A Pathway for Improving Performance and Interpretation of Strain in a Pediatric Echocardiography Laboratory
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View abstract on PubMed
Summary
This summary is machine-generated.Implementing a structured pathway improved global longitudinal strain (GLS) reporting and accuracy in pediatric echocardiography. This ensures reliable assessment of heart function in children at risk for cardiotoxicity.
Area Of Science
- Pediatric Cardiology
- Cardiac Imaging
- Echocardiography
Background
- Echocardiographic assessment of myocardial deformation is crucial for evaluating left ventricular systolic function in pediatric patients.
- Accurate and reproducible strain data are essential for clinical utility in pediatric echocardiography labs.
- This study details an institutional pathway for successful implementation of strain analysis.
Purpose Of The Study
- To describe the institutional experience and pathway for implementing global longitudinal strain (GLS) analysis in pediatric echocardiography.
- To improve the quality and accuracy of GLS performance and reporting in children at risk for cardiotoxicity.
Main Methods
- Utilized plan-do-study-act cycles from 2016 onwards, including protocol development, education, and equipment/software updates for GLS.
- Reviewed echocardiograms from 2019-2023 for children at risk of chemotherapy-related cardiotoxicity (CTRCD).
- Assessed the percentage of echocardiograms with performed and reported GLS, evaluating accuracy.
Main Results
- GLS reporting increased from 39% in 2019 to 76% in 2023; accuracy improved from 57% to 72% (p < 0.001).
- Inaccurate GLS was attributed to poor image quality (24%), border tracing errors (45%), or both (21%).
- Reporting of GLS improved significantly with on-cart automation, easier post-processing, and iterative education.
Conclusions
- Administrative, technological, and educational interventions are key to establishing consistent, high-quality GLS performance and accurate reporting in pediatric echocardiography.
- Successful implementation pathways are vital for reliable myocardial deformation assessment in pediatric cardiology.
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