The right atrium, a forgotten cardiac chamber: An updated review of multimodality imaging

J Clin Ultrasound. 2015 Jul-Aug;43(6):335-45. doi: 10.1002/jcu.22261. Epub 2015 Mar 2.

Abstract

Despite several limitations, two-dimensional echocardiography (2DE) is the standard method for assessing the right atrium (RA) in everyday clinical routine. Cardiac magnetic resonance remains the current "gold standard" for RA visualization and volume quantification. The development of 2DE-derived strain imaging has enabled assessing RA deformation and phasic function in various pathologic conditions. Three-dimensional echocardiography was demonstrated to be more accurate and reproducible than 2DE for cardiac chamber quantification, while also allowing the evaluation of RA phasic function without geometric assumption. The purpose of this review is to summarize currently available data about RA anatomy, phasic function, and mechanics acquired by different imaging modalities.

Keywords: cardiac magnetic resonance; computed tomography; right atrium; strain-rate imaging; three-dimensional echocardiography; two-dimensional echocardiography.

Publication types

  • Review

MeSH terms

  • Echocardiography, Three-Dimensional
  • Heart Atria / diagnostic imaging
  • Heart Atria / pathology
  • Heart Diseases / diagnosis*
  • Humans
  • Magnetic Resonance Imaging
  • Multimodal Imaging / methods*
  • Tomography, X-Ray Computed