E-ISSN 0976-2833 | ISSN 0975-3583
 

Original Research (Original Article) 


Utilization of Real-time 3D Transesophageal Echocardiography in an Urban Academic Medical Center

Lili Zhang, Elaine Y. Lin, Dron Bhandari, Mohan Pamerla, George K. Lui, Cynthia C. Taub.

Abstract
Purpose: Real-time three-dimensional transesophageal echocardiography (3D TEE) is useful in a variety of clinical
scenarios. However, the pattern of its clinical utilization in an urban academic center is unknown. The objective of this study
is to evaluate the practical use of 3D TEE and to explore factors that may affect its applications. Methods: We conducted a
retrospective study by reviewing 2,734 consecutive TEEs performed at Montefi ore Medical Center in Bronx, NY, between
January 2009 and August 2011. Types of 3D modes (biplane, live, 3D zoom, full volume, and 3D quantifi cations) and
indications were reviewed. Linear regression was performed to examine the association between echocardiographers’
characteristics and 3D TEE utilization. Results: 3D modalities were utilized in 1,655 studies (61%) during the study period.
The use of 3D technology increased from 44% at 4 months to 79% at 32 months. Biplane, 3D zoom, and full volume
acquisition showed a steady increase, but quantifi cation remained very low throughout the study period. Level 3 training
was signifi cantly associated with 66.6% (95% CI 13.0%, 120.1%, P = 0.029) higher rate of 3D TEE utilization compared
to level 2, after adjusting for age, sex, years of practice, and total TEE volume. Level 3 echocardiographers utilized more
zoom 3D and full volume, whereas level 2 echocardiographers used biplane more frequently. Conclusions: There has
been a growing use of 3D TEE over time, but not all 3D modes were equally employed. The association between advanced
training and increased 3D utilization is likely due to interest and self-motivation.

Key words: Echocardiographer, echocardiography, real-time three-dimensional transesophageal echocardiography, utilization


 
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How to Cite this Article
Pubmed Style

Lili Zhang, Elaine Y. Lin, Dron Bhandari, Mohan Pamerla, George K. Lui, Cynthia C. Taub. Utilization of Real-time 3D Transesophageal Echocardiography in an Urban Academic Medical Center. . 2014; 5(2): 9-14. doi:10.5530/jcdr.2014.2.3


Web Style

Lili Zhang, Elaine Y. Lin, Dron Bhandari, Mohan Pamerla, George K. Lui, Cynthia C. Taub. Utilization of Real-time 3D Transesophageal Echocardiography in an Urban Academic Medical Center. http://www.jcdronline.org//?mno=93445 [Access: March 23, 2020]. doi:10.5530/jcdr.2014.2.3


AMA (American Medical Association) Style

Lili Zhang, Elaine Y. Lin, Dron Bhandari, Mohan Pamerla, George K. Lui, Cynthia C. Taub. Utilization of Real-time 3D Transesophageal Echocardiography in an Urban Academic Medical Center. . 2014; 5(2): 9-14. doi:10.5530/jcdr.2014.2.3



Vancouver/ICMJE Style

Lili Zhang, Elaine Y. Lin, Dron Bhandari, Mohan Pamerla, George K. Lui, Cynthia C. Taub. Utilization of Real-time 3D Transesophageal Echocardiography in an Urban Academic Medical Center. . (2014), [cited March 23, 2020]; 5(2): 9-14. doi:10.5530/jcdr.2014.2.3



Harvard Style

Lili Zhang, Elaine Y. Lin, Dron Bhandari, Mohan Pamerla, George K. Lui, Cynthia C. Taub (2014) Utilization of Real-time 3D Transesophageal Echocardiography in an Urban Academic Medical Center. , 5 (2), 9-14. doi:10.5530/jcdr.2014.2.3



Turabian Style

Lili Zhang, Elaine Y. Lin, Dron Bhandari, Mohan Pamerla, George K. Lui, Cynthia C. Taub. 2014. Utilization of Real-time 3D Transesophageal Echocardiography in an Urban Academic Medical Center. Journal of Cardiovascular Disease Research, 5 (2), 9-14. doi:10.5530/jcdr.2014.2.3



Chicago Style

Lili Zhang, Elaine Y. Lin, Dron Bhandari, Mohan Pamerla, George K. Lui, Cynthia C. Taub. "Utilization of Real-time 3D Transesophageal Echocardiography in an Urban Academic Medical Center." Journal of Cardiovascular Disease Research 5 (2014), 9-14. doi:10.5530/jcdr.2014.2.3



MLA (The Modern Language Association) Style

Lili Zhang, Elaine Y. Lin, Dron Bhandari, Mohan Pamerla, George K. Lui, Cynthia C. Taub. "Utilization of Real-time 3D Transesophageal Echocardiography in an Urban Academic Medical Center." Journal of Cardiovascular Disease Research 5.2 (2014), 9-14. Print. doi:10.5530/jcdr.2014.2.3



APA (American Psychological Association) Style

Lili Zhang, Elaine Y. Lin, Dron Bhandari, Mohan Pamerla, George K. Lui, Cynthia C. Taub (2014) Utilization of Real-time 3D Transesophageal Echocardiography in an Urban Academic Medical Center. Journal of Cardiovascular Disease Research, 5 (2), 9-14. doi:10.5530/jcdr.2014.2.3





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