Added Value of Interactive 3-D Stereo Vision Echocardiography in the Heart Valve Team: A Post Hoc Analysis for Optimal Decision Making in Patients With Mitral Valve Regurgitation

Objective We assessed the added value of advanced echocardiography post hoc analysis for optimal decision-making in the Heart Valve Team (HVT) using an interactive, dynamic, live visualization system with true three-dimensional (3-D) stereo vision. Methods HVT scrutinized the incremental value of 3...

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Veröffentlicht in:Innovations (Philadelphia, Pa.) Pa.), 2020-02, Vol.15 (1), p.36-42
Hauptverfasser: Pisowodzka, Izabela K., Gründeman, Paul F., Meijboom, Folkert, van Aarnhem, Guido, Meijer, Ronald, Cramer, Maarten J., Teske, Arco J., van der Spoel, Tycho, Wind, Annemieke, Dieleman, Stefan, Suyker, Willem, Chamuleau, Steven A. J.
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container_end_page 42
container_issue 1
container_start_page 36
container_title Innovations (Philadelphia, Pa.)
container_volume 15
creator Pisowodzka, Izabela K.
Gründeman, Paul F.
Meijboom, Folkert
van Aarnhem, Guido
Meijer, Ronald
Cramer, Maarten J.
Teske, Arco J.
van der Spoel, Tycho
Wind, Annemieke
Dieleman, Stefan
Suyker, Willem
Chamuleau, Steven A. J.
description Objective We assessed the added value of advanced echocardiography post hoc analysis for optimal decision-making in the Heart Valve Team (HVT) using an interactive, dynamic, live visualization system with true three-dimensional (3-D) stereo vision. Methods HVT scrutinized the incremental value of 3 consecutive methods of presentation of full-volume echocardiographic data sets in terms of diagnosis and possibility of repair in 11 selected patients having mitral regurgitation (MR)(Table 1). The questionnaire investigated consecutively (a) standard two-dimensional (2-D) transesophageal echocardiography, (b) single-beat 3-D zoom of the surgical view of the mitral valve, and (c) advanced 3-D volumetric rendering technology (Personal Space Station, Vesalius 3D software, PS-Medtech, Netherlands). Results In 4 of 11 reviews (36%), single-beat 3-D zoom had additional value over 2-D echocardiography in terms of mechanism/adjustments or adjustment of confirmation of diagnosis. Single-beat 3-D zoom had no additional value over 2-D echocardiography in terms of proposal/probability of repair. In 7 out of 11 (64%) reviews, true stereo 3-D visualization had additional value in terms of mechanism of pathology compared to 2-D and 3-D zoom and in 5 out of 11 (45%) reviews in confirmation of diagnosis. In 3 out of 11 (27%) reviews, true stereo 3-D visualization had additional value in terms of proposal of repair and in 4 of 11 (36%) in probability of repair over 2-D and 3-D zoom. Conclusions Advanced easy-to-use true 3-D echocardiography limited differences in interpretation and strengthened the confidence in understanding the mechanisms and suitability for repair of mitral valve regurgitation, typically in more complex valve pathology.
doi_str_mv 10.1177/1556984519887973
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J.</creator><creatorcontrib>Pisowodzka, Izabela K. ; Gründeman, Paul F. ; Meijboom, Folkert ; van Aarnhem, Guido ; Meijer, Ronald ; Cramer, Maarten J. ; Teske, Arco J. ; van der Spoel, Tycho ; Wind, Annemieke ; Dieleman, Stefan ; Suyker, Willem ; Chamuleau, Steven A. J.</creatorcontrib><description>Objective We assessed the added value of advanced echocardiography post hoc analysis for optimal decision-making in the Heart Valve Team (HVT) using an interactive, dynamic, live visualization system with true three-dimensional (3-D) stereo vision. Methods HVT scrutinized the incremental value of 3 consecutive methods of presentation of full-volume echocardiographic data sets in terms of diagnosis and possibility of repair in 11 selected patients having mitral regurgitation (MR)(Table 1). The questionnaire investigated consecutively (a) standard two-dimensional (2-D) transesophageal echocardiography, (b) single-beat 3-D zoom of the surgical view of the mitral valve, and (c) advanced 3-D volumetric rendering technology (Personal Space Station, Vesalius 3D software, PS-Medtech, Netherlands). Results In 4 of 11 reviews (36%), single-beat 3-D zoom had additional value over 2-D echocardiography in terms of mechanism/adjustments or adjustment of confirmation of diagnosis. Single-beat 3-D zoom had no additional value over 2-D echocardiography in terms of proposal/probability of repair. In 7 out of 11 (64%) reviews, true stereo 3-D visualization had additional value in terms of mechanism of pathology compared to 2-D and 3-D zoom and in 5 out of 11 (45%) reviews in confirmation of diagnosis. In 3 out of 11 (27%) reviews, true stereo 3-D visualization had additional value in terms of proposal of repair and in 4 of 11 (36%) in probability of repair over 2-D and 3-D zoom. Conclusions Advanced easy-to-use true 3-D echocardiography limited differences in interpretation and strengthened the confidence in understanding the mechanisms and suitability for repair of mitral valve regurgitation, typically in more complex valve pathology.</description><identifier>ISSN: 1556-9845</identifier><identifier>EISSN: 1559-0879</identifier><identifier>DOI: 10.1177/1556984519887973</identifier><identifier>PMID: 31910690</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Aged ; Aged, 80 and over ; Clinical Decision-Making ; Echocardiography, Three-Dimensional - methods ; Echocardiography, Transesophageal ; Female ; Humans ; Male ; Middle Aged ; Mitral Valve - diagnostic imaging ; Mitral Valve - surgery ; Mitral Valve Insufficiency - diagnostic imaging ; Mitral Valve Insufficiency - surgery ; Patient Care Team ; Retrospective Studies</subject><ispartof>Innovations (Philadelphia, Pa.), 2020-02, Vol.15 (1), p.36-42</ispartof><rights>The Author(s) 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c379t-6570c5c0dd7dbdf9c19007b1d6d760784ede74d9d893c36a4753c312f18de1303</citedby><cites>FETCH-LOGICAL-c379t-6570c5c0dd7dbdf9c19007b1d6d760784ede74d9d893c36a4753c312f18de1303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1556984519887973$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1556984519887973$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31910690$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pisowodzka, Izabela K.</creatorcontrib><creatorcontrib>Gründeman, Paul F.</creatorcontrib><creatorcontrib>Meijboom, Folkert</creatorcontrib><creatorcontrib>van Aarnhem, Guido</creatorcontrib><creatorcontrib>Meijer, Ronald</creatorcontrib><creatorcontrib>Cramer, Maarten J.</creatorcontrib><creatorcontrib>Teske, Arco J.</creatorcontrib><creatorcontrib>van der Spoel, Tycho</creatorcontrib><creatorcontrib>Wind, Annemieke</creatorcontrib><creatorcontrib>Dieleman, Stefan</creatorcontrib><creatorcontrib>Suyker, Willem</creatorcontrib><creatorcontrib>Chamuleau, Steven A. J.</creatorcontrib><title>Added Value of Interactive 3-D Stereo Vision Echocardiography in the Heart Valve Team: A Post Hoc Analysis for Optimal Decision Making in Patients With Mitral Valve Regurgitation</title><title>Innovations (Philadelphia, Pa.)</title><addtitle>Innovations (Phila)</addtitle><description>Objective We assessed the added value of advanced echocardiography post hoc analysis for optimal decision-making in the Heart Valve Team (HVT) using an interactive, dynamic, live visualization system with true three-dimensional (3-D) stereo vision. Methods HVT scrutinized the incremental value of 3 consecutive methods of presentation of full-volume echocardiographic data sets in terms of diagnosis and possibility of repair in 11 selected patients having mitral regurgitation (MR)(Table 1). The questionnaire investigated consecutively (a) standard two-dimensional (2-D) transesophageal echocardiography, (b) single-beat 3-D zoom of the surgical view of the mitral valve, and (c) advanced 3-D volumetric rendering technology (Personal Space Station, Vesalius 3D software, PS-Medtech, Netherlands). Results In 4 of 11 reviews (36%), single-beat 3-D zoom had additional value over 2-D echocardiography in terms of mechanism/adjustments or adjustment of confirmation of diagnosis. Single-beat 3-D zoom had no additional value over 2-D echocardiography in terms of proposal/probability of repair. In 7 out of 11 (64%) reviews, true stereo 3-D visualization had additional value in terms of mechanism of pathology compared to 2-D and 3-D zoom and in 5 out of 11 (45%) reviews in confirmation of diagnosis. In 3 out of 11 (27%) reviews, true stereo 3-D visualization had additional value in terms of proposal of repair and in 4 of 11 (36%) in probability of repair over 2-D and 3-D zoom. 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J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Innovations (Philadelphia, Pa.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pisowodzka, Izabela K.</au><au>Gründeman, Paul F.</au><au>Meijboom, Folkert</au><au>van Aarnhem, Guido</au><au>Meijer, Ronald</au><au>Cramer, Maarten J.</au><au>Teske, Arco J.</au><au>van der Spoel, Tycho</au><au>Wind, Annemieke</au><au>Dieleman, Stefan</au><au>Suyker, Willem</au><au>Chamuleau, Steven A. J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Added Value of Interactive 3-D Stereo Vision Echocardiography in the Heart Valve Team: A Post Hoc Analysis for Optimal Decision Making in Patients With Mitral Valve Regurgitation</atitle><jtitle>Innovations (Philadelphia, Pa.)</jtitle><addtitle>Innovations (Phila)</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>15</volume><issue>1</issue><spage>36</spage><epage>42</epage><pages>36-42</pages><issn>1556-9845</issn><eissn>1559-0879</eissn><abstract>Objective We assessed the added value of advanced echocardiography post hoc analysis for optimal decision-making in the Heart Valve Team (HVT) using an interactive, dynamic, live visualization system with true three-dimensional (3-D) stereo vision. Methods HVT scrutinized the incremental value of 3 consecutive methods of presentation of full-volume echocardiographic data sets in terms of diagnosis and possibility of repair in 11 selected patients having mitral regurgitation (MR)(Table 1). The questionnaire investigated consecutively (a) standard two-dimensional (2-D) transesophageal echocardiography, (b) single-beat 3-D zoom of the surgical view of the mitral valve, and (c) advanced 3-D volumetric rendering technology (Personal Space Station, Vesalius 3D software, PS-Medtech, Netherlands). Results In 4 of 11 reviews (36%), single-beat 3-D zoom had additional value over 2-D echocardiography in terms of mechanism/adjustments or adjustment of confirmation of diagnosis. Single-beat 3-D zoom had no additional value over 2-D echocardiography in terms of proposal/probability of repair. In 7 out of 11 (64%) reviews, true stereo 3-D visualization had additional value in terms of mechanism of pathology compared to 2-D and 3-D zoom and in 5 out of 11 (45%) reviews in confirmation of diagnosis. In 3 out of 11 (27%) reviews, true stereo 3-D visualization had additional value in terms of proposal of repair and in 4 of 11 (36%) in probability of repair over 2-D and 3-D zoom. Conclusions Advanced easy-to-use true 3-D echocardiography limited differences in interpretation and strengthened the confidence in understanding the mechanisms and suitability for repair of mitral valve regurgitation, typically in more complex valve pathology.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>31910690</pmid><doi>10.1177/1556984519887973</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Aged
Aged, 80 and over
Clinical Decision-Making
Echocardiography, Three-Dimensional - methods
Echocardiography, Transesophageal
Female
Humans
Male
Middle Aged
Mitral Valve - diagnostic imaging
Mitral Valve - surgery
Mitral Valve Insufficiency - diagnostic imaging
Mitral Valve Insufficiency - surgery
Patient Care Team
Retrospective Studies
title Added Value of Interactive 3-D Stereo Vision Echocardiography in the Heart Valve Team: A Post Hoc Analysis for Optimal Decision Making in Patients With Mitral Valve Regurgitation
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