• Saad Khoshhal • Consultant pediatric cardiologist • General director of Taibah university medical services SHA SHA--13/2/2013 13/2/2013
History
1984: 3D (experimental)
Dekker et al (1974 ) 1966: Real-Time B-Mode 1954: B-Mode
1991: 3D TEE (commercial)
1950: A-Mode
1964: M-Mode 1968: Doppler 1983: Color Flow
Lang et al JACC:CARDIOVASCULAIMAGING,VOL. 2,NO.1,2009
1964: M-Mode
1966: Real-Time B-Mode
Why 3DE = Three D Adds Elevation Plane Elevation Plane
+ 2DE
Elevation Elevation Plane
Depth
=
3DE Azimuthal
Why 3DE
Saad khoshhal
3DE Transducers
13/2/2013
Is 3DE a replacement to 2DE
Direct cropping
Echoangiogram - PDA stent & RMBTS
LV Fx, Mass, CRT
13/2/2013
Is 3DE a replacement to 2DE
Is 3DE a replacement to 2DE
Saad khoshhal
A Bhan et al Heart 2010;96:153–163
13/2/2013
Is 3DE a replacement to 2DE
Saad khoshhal
MCC – 3DE patients ASD
Saad khoshhal
MCC – 3DE patients ASD – RA view
Saad khoshhal
MCC – 3DE patients ASD – RA view
Saad khoshhal
MCC – 3DE patients ASD
Saad khoshhal
MCC – 3DE patients ASD
Saad khoshhal
MCC – 3DE patients ASD
Saad khoshhal
MCC – 3DE patients ASD
Saad khoshhal
MCC – 3DE patients VSD- DCRV
Saad khoshhal
MCC – 3DE patients- VSD- DCRV
Saad khoshhal
MCC – 3DE patients , VSD- DCRV
Saad khoshhal
MCC – 3DE patients , VSD- DCRV
Saad khoshhal
MCC – RV, PV,Veg.
Saad khoshhal
MCC – RV, PV,Veg
Saad khoshhal
MCC – RV, PV,Veg
Saad khoshhal
MCC – RV,PV,Veg.
Saad khoshhal
MCC – 3DE,Huge ASD,MR,TR
Saad khoshhal
MCC – 3DE,Huge ASD,MR,TR
Saad khoshhal
MCC – 3DE,Huge ASD,MR,TR
Saad khoshhal
MCC – 3DE,Huge ASD,MR,TR
Saad khoshhal
MCC – 3DE,Huge ASD,MR,TR
Saad khoshhal
MCC – 3DE,Huge ASD,MR,TR
Saad khoshhal
MCC – 3DE,Huge ASD,MR,TR
Saad khoshhal
MCC – 3DE,Huge ASD,MR,TR
Saad khoshhal
MCC – 3DE,Huge ASD,MR,TR
Saad khoshhal
MCC – 3DE,Huge ASD,MR,TR Saad khoshhal
MCC – Cases
Saad khoshhal
Ken Takahashi, MD, Andrew S. Mackie, MD, Ivan M. Rebeyka, MD, David B. Ross, MD, Murray Robertson, MD, John D. Dyck, MD, Akio Inage, MD, and Jeffrey F. Smallhorn, MBBS, Edmonton, Alberta, Canada (J Am Soc Echocardiogr 2010;23:726-34.)
(PSCC- 2007)
Saad khoshhal
It’s up to you
Saad khoshhal
My Advice, Use both 2DE & 3DE
Saad khoshhal
13/2/201 3
Saad khoshhal
Is 3DE a replacement to 2DE SHA, 13/2/2013
Saad khoshhal
Q1 • 3DE Addition to 2DE is • A) Elevation (thickness ) plane • B) Horizontal plane • C) superior 2DE images
13/2/2013
Is 3DE a replacement to 2DE
Is 3DE a replacement to 2DE
Saad khoshhal
Q -2 • Pediatric 3DE probe (x7-2) • A) can perform 3DE study only • B) Can perform 2DE,3DE but not color doppler • C) Can perform 2DE,3DE,color flow and doppler studies
13/2/2013
Is 3DE a replacement to 2DE
Is 3DE a replacement to 2DE
Saad khoshhal
Q-3 • 3DE • A) Didn’t add any additional structural information to those obtained by 2DE • B ) is a replacement to 2DE • C ) Is complementary to 2DE
13/2/2013
Is 3DE a replacement to 2DE
Is 3DE a replacement to 2DE
Saad khoshhal