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Updated: Aug 30, 2026

In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
Published on: February 16, 2016
Use of contrast enhancement for the assessment of left ventricular function
Victor Mor-Avi1, Roberto M Lang
1Noninvasive Cardiac Imaging Laboratories, Department of Medicine, University of Chicago Medical Center, Chicago 60637, Illinois, USA. vmoravi@medicine.bsd.uchicago.edu
Insights
Improving echocardiography contrast agents enhances endocardial visualization for better assessment of left ventricular (LV) function and coronary artery disease detection. This leads to more accurate evaluations of cardiac performance.
Area of Science:
- Cardiovascular imaging
- Echocardiography
- Cardiac function assessment
Background:
- Accurate endocardial visualization is crucial for diagnosing coronary artery disease and assessing left ventricular (LV) ejection fraction.
- Poor echocardiographic image quality often hinders consistent endocardial boundary detection throughout the cardiac cycle.
- Current limitations impact the objective evaluation of global and regional LV function.
Purpose of the Study:
- To review recent advancements in contrast echocardiography for evaluating LV function.
- To highlight new quantitative approaches for assessing LV performance.
- To discuss the potential impact of these developments on clinical practice.
Main Methods:
- Review of recent literature on contrast echocardiography techniques.
- Discussion of novel quantitative methods for LV function assessment.
- Exploration of technological improvements in echocardiographic imaging.
Main Results:
- New objective, quantitative approaches have been developed to improve LV function assessment.
- Contrast agents show promise in enhancing endocardial visualization.
- These advancements may lead to more accurate and reproducible evaluations of LV performance.
Conclusions:
- Enhanced endocardial visualization through improved echocardiography, particularly with contrast agents, is key.
- Objective, quantitative methods are emerging for LV function assessment.
- Further integration of these developments could significantly improve the clinical evaluation of cardiac function.
Abstract:
Endocardial visualization is essential for accurate interpretation of regional wall thickening abnormalities, which constitute the diagnostic hallmark of coronary artery disease, and for reproducible assessment of left ventricular (LV) ejection fraction. Unfortunately, in many cardiac patients, poor image quality does not allow consistent visualization, let alone automated detection, of the endocardial boundary in all segments throughout the cardiac cycle. Continuing efforts directed towards improving endocardial visualization made by both echocardiographic imaging equipment manufacturers and researchers have recently produced new objective, quantitative approaches for the assessment of global and regional LV function. Although these developments have not been integrated into routine clinical practice, they may have a positive impact on endocardial visualization and, thus, eventually improve the ability to accurately and objectively evaluate LV performance. In this review, we discuss some of the latest developments in the use of contrast for the evaluation of LV function.
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