     Strain imaging in cardio-oncology
  •     Hypertension
  •     Diabetes
  •     Conclusions
  •     References
  • 3.  Evaluation of patients with heart failure
  •     The difficulties of the diagnosis of HF
  •     Strain and the diagnosis of patients at risk of HF
  •     Strain and the diagnosis and classification of patients with HFpEF
  •     Longitudinal and circumferential strain and risk of HF
  •     Prognostic value of deformation imaging in HFrEF
  •     Prognostic value of deformation imaging in HFpEF
  •     Conclusion
  •     References
  • 4.  Evaluation and monitoring of patients with cardiomyopathies (including myocardial infiltration)
  •     Hypertrophic cardiomyopathy
  •     LV strain imaging in hypertrophic cardiomyopathy
  •     Strain as a diagnostic tool in HCM
  •     Utility of strain in the evaluation of the gene-positive, phenotypically negative individual
  •     Clinical utility—prognosis
  •     Clinical utility—timing of myectomy
  •     Cardiac amyloidosis
  •     LV longitudinal strain in the diagnosis of cardiac amyloidosis
  •     Proposed mechanism of relative apical sparing
  •     Utility of GLS for prognostication in cardiac amyloidosis
  •     Use of strain for monitoring response to therapies
  •     Cardiac sarcoidosis
  •     Role of strain in systemic sarcoidosis—early disease detection and prognosis
  •     Mechanism of reduction in strain in cardiac sarcoidosis
  •     Arrhythmogenic right ventricular cardiomyopathy
  •     RV longitudinal strain in the diagnosis of ARVC
  •     Utility of RV strain for prognostication in ARVC
  •     Challenges and future directions
  •     References
  • 5.  Temporal dispersion of contraction, arrhythmias, and dyssynchrony and role in resynchronization therapy
  •     Pathophysiology of dispersed ventricular contraction
  •     Assessment of dispersed contraction pattern
  •     Prognostic information from dispersed contraction patterns
  •     Strain patterns associated with response to cardiac resynchronization therapy
  •     Systolic stretch and intermediate ECG criteria
  •     Conclusions
  •     References
  • 6.  Detection and characterization of diastolic dysfunction
  •     Basics of diastolic function
  •     Diastolic grading and estimation of LA pressure
  •     Use of speckle tracking as a supplementary method to assess DD and estimate LVFP
  •     Assessment of chamber stiffness
  •     Atrial fibrillation
  •     Constrictive pericarditis
  •     Summary
  •     References
  • 7.  Strain in valvular diseases
  •     Aortic stenosis
  •     Mitral regurgitation
  •     Aortic regurgitation
  •     Understanding cutoff points in aortic regurgitation, mitral regurgitation, and aortic stenosis
  •     RV longitudinal strain in valve diseases
  •     Diseases associated with right ventricular overload: Mitral stenosis, tricuspid regurgitation, pulmonary regurgitation, and stenosis
  •     Mitral stenosis
  •     Tricuspid regurgitation
  •     Conclusion
  •     References
  • 8.  Ischemic heart disease
  •     Ischemic heart disease (IHD)
  •     Summary
  •     References
  • 9.  Evaluation of right ventricular function and pulmonary hypertension
  •     Functional anatomy and myocardial fiber arrangement of the right ventricle
  •     Deformation metrics of right ventricular myocardial function
  •     Image acquisition and postprocessing of RV longitudinal strain
  •     Software packages used to measure RV myocardial deformation
  •     Reference values
  •     Clinical and prognostic value in different cardiac conditions
  •     Future perspectives
  •     Conclusions
  •     References
  • 10.  Future applications of strain imaging
  •     Strain imaging as a biomarker for clinical trials
  •     Three-dimensional strain imaging
  •     Principal strain, fiber orientation, and material properties
  •     Fusion of echocardiographic strain and other imaging modalities
  •     Artificial intelligence and machine learning
  •     Strain imaging in tissue engineering
  •     In silico trials
  •     Conclusions
  •     References
  • Index

Product details

  • No. of pages: 256
  • Language: English
  • Copyright: © Elsevier 2021
  • Published: May 1, 2021
  • Imprint: Elsevier
  • eBook ISBN: 9780323759489
  • Hardcover ISBN: 9780323759472

About the Editors

Thomas Marwick

Affiliations and Expertise

Director and Chief Executive, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia

Theodore Abraham

Affiliations and Expertise

Clinical Chief of Cardiology, University of California, San Francisco; Director, Echocardiography, Co-Director, UCSF HCM Center of Excellence, San Francisco, California

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