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What We See Through Cardiac Imaging: Second Edition

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: 20 July 2026 | Viewed by 465

Special Issue Editors


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Guest Editor
Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua Medical School, Padua, Italy
Interests: multimodality imaging; echocardiography; cardiac-computed tomography
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Guest Editor
Division of Cardiology, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
Interests: echocardiography; cardiac imaging; acute coronary syndrome; cardiac function; electrocardiography; aortic valve; heart valve diseases

Special Issue Information

Dear Colleagues,

We are pleased to invite you to contribute to this Special Issue, entitled “What We See Through Cardiac Imaging: Second Edition”. For more details on our first edition, in which we published 10 papers, please visit https://www.mdpi.com/journal/jcm/special_issues/W671RHP67F.

Whether for routine examination or following a cardiac event, there are several modalities to evaluate cardiomyopathies. Cardiac imaging has many possibilities by enabling the accurate identification of structural modifications and trends in measurements and dynamic alterations, which are key to ensuring that timely and lifesaving therapies are provided. Patients with cardiomyopathies sometimes live a long part of their lives facing problems such as life-threatening arrhythmias, progressive heart failure and increased risk of sudden cardiac death. The resolution and diagnostic capabilities of each imaging technique vary to provide an option for each indication.

What to do and how to use different imaging modalities in different clinical scenarios in cardiomyopathies is of the utmost importance to ensure patients a good quality of life and prognosis.

“What We See Through Cardiac Imaging: Second Edition” welcomes original articles that highlight the role of the multimodality approach in providing a complete view of the patient’s cardiovascular system in every specific condition related to cardiomyopathy. The articles will cover the application of multimodality imaging both for diagnostic and prognostic purposes, including the specific indication for each modality to choose the correct workflow approach, and also combine clinical and genetic findings.

Dr. Valeria Pergola
Dr. Francesca Mantovani
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • cardiomyopathies
  • multimodality imaging
  • echocardiography
  • cardiac-computed tomography
  • cardiac magnetic resonance
  • prognosis
  • arrhythmias
  • heart failure

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Published Papers (1 paper)

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Research

19 pages, 3290 KB  
Article
Mapping Echocardiographic Practice in Emilia-Romagna: A Regional Healthcare Census
by Andrea Barbieri, Francesca Mantovani, Francesca Bursi, Mattia Malaguti, Federico Fortuni, Luca Moderato, Ylenia Bartolacelli, Simone Binno, Alessandro Malagoli, Rita Pavasini, Chiara Pedone, Sergio Suma, Angelo Squeri, Alessandra Albini, Anna Chiara Vermi, Giovanna Di Giannuario, Marianna Laurito, Mauro Li Calzi, Alessandro Navazio, Antonella Moreo, Giovanni Di Salvo and Scipione Carerjadd Show full author list remove Hide full author list
J. Clin. Med. 2026, 15(10), 3719; https://doi.org/10.3390/jcm15103719 - 12 May 2026
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Abstract
Aims: To assess echocardiographic practice within a regional healthcare system. The Emilia-Romagna region, a high-performing, digitally advanced context, was therefore used as a “stress test” setting in which observed heterogeneity is unlikely to be overestimated. Methods: A region-wide census of echocardiography laboratories collected [...] Read more.
Aims: To assess echocardiographic practice within a regional healthcare system. The Emilia-Romagna region, a high-performing, digitally advanced context, was therefore used as a “stress test” setting in which observed heterogeneity is unlikely to be overestimated. Methods: A region-wide census of echocardiography laboratories collected data on governance, staffing, workflow, digital infrastructure, and imaging capabilities. A 5-item structural–digital readiness index (0–5) included: Picture Archiving and Communication System (PACS) archiving, structured reporting, Electronic Health Record (EHR) integration, availability of advanced echocardiographic tools, and an appointment slot for transthoracic echocardiography (TTE) of ≥20 min. High quality was defined as ≥4. Logistic regression identified independent predictors. Results: Of 148 centers, 122 (82%) responded, reporting 294,156 TTEs in 2023 (range < 500 to >15,000 per center); 46% were accredited private centers. Public institutions showed greater digital maturity than private centers (p < 0.001), with higher PACS availability and structured reporting. Overall, 86% reported ≥ 20 min per examination. Advanced modalities were unevenly distributed: left ventricular strain (50%), 3D imaging (33%), and stress echocardiography (42%). Workforce limitations were common, with 80% of centers lacking sonographers. A high structural–digital readiness index (score ≥ 4) was achieved by 38 laboratories (31%) and was associated with digital infrastructure and advanced imaging (p < 0.001). In multivariable analysis, university affiliation (OR 8.2–9.1) and a designated echocardiography lead (OR 4.1) independently predicted high quality, whereas procedural volume was not independently associated with quality. Conclusions: Marked variability in echocardiographic infrastructure and quality persists despite an advanced organizational and technological context. Leadership and digital infrastructure are the primary determinants of quality. Full article
(This article belongs to the Special Issue What We See Through Cardiac Imaging: Second Edition)
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