Speckle-Tracking Imaging, Principles and Clinical Applications: A Review for Clinical Cardiologists

Evaluation of myocardial mechanics, although complex, has now entered the clinical arena, thanks to the introduction of bedside imaging techniques, such as speckletracking echocardiography. Overcoming the limitations of previous techniques, such as tissue Doppler Imaging (TDI), bi-dimensional (2D) and, only recently, three-dimensional (3D) speckle tracking, allows a fast, reproducible, and semi-automated description of myocardial deformation parameters, including strain, strain rate, velocity, displacement, torsion, and timing of contraction/relaxation. From research tool, speckle tracking has become a great help for clinicians, validated with respect to more complex, time-consuming, and expensive techniques. Nowadays, further development in technology and image processing draws the attention of the cardiology community. This review intends to describe the fundamental aspects of the imaging technique, together with some recent innovations and clinical applications in this field.