Is speckle tracking the same as strain?

Strain is a unitless measurement of dimensional or deformational change; speckle-tracking echocardiography is the most widely used technique to assess strain, with demonstrated clinical utility in a variety of settings.

How do I do it speckle tracking echocardiography?

Steps involved in speckle-tracking echocardiography. A. The endocardial border is manually traced in the end-systolic frame. The automated software creates a region-of-interest that includes the entire myocardial thickness.

What is dimensional speckle tracking echocardiography?

Two-dimensional speckle tracking echocardiography (2DSTE) is a non-Doppler technique that applies computer software analysis of images generated by conventional ultrasound techniques to calculate parameters of motion (displacement, velocity) and deformation (strain, strain rate) in all three axes and thus providing a …

What is normal GLS?

Because GLS normally varies with age, sex, and LV loading conditions, defining abnormal GLS is not straightforward. However, in adults, GLS <16% (sic) is abnormal, GLS >18% (sic) is normal, and GLS 16% to 18% is borderline.

What is the primary benefit of speckle tracking strain?

The principal benefit of LV shear strains is amplification of the 15% shortening of myocytes into 40% radial LV wall thickening, which ultimately translates into a >60% change in LV ejection fraction.

What is abnormal global longitudinal strain?

Left ventricular global longitudinal strain (GLS) measures the maximal shortening of myocardial longitudinal length during systole compared to the resting length in diastole. Reduced GLS may reflect abnormal systolic function before loss of ejection fraction (EF) becomes apparent.

What is speckle strain?

In the fields of cardiology and medical imaging, speckle tracking echocardiography (STE) is an echocardiographic imaging technique that analyzes the motion of tissues in the heart by using the naturally occurring speckle pattern in the myocardium or blood when imaged by ultrasound.

How is longitudinal strain measured?

Longitudinal strain is an echocardiographic bedside method to assess the regional and global left ventricular function. We conventionally assess the left ventricular function by two-dimensional (2D) echocardiography.

How is echo strain measured?

In order to calculate strain at any given time point, the difference between length at the reference point (end-diastole during echocardiography) and the current length (usually end-systole) is calculated. This figure is then divided by original reference length and then expressed as a percentage.

What does global longitudinal strain mean?

What does an abnormal GLS mean?

Conclusions. In patients with a recovered LVEF, an abnormal GLS predicts the likelihood of having a decrease LVEF during follow-up, whereas a normal GLS predicts the likelihood of stable LVEF during recovery.

What is cardiac GLS?

What are the clinical applications of speckle tracking?

Clinical applications of speckle tracking Novel echocardiographic techniques allow the assessment of myocardial strain. Strain can measure myocardial deformation which is an intrinsic mechanical property of the myocardium. The occurrence of myocardial disease can precede structural myocardial changes shown by traditional imaging techniques.

How are speckles used in Doppler echocardiography?

Speckle tracking echocardiography is a non-Doppler technique that applies computer software analysis of images generated by conventional ultrasound techniques. The Doppler ultrasound signal generates artifacts due to random reflections, called speckles. These speckles stay stable during the cardiac cycle and can act as natural acoustic markers.

Is there a correlation between TVI and speckle tracking?

In the study by Cho et al, both TVI derived and speckle tracking derived longitudinal strain showed modest correlation with MRI derived strain. The ROC analysis showed significantly higher AUC for speckle tracking for detecting dysfunctional segments. However, this study only included patients with coronary disease.

How is speckle tracking echocardiographically based analysis of left ventricular strain?

Left ventricular (LV) strain by two-dimensional (2D) speckle-tracking echocardiography has been shown to be a reliable and clinically important method of quantitatively characterizing cardiac function in children [ 1, 2, 3 ].