ArticleClinical physiology and functional imaging2025
Impact of experience on visual and Simpson's biplane echocardiographic assessment of left ventricular ejection fraction.
Article in Clinical physiology and functional imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Fully automated artificial intelligence-based echocardiographic analysis substantially reduces workflow time while preserving measurement accuracy: a pilot study.Journal of cardiovascular imaging · 2026Article
- Comparative Evaluation of Three Transthoracic Echocardiographic Techniques for Cardiac Output and Stroke Volume Assessment Across Hemodynamic States.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2026Article
- Association of echocardiographic findings with mortality: human assessment vs. automated deep learning analysis.European heart journal. Digital health · 2026Article
- Machine Learning-Based Prediction of Early Left Ventricular Function After STEMI.Journal of clinical medicine · 2025Article
- Clinical Relevance of Senior-Supervised Transthoracic Echocardiography in Clinical Practice and Research: An Editorial Commentary and Systematic Review.Echocardiography (Mount Kisco, N.Y.) · 2025Article
- Impact of experience on visual and Simpson's biplane echocardiographic assessment of left ventricular ejection fraction.Clinical physiology and functional imaging · 2025Article
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Authors and funding
8 authors.
Funding
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Abstract
backgroundIn clinical routine, health care professionals with various levels of experience assess left ventricular ejection fraction (LVEF) by echocardiography. The aim was to investigate to what extent visual and Simpson's biplane assessment of LVEF, using two-dimensional (2D) transthoracic echocardiography (TTE), is affected by the evaluator's experience.
methodsUltrasound images of 140 patients were assessed, visually and with Simpson's biplane method, by six evaluators divided into three groups based on echocardiographic experience level (beginner, intermediate and expert). The evaluators were blinded to each other's LVEF assessments. Bland-Altman analyses (bias±SD) were performed to assess agreement. P-values < 0.05 with the performed paired t-test were considered statistically significant.
resultsLevel of agreement in LVEF was good between evaluators within the expert group: visual = LVEF
conclusionsThe evaluator's level of experience affects visual and Simpson's biplane assessment of LVEF by 2D-TTE, with highest variability being among beginners. Furthermore, a second opinion is recommended when assessing reduced LVEF even for evaluators with intermediate and expert experience.
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