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Updated: Jun 17, 2026

Transthoracic Speckle Tracking Echocardiography for the Quantitative Assessment of Left Ventricular Myocardial Deformation
Published on: October 20, 2016
Routine tests for both planning and evaluating image quality in tele-echocardiography
Sandra Morelli1, Andrea Giordano, Daniele Giansanti
1Dipartimento di Tecnologie e Salute, Istituto Superiore di Sanità, Rome, Italy. sandra.morelli@iss.it
Video compression in tele-echocardiography (T-E) can reduce quality. Objective video quality assessment tools, like the NTIA/ITS VQM tool, are essential for maintaining diagnostic accuracy in remote cardiac imaging.
Area of Science:
- Medical Imaging
- Telemedicine
- Network Engineering
Background:
- Tele-echocardiography (T-E) relies on transmitting echocardiographic videoclips, necessitating compression to manage bandwidth.
- Video compression degrades videoclip quality, potentially impacting diagnostic accuracy in T-E.
- Subjective video quality assessment methods are resource-intensive, making objective methods desirable.
Purpose of the Study:
- To investigate automatic tools for objective video quality assessment in tele-echocardiography.
- To evaluate the suitability of objective methods for assessing T-E video quality, considering system administrators' roles.
- To identify and analyze tools that can improve image quality in T-E over networks.
Main Methods:
- Reviewed various objective tools for video quality assessment in tele-echocardiography.
- Focused on the NTIA/ITS VQM software package for its objective-quantitative data output and subjective perception emulation.
- Analyzed the functionalities of the selected tool for enhancing image quality in network-based T-E.
Main Results:
- Identified objective video quality assessment tools as a viable alternative to resource-intensive subjective methods.
- The NTIA/ITS VQM tool emerged as a suitable software package for objective video quality assessment in T-E.
- The NTIA/ITS VQM tool provides objective data while incorporating models that emulate subjective perception.
Conclusions:
- Objective video quality assessment tools are crucial for maintaining diagnostic accuracy in tele-echocardiography.
- The NTIA/ITS VQM tool is a promising solution for objective quality assessment and improvement in T-E.
- This approach supports broader health technology assessment (HTA) for tele-echocardiography systems.
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