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- Title
Stepwise manipulation of cardiac computed tomography multi‐planar reconstruction to mimic transesophageal echocardiography.
- Authors
Lai, Wei‐Tsung; Hsiung, Ming‐Chon; Lin, Lung‐Chun; Yin, Wei‐Hsian; Hsu, Ching‐Hsuan; Huang, Kuan‐Chih
- Abstract
Cardiac computed tomography (CT) is increasingly used to plan transcatheter structural heart interventions. However, intraoperative guidance relies on transesophageal echocardiography (TEE) and fluoroscopy. This study sought to develop a stepwise CT multi‐planar reconstruction manipulation method to mimic TEE, bridging the gap between preoperative planning and intraoperative guidance tools. This CT manipulation reproduced similar configurations as TEE views in the mid‐esophageal left ventricle (LV) views, transgastric LV 2‐chamber views for mitral apparatus, and other miscellaneous views. Stepwise cardiac CT manipulation to mimic TEE is the final piece of the puzzle in the mental co‐registration of these three crucial imaging modalities. Now, we can predict the TEE images and fluoroscopy projections in a preoperative rehearsal, thus improving the intraoperative accuracy of interventions.
- Subjects
HEART radiography; EDUCATION of surgeons; CATHETERS; COMPUTED tomography; ESOPHAGUS; FLUOROSCOPY; LEFT heart ventricle; CARDIAC surgery; DIGITAL image processing; INTRAOPERATIVE care; MITRAL valve; PREOPERATIVE care; STOMACH; TRANSESOPHAGEAL echocardiography
- Publication
Echocardiography, 2020, Vol 37, Issue 9, p1512
- ISSN
0742-2822
- Publication type
Article
- DOI
10.1111/echo.14801