Image orientation for three-dimensional echocardiography of congenital heart disease

  • John Simpson
  • Owen Miller
  • Aaron Bell
  • Hannah Bellsham-Revell
  • Jackie McGhie
  • Folkert Meijboom
Original Paper


To date there has been little discussion about image orientation for three-dimensional (3D) echocardiography when applied to congenital heart lesions. Anatomic relations cannot be assumed in congenital heart disease and image cropping during post processing may by necessity remove external or even internal anatomic references. We present an approach to consistent anatomic orientation which is both intuitive and consistent with regard to superior–inferior, anterior–posterior and left–right axes. Such anatomic orientation is also concordant with other common 3D imaging modes such as cardiac magnetic resonance imaging and computed tomography. Views derived from standard cross sectional echocardiography have such universal familiarity that analogous 3D projections of these views may be retained but novel hitherto unavailable views such as en face views of the cardiac septums or atrioventricular valves may be projected using anatomic orientation.


Three dimensional echocardiography Congenital heart disease Image orientation 


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Copyright information

© Springer Science+Business Media, B.V. 2011

Authors and Affiliations

  • John Simpson
    • 1
  • Owen Miller
    • 1
  • Aaron Bell
    • 1
  • Hannah Bellsham-Revell
    • 1
  • Jackie McGhie
    • 2
  • Folkert Meijboom
    • 3
  1. 1.Department of Congenital Heart DiseaseEvelina Children’s Hospital, Guy’s and St Thomas’ NHS Foundation TrustLondonUK
  2. 2.Department of CardiologyThoraxcenter, Erasmus Medical CenterRotterdamThe Netherlands
  3. 3.Departments of Cardiology and PediatricsUniversity Medical Centre UtrechtUtrechtThe Netherlands

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