Heart failure & cardiomyopathies

Vendor differences in 2D-speckle tracking global longitudinal strain: an update on a 10-year standardization effort

Eur Heart J Cardiovasc ImagingPublished controlled study

Authors' conclusion

In this controlled study setting, GLS measurements from companies that provide contemporary semi-automated clinical software have become more consistent, compared with 10 years ago. Mid-/full-wall strain was now available in all but one software.

Study context

Population
Subjects with LV ejection fraction ranging from 30% to 68%, scanned on ultrasound systems from six manufacturerssubjects (50 male, age 56 ± 17), 372 echocardiographic exams
Participants
62 subjects
Comparison
Endocardial and mid-/full-wall GLS were measured and compared with the mean GLS of contemporary semi-automated clinical software: GE, Philips, Canon, Fujifilm, and Caas Qardia.

Main finding

As reported in the abstract

Inter-vendor bias of endocardial and mid-/full-wall GLS, contemporary semi-automated clinical software

Average maximum bias

0.6% strain units

Further findings

Average minimal detectable change, contemporary semi-automated clinical software

Endocardial GLS
2.5
Mid-/full-wall GLS
2.4
These values were higher for and among some other vendors.

Test-retest variability, GLS vs LV ejection fraction

GLS
6.6%
LV ejection fraction
6.5%
GLS vs LV ejection fraction
P > 0.05

Original publication

Vendor differences in 2D-speckle tracking global longitudinal strain: an update on a 10-year standardization effort. Eur Heart J Cardiovasc Imaging. Published 26 May 2025. doi:10.1093/ehjci/jeaf155

Summarised from the published abstract; every number is checked against it

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