Ultrasound Shear Wave Elastography in Cardiology

Annette Caenen, Stéphanie Bézy, Mathieu Pernot, Kathryn R. Nightingale, Hendrik J. Vos, Jens Uwe Voigt*, Patrick Segers, Jan D'hooge

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review


The advent of high–frame rate imaging in ultrasound allowed the development of shear wave elastography as a noninvasive alternative for myocardial stiffness assessment. It measures mechanical waves propagating along the cardiac wall with speeds that are related to stiffness. The use of cardiac shear wave elastography in clinical studies is increasing, but a proper understanding of the different factors that affect wave propagation is required to correctly interpret results because of the heart's thin-walled geometry and intricate material properties. The aims of this review are to give an overview of the general concepts in cardiac shear wave elastography and to discuss in depth the effects of age, hemodynamic loading, cardiac morphology, fiber architecture, contractility, viscoelasticity, and system-dependent factors on the measurements, with a focus on clinical application. It also describes how these factors should be considered during acquisition, analysis, and reporting to ensure an accurate, robust, and reproducible measurement of the shear wave.

Original languageEnglish
Pages (from-to)314-329
Number of pages16
JournalJACC: Cardiovascular Imaging
Issue number3
Publication statusPublished - Mar 2024

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