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Echocardiography in Clinical Cardiac Imaging: Advances and Emerging Applications

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 791

Special Issue Editor


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Guest Editor
1. Shamir Medical Center, Ya'akov, Israel
2. Gray Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv 69978, Israel
Interests: echocardiography; myocardial strain imaging; left atrial function; speckle-tracking echocardiography; cardiac imaging

Special Issue Information

Dear Colleagues,

Echocardiography remains a cornerstone of contemporary cardiac imaging, offering a versatile, noninvasive, and widely accessible tool for the diagnosis, risk stratification, and management of cardiovascular diseases. Continuous technological advancements—including speckle-tracking echocardiography, three-dimensional imaging, the application of artificial intelligence, and integration with multimodality imaging—have significantly expanded its clinical capabilities.

This Special Issue aims to highlight recent advances and emerging clinical applications of echocardiography across a broad spectrum of cardiac conditions, including ischemic heart disease, cardiomyopathies, valvular heart disease, heart failure, and atrial pathology. Original research articles, state-of-the-art reviews, and clinically focused studies addressing novel echocardiographic parameters, methodological validation, prognostic implications, and practical implementation in routine clinical practice are particularly encouraged.

By bringing together innovative research and expert perspectives, this Special Issue seeks to emphasize the evolving role of echocardiography in precision cardiology and its contribution to improved patient care.

Prof. Dr. Marina Leitman
Guest Editor

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

  • echocardiography
  • cardiac Imaging
  • speckle-tracking echocardiography
  • artificial intelligence
  • myocardial function
  • valvular heart disease
  • precision cardiology

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Published Papers (1 paper)

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Research

18 pages, 4896 KB  
Article
Longitudinal Displacement vs. Strain in Cardiac Amyloidosis: A Speckle Tracking Echocardiography Study
by Marina Leitman, Vladimir Tyomkin and Shmuel Fuchs
J. Clin. Med. 2026, 15(4), 1544; https://doi.org/10.3390/jcm15041544 - 15 Feb 2026
Viewed by 537
Abstract
Background: Longitudinal strain is central to the echocardiographic diagnosis of cardiac amyloidosis, typically showing reduced global values with relative apical sparing. Longitudinal displacement—an absolute measure of myocardial motion—may provide complementary diagnostic and physiological information. Methods: We retrospectively studied 24 patients with [...] Read more.
Background: Longitudinal strain is central to the echocardiographic diagnosis of cardiac amyloidosis, typically showing reduced global values with relative apical sparing. Longitudinal displacement—an absolute measure of myocardial motion—may provide complementary diagnostic and physiological information. Methods: We retrospectively studied 24 patients with cardiac amyloidosis and 24 age-, sex-, rhythm-, and ejection fraction–matched controls. Global and regional longitudinal strain and displacement were calculated. Diagnostic performance was evaluated using receiver-operating characteristic (ROC) analysis, and reproducibility was assessed using intraclass correlation coefficients (ICC), coefficient of variation (CV), and Bland–Altman analysis. Results: In amyloidosis, both global longitudinal strain (GLS) and global longitudinal displacement (GLD) were significantly reduced compared with controls (GLS: −10.2 ± 2.6% vs. −20.1 ± 2.4%, p < 0.0001; GLD: 6.6 ± 1.9 mm vs. 11.9 ± 1.4 mm, p < 0.0001). Amyloidosis was characterized by pronounced impairment of basal displacement (9.0 ± 4.4 vs. 17.0 ± 3.9 mm, p < 0.0001) and only modest reduction in absolute apical motion (3.0 ± 2.4 vs. 5.0 ± 2.3 mm, p < 0.0001), supporting the concept that apical sparing observed on strain reflects relative rather than absolute preservation of function. ROC analysis demonstrated strong discriminatory performance within this cohort for GLD (cutoff 8.8 mm), basal displacement (~13 mm), and GLS (absolute 15.8%), with areas under the curve approaching 1.0. GLD and GLS correlated with indices of diastolic burden and functional status (E/E′ and NYHA; |r| ≈ 0.32–0.41, all p ≤ 0.03). Reproducibility was good to excellent (ICC ≈ 0.84–0.89; CV 6–8%). Conclusions: Longitudinal displacement provides complementary and reproducible information alongside strain in cardiac amyloidosis. Combined assessment—reduced global or basal displacement together with reduced GLS and/or relative apical sparing—may refine the echocardiographic characterization of amyloid cardiomyopathy and link longitudinal mechanics to diastolic dysfunction and heart-failure burden. Full article
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