BIOMAT Database Logo BIOMAT Database Logo

Comparison of three-dimensional echocardiography to two-dimensional echocardiography and fluoroscopy for monitoring of endomyocardial biopsy. 2007

Miriam E Amitai, and Ingela Schnittger, and Richard L Popp, and Judy Chow, and Patricia Brown, and David H Liang
Division of Cardiovascular Medicine, Stanford University, School of Medicine, Stanford, California, USA.

Real-time 3-dimensional echocardiography (RT3DE) offers the rapid acquisition of quantitative and qualitative anatomic data without the use of geometric assumptions. This study was designed to test the feasibility and potential superiority of RT3DE versus 2-dimensional echocardiography (2DE) and standard fluoroscopy for monitoring endomyocardial biopsies (EMBs). Thirty-eight consecutive EMBs performed under fluoroscopic guidance in 26 patients were monitored using 2DE and RT3DE alternately. Two reviewers scored each biopsy pass for visualization of the tip of the bioptome and location of the actual biopsy. Overall image quality was noted as good or poor, and the effect of image quality on tip localization was analyzed. A total of 243 biopsy attempts were made during 38 EMBs. The location of the biopsy was determined in 74% of the biopsies monitored with RT3DE, whereas 2DE demonstrated the location with certainty in only 43% of the biopsies (p <0.0001). On a procedure-by-procedure comparison, RT3DE was found to show the bioptome tip better in 23 of 38 biopsies, compared with 1 of 38 for 2DE (p = 0.001). In 14 of 38 EMBs, neither method was clearly better. In conclusion, RT3DE improves the ability to see the location of the bioptome during EMB compared with 2DE and fluoroscopy.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009206 Myocardium The muscle tissue of the HEART. It is composed of striated, involuntary muscle cells (MYOCYTES, CARDIAC) connected to form the contractile pump to generate blood flow. Muscle, Cardiac,Muscle, Heart,Cardiac Muscle,Myocardia,Cardiac Muscles,Heart Muscle,Heart Muscles,Muscles, Cardiac,Muscles, Heart
D004452 Echocardiography Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic. Echocardiography, Contrast,Echocardiography, Cross-Sectional,Echocardiography, M-Mode,Echocardiography, Transthoracic,Echocardiography, Two-Dimensional,Transthoracic Echocardiography,2-D Echocardiography,2D Echocardiography,Contrast Echocardiography,Cross-Sectional Echocardiography,Echocardiography, 2-D,Echocardiography, 2D,M-Mode Echocardiography,Two-Dimensional Echocardiography,2 D Echocardiography,Cross Sectional Echocardiography,Echocardiography, 2 D,Echocardiography, Cross Sectional,Echocardiography, M Mode,Echocardiography, Two Dimensional,M Mode Echocardiography,Two Dimensional Echocardiography
D005260 Female Females
D005471 Fluoroscopy Production of an image when x-rays strike a fluorescent screen. Fluoroscopies
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001706 Biopsy Removal and pathologic examination of specimens from the living body. Biopsies
D016027 Heart Transplantation The transference of a heart from one human or animal to another. Cardiac Transplantation,Grafting, Heart,Transplantation, Cardiac,Transplantation, Heart,Cardiac Transplantations,Graftings, Heart,Heart Grafting,Heart Graftings,Heart Transplantations,Transplantations, Cardiac,Transplantations, Heart
D018084 Ultrasonography, Interventional The use of ultrasound to guide minimally invasive surgical procedures such as needle ASPIRATION BIOPSY; DRAINAGE; etc. Its widest application is intravascular ultrasound imaging but it is useful also in urology and intra-abdominal conditions. Ultrasonography, Intravascular,Ultrasound, Interventional,Interventional Ultrasonography,Intravascular Ultrasonography,Interventional Ultrasound

Related Publications

Miriam E Amitai, and Ingela Schnittger, and Richard L Popp, and Judy Chow, and Patricia Brown, and David H Liang
Two-dimensional echocardiography during endomyocardial biopsy.
March 1987, Giornale italiano di cardiologia,
Miriam E Amitai, and Ingela Schnittger, and Richard L Popp, and Judy Chow, and Patricia Brown, and David H Liang
Comparison of echocardiography-guided and fluoroscopy-guided endomyocardial biopsy techniques.
January 2005, Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association,
Miriam E Amitai, and Ingela Schnittger, and Richard L Popp, and Judy Chow, and Patricia Brown, and David H Liang
Real-time 3-dimensional echocardiography imaging for right ventricular endomyocardial biopsy: a comparison with fluoroscopy.
September 2001, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography,
Miriam E Amitai, and Ingela Schnittger, and Richard L Popp, and Judy Chow, and Patricia Brown, and David H Liang
Combined guidance of fluoroscopy and transthoracic echocardiography for endomyocardial biopsy.
April 2024, European journal of internal medicine,
Miriam E Amitai, and Ingela Schnittger, and Richard L Popp, and Judy Chow, and Patricia Brown, and David H Liang
Clinical experience with two-dimensional echocardiography to guide endomyocardial biopsy.
March 1985, Clinical cardiology,
Miriam E Amitai, and Ingela Schnittger, and Richard L Popp, and Judy Chow, and Patricia Brown, and David H Liang
Successful endomyocardial biopsy guided by transthoracic two-dimensional echocardiography.
January 2011, Transplantation proceedings,
Miriam E Amitai, and Ingela Schnittger, and Richard L Popp, and Judy Chow, and Patricia Brown, and David H Liang
Two-dimensional echocardiographic monitoring during percutaneous endomyocardial biopsy.
September 1985, Journal of the American College of Cardiology,
Miriam E Amitai, and Ingela Schnittger, and Richard L Popp, and Judy Chow, and Patricia Brown, and David H Liang
Three-dimensional transesophageal echocardiography guided endomyocardial biopsy in diagnosis of cardiac tumor.
January 2022, Cardiology journal,
Miriam E Amitai, and Ingela Schnittger, and Richard L Popp, and Judy Chow, and Patricia Brown, and David H Liang
Safety of transvenous right ventricular endomyocardial biopsy guided by two-dimensional echocardiography.
June 1993, Clinical cardiology,
Miriam E Amitai, and Ingela Schnittger, and Richard L Popp, and Judy Chow, and Patricia Brown, and David H Liang
Two-dimensional echocardiography in endomyocardial disease.
March 1983, Postgraduate medical journal,
Copied contents to your clipboard!