AIMS To evaluate standard reporting of cardiac chambers size and function by transthoracic echocardiography (TTE), the EACVI Scientific Initiatives Committee performed a survey across European centres. In particular, the routine use of three-dimensional echocardiography (3DE) and speckle tracking-derived myocardial deformation imaging (STE) was explored. METHODS AND RESULTS A total of 96 European Echocardiography Laboratories from 22 different countries responded to the survey, which consisted of 20 questions. For most of the standard parameters of cardiac chamber size and function, answers from the centres were homogeneous and demonstrated good adherence to current recommendations. In particular, all centres assessed left ventricular (LV) and left atrial (LA) size combining diameter measurements with volumes obtained using the bi-plane Simpson's method. More variability was observed in the measurements of the right heart chambers and thoracic aorta. Interestingly, >90% of centres had access to 3DE and STE; however, the large majority of centres reserved the use of these techniques for selected cases, particularly for the measure of 3D LV volumes and ejection fraction and global longitudinal strain in patients being considered for cardiac device implantation, surgical intervention (valvular heart disease) or screened for cardiotoxicity. Only 10% of centres used 3DE for right ventricular and LA volumes. Also, <30% of the centres used LA strain imaging. CONCLUSION In Europe, a good adherence to current recommendations was observed for most of the standard parameters of cardiac chambers quantification by TTE. Advanced echocardiography modalities, such as 3DE and STE, are widely available but used only in selected cases.

中文翻译：

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EACVI 经胸超声心动图心室量化标准化调查。

目的 为了评估经胸超声心动图 (TTE) 的心腔大小和功能的标准报告，EACVI 科学倡议委员会在欧洲各中心进行了一项调查。特别是，探索了三维超声心动图（3DE）和斑点追踪衍生的心肌变形成像（STE）的常规使用。方法和结果 来自 22 个不同国家的 96 个欧洲超声心动图实验室总共回答了这项调查，其中包括 20 个问题。对于心腔大小和功能的大多数标准参数，各中心的答案是一致的，并且证明了对当前建议的良好遵守。特别是，所有中心都将直径测量值与使用双平面辛普森法获得的体积相结合来评估左心室 (LV) 和左心房 (LA) 大小。在右心室和胸主动脉的测量中观察到更多的变异性。有趣的是，超过 90% 的中心可以使用 3DE 和 STE；然而，绝大多数中心保留在选定的病例中使用这些技术，特别是在考虑进行心脏装置植入、手术干预（瓣膜性心脏病）或筛查的患者中测量 3D 左心室体积和射血分数以及整体纵向应变用于心脏毒性。只有 10% 的中心使用 3DE 测量右心室和 LA 体积。此外，<30% 的中心使用 LA 应变成像。结论 在欧洲，TTE 心室量化的大多数标准参数都很好地遵守了当前的建议。先进的超声心动图检查方式，例如 3DE 和 STE，已广泛使用，但仅在选定的病例中使用。