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How to Perform Cardiac Contrast-Enhanced Ultrasound (cCEUS): Part I.

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Summary
This summary is machine-generated.

Ultrasound enhancing agents (UEAs) improve echocardiography for left heart assessments. This review offers practical guidance on UEA use for evaluating left ventricular function, aiding both new and experienced practitioners.

Keywords:
LV functioncardiomyopathycontrast agentcontrast-enhanced ultrasoundechocardiographythrombustumorultrasound enhancing agent

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Area of Science:

  • Cardiology
  • Medical Imaging
  • Echocardiography

Background:

  • Ultrasound enhancing agents (UEAs), previously known as contrast agents, have significantly enhanced the utility and precision of echocardiography for left heart evaluations.
  • National and international guidelines now recommend UEAs for various diagnostic echocardiographic procedures.
  • Growing clinical experience and data are refining UEA protocols, benefiting both novice and experienced users.

Purpose of the Study:

  • To provide a practical "how-to" guide for approved ultrasound enhancing agent applications in echocardiography.
  • This first part focuses on available UEAs and offers specific instructions for assessing global and regional left ventricular (LV) function.
  • Part two will address myocardial disease, masses, and perfusion imaging.

Main Methods:

  • This review synthesizes current evidence and clinical practice data on UEA use in echocardiography.
  • It proposes a step-by-step approach for UEA-guided procedures, including interpretation and reporting.
  • Recommendations emphasize the application of UEAs in two-dimensional echocardiography due to limited data in three-dimensional imaging.

Main Results:

  • Ultrasound enhancing agents improve the accuracy of echocardiographic measurements for left heart assessments.
  • The review details the application of UEAs for evaluating global and regional left ventricular function.
  • Guidance is provided on optimizing UEA procedures based on accumulated clinical experience.

Conclusions:

  • Ultrasound enhancing agents are valuable tools for enhancing echocardiographic assessments of the left heart.
  • This review provides essential guidance for the effective application of UEAs in assessing LV function.
  • Standardized approaches to UEA use, interpretation, and reporting are crucial for consistent diagnostic quality.