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Partitioning the Right Ventricle Into 15 Segments and Decomposing Its Motion Using 3D Echocardiography-Based Models: The Updated ReVISION Method

Three main mechanisms contribute to global right ventricular (RV) function: longitudinal shortening, radial displacement of the RV free wall (bellows effect), and anteroposterior shortening (as a consequence of left ventricular contraction). Since the importance of these mechanisms may vary in diffe...

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Autores principales: Tokodi, Márton, Staub, Levente, Budai, Ádám, Lakatos, Bálint Károly, Csákvári, Máté, Suhai, Ferenc Imre, Szabó, Liliána, Fábián, Alexandra, Vágó, Hajnalka, Tősér, Zoltán, Merkely, Béla, Kovács, Attila
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7982839/
https://www.ncbi.nlm.nih.gov/pubmed/33763458
http://dx.doi.org/10.3389/fcvm.2021.622118
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author Tokodi, Márton
Staub, Levente
Budai, Ádám
Lakatos, Bálint Károly
Csákvári, Máté
Suhai, Ferenc Imre
Szabó, Liliána
Fábián, Alexandra
Vágó, Hajnalka
Tősér, Zoltán
Merkely, Béla
Kovács, Attila
author_facet Tokodi, Márton
Staub, Levente
Budai, Ádám
Lakatos, Bálint Károly
Csákvári, Máté
Suhai, Ferenc Imre
Szabó, Liliána
Fábián, Alexandra
Vágó, Hajnalka
Tősér, Zoltán
Merkely, Béla
Kovács, Attila
author_sort Tokodi, Márton
collection PubMed
description Three main mechanisms contribute to global right ventricular (RV) function: longitudinal shortening, radial displacement of the RV free wall (bellows effect), and anteroposterior shortening (as a consequence of left ventricular contraction). Since the importance of these mechanisms may vary in different cardiac conditions, a technology being able to assess their relative influence on the global RV pump function could help to clarify the pathophysiology and the mechanical adaptation of the chamber. Previously, we have introduced our 3D echocardiography (3DE)-based solution—the Right VentrIcular Separate wall motIon quantificatiON (ReVISION) method—for the quantification of the relative contribution of the three aforementioned mechanisms to global RV ejection fraction (EF). Since then, our approach has been applied in several clinical scenarios, and its strengths have been demonstrated in the in-depth characterization of RV mechanical pattern and the prognostication of patients even in the face of maintained RV EF. Recently, various new features have been implemented in our software solution to enable the convenient, standardized, and more comprehensive analysis of RV function. Accordingly, in our current technical paper, we aim to provide a detailed description of the latest version of the ReVISION method with special regards to the volumetric partitioning of the RV and the calculation of longitudinal, circumferential, and area strains using 3DE datasets. We also report the results of the comparison between 3DE- and cardiac magnetic resonance imaging-derived RV parameters, where we found a robust agreement in our advanced 3D metrics between the two modalities. In conclusion, the ReVISION method may provide novel insights into global and also segmental RV function by defining parameters that are potentially more sensitive and predictive compared to conventional echocardiographic measurements in the context of different cardiac diseases.
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spelling pubmed-79828392021-03-23 Partitioning the Right Ventricle Into 15 Segments and Decomposing Its Motion Using 3D Echocardiography-Based Models: The Updated ReVISION Method Tokodi, Márton Staub, Levente Budai, Ádám Lakatos, Bálint Károly Csákvári, Máté Suhai, Ferenc Imre Szabó, Liliána Fábián, Alexandra Vágó, Hajnalka Tősér, Zoltán Merkely, Béla Kovács, Attila Front Cardiovasc Med Cardiovascular Medicine Three main mechanisms contribute to global right ventricular (RV) function: longitudinal shortening, radial displacement of the RV free wall (bellows effect), and anteroposterior shortening (as a consequence of left ventricular contraction). Since the importance of these mechanisms may vary in different cardiac conditions, a technology being able to assess their relative influence on the global RV pump function could help to clarify the pathophysiology and the mechanical adaptation of the chamber. Previously, we have introduced our 3D echocardiography (3DE)-based solution—the Right VentrIcular Separate wall motIon quantificatiON (ReVISION) method—for the quantification of the relative contribution of the three aforementioned mechanisms to global RV ejection fraction (EF). Since then, our approach has been applied in several clinical scenarios, and its strengths have been demonstrated in the in-depth characterization of RV mechanical pattern and the prognostication of patients even in the face of maintained RV EF. Recently, various new features have been implemented in our software solution to enable the convenient, standardized, and more comprehensive analysis of RV function. Accordingly, in our current technical paper, we aim to provide a detailed description of the latest version of the ReVISION method with special regards to the volumetric partitioning of the RV and the calculation of longitudinal, circumferential, and area strains using 3DE datasets. We also report the results of the comparison between 3DE- and cardiac magnetic resonance imaging-derived RV parameters, where we found a robust agreement in our advanced 3D metrics between the two modalities. In conclusion, the ReVISION method may provide novel insights into global and also segmental RV function by defining parameters that are potentially more sensitive and predictive compared to conventional echocardiographic measurements in the context of different cardiac diseases. Frontiers Media S.A. 2021-03-04 /pmc/articles/PMC7982839/ /pubmed/33763458 http://dx.doi.org/10.3389/fcvm.2021.622118 Text en Copyright © 2021 Tokodi, Staub, Budai, Lakatos, Csákvári, Suhai, Szabó, Fábián, Vágó, Tősér, Merkely and Kovács. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Tokodi, Márton
Staub, Levente
Budai, Ádám
Lakatos, Bálint Károly
Csákvári, Máté
Suhai, Ferenc Imre
Szabó, Liliána
Fábián, Alexandra
Vágó, Hajnalka
Tősér, Zoltán
Merkely, Béla
Kovács, Attila
Partitioning the Right Ventricle Into 15 Segments and Decomposing Its Motion Using 3D Echocardiography-Based Models: The Updated ReVISION Method
title Partitioning the Right Ventricle Into 15 Segments and Decomposing Its Motion Using 3D Echocardiography-Based Models: The Updated ReVISION Method
title_full Partitioning the Right Ventricle Into 15 Segments and Decomposing Its Motion Using 3D Echocardiography-Based Models: The Updated ReVISION Method
title_fullStr Partitioning the Right Ventricle Into 15 Segments and Decomposing Its Motion Using 3D Echocardiography-Based Models: The Updated ReVISION Method
title_full_unstemmed Partitioning the Right Ventricle Into 15 Segments and Decomposing Its Motion Using 3D Echocardiography-Based Models: The Updated ReVISION Method
title_short Partitioning the Right Ventricle Into 15 Segments and Decomposing Its Motion Using 3D Echocardiography-Based Models: The Updated ReVISION Method
title_sort partitioning the right ventricle into 15 segments and decomposing its motion using 3d echocardiography-based models: the updated revision method
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7982839/
https://www.ncbi.nlm.nih.gov/pubmed/33763458
http://dx.doi.org/10.3389/fcvm.2021.622118
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