Fundamentals of Strain Imaging

Fundamentals of Strain Imaging

Fundamentals of Strain Imaging is a series of case-based video presentations featuring a practical “how-to” approach. It is intended for beginners to echocardiographic strain imaging to experienced users who wish to improve their skills. The appropriate audience include physicians, sonographers and other health care professionals involved in diagnostic echocardiography. The focus is on global longitudinal strain or GLS as a measure of cardiac function additive to left ventricular ejection fraction using different software. Because strain imaging technology is constantly changing and improving, contemporary approaches are demonstrated emphasizing steps for quality control and recognizing limitations. Strain imaging has transformed from a research tool to clinical acceptance and careful utilization will have an impact on the care of patients with cardiovascular diseases.

Authors: John Gorcsan III, MD, FASE, Chair; Vincent L. Sorrell, MD, FASE; Madeline Jankowski, RDCS, FASE

Release Date: November 25, 2019

CME End Date: November 25, 2022

CME Credit: 3.0 credits, 3.0 ABIM MOC Points, 3.0 ABA Part 2 CME (Lifelong Learning and Self-Assessment) Credits

Speaker Disclosure: John Gorcsan III, MD, FASE - Research Grants from GE, TOMTEC, Canon,V-Wave, EBR Systems; Vincent L. Sorrell, MD, FASE and Madeline Jankowski, RDCS, FASE have nothing to disclose.

This CME includes instructional modules on the use of strain from different vendors. Although trade names could not be totally excluded, an attempt has been made to provide education pertinent to strain modalities available through a variety of vendors

Commercial Support: None

Standard: $150.00
ASE Members: $95.00

Lessons

Fundamentals of Strain Imaging is a series of case-based video presentations featuring a practical “how-to” approach. It is intended for beginners to echocardiographic strain imaging to experienced users who wish to improve their skills. The appropriate audience include physicians, sonographers and other health care professionals involved in diagnostic echocardiography. The focus is on global longitudinal strain or GLS as a measure of cardiac function additive to left ventricular ejection fraction using different software. Because strain imaging technology is constantly changing and improving, contemporary approaches are demonstrated emphasizing steps for quality control and recognizing limitations. Strain imaging has transformed from a research tool to clinical acceptance and careful utilization will have an impact on the care of patients with cardiovascular diseases.

Content Contributors: John Gorcsan III, MD, FASE, Chair; Vincent L. Sorrell, MD, FASE; Madeline Jankowski, RDCS, FASE

Accreditation Statement:
The American Society of Echocardiography is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American Society of Echocardiography designates this enduring material for a maximum of 3.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Release Date: November 25, 2019

CME End Date: November 25, 2022

CME Credit: 3.0 credits, 3.0 ABIM MOC Points, 3.0 ABA Part 2 CME (Lifelong Learning and Self-Assessment) Credits

Disclosures:
According to ACCME policy, ASE implemented mechanisms to resolve all conflicts of interest prior to the planning and implementation of this activity.

Speaker Disclosure: John Gorcsan III, MD, FASE - Research Grants from GE, TOMTEC, Canon,V-Wave, EBR Systems; ; Vincent L. Sorrell, MD, FASE and Madeline Jankowski, RDCS, FASE have nothing to disclose.

The ASE staff and CME peer reviewers involved in the planning and content development of this activity reported no actual or potential conflicts of interest in relation to this activity: Eileen Richardot, RCS, RDCS, FASE; Anita Wokhlu, MD, FASE; Denise Ignatowski, BS, RDCS, FASE; Alyssa Lawrentz, Manager of Education and Products.

This CME includes instructional modules on the use of strain from different vendors. Although trade names could not be totally excluded, an attempt has been made to provide education pertinent to strain modalities available through a variety of vendors

Commercial Support: None

Activities Included:

1.A Introduction to Strain Imaging

1.B Technical Considerations for Strain Imaging

Test Your Knowledge

2.0 Strain Imaging: Tips for Acquisition and Analysis

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3.1 Case: Normal Left Ventricular Function (GE Echopac v 203)

3.2 Case: Ischemic Cardiomyopathy with Aortic Stenosis (GE Echopac v 203)

3.3 Case: Dilated Cardiomyopathy Suboptimal Images (GE Echopac v 203)

3.4 Case: Managing a Timing Artifact (GE Echopac v 203)

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4.1 Case: Dyspnea Normal Left Ventricular Function (Philips QLAB 13)

4.2 Case: Dilated Cardiomyopathy (Philips QLAB 13)

4.3 Case: Hypertrophic Cardiomyopathy (Philips QLAB 13)

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5.0 Case Studies of Strain Imaging in Cardio-Oncology

5.1 Case: Cardio-Oncology (Siemens/TOMTEC)

6.1 Case: Baseline Pre-chemotherapy (Canon Aplio i900)

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6.2 Case: Heart Failure Preserved Ejection Fraction (Canon Aplio i900)

7.1 Case: Palpitations and Normal Left Ventricular Function (TOMTEC Arena)

7.2 Case: Cardiomyopathy-Aortic Valve Replacement (TOMTEC Arena)

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8.0 Strain Imaging in Cardiac Amyloidosis

8.1 Case: Cardiac Amyloidosis (GE Echopac v 203)

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Evaluation