Adas 3D https://www.adas3d.com/ Fibrosis Imaging for the EP Lab Mon, 20 Oct 2025 14:22:31 +0000 en-US hourly 1 https://wordpress.org/?v=6.9.4 https://www.adas3d.com/wp-content/uploads/2021/09/cropped-favicon-32x32.jpg Adas 3D https://www.adas3d.com/ 32 32 Update on U.S. Reimbursement and Coding for 3D Predictive Cardiac Modeling (HCPCS Code C9793) https://www.adas3d.com/update-on-u-s-reimbursement-and-coding-for-3d-predictive-cardiac-modeling-hcpcs-code-c9793/ Wed, 15 Oct 2025 14:54:56 +0000 https://www.adas3d.com/?p=5185 Barcelona, Spain – [September 2025] – ADAS3D Medical is pleased to share, for public aware ness, the 2025 Reimbursement & Co ding Update, an informational resource providing an overview of the HCPCS code C9793, recently updated by the Centers for M edicare & Medicaid Services (CMS) — the U.S. federal agency responsible for administering the Medicare and Medicaid programs. Originally effective January 1, […]

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Barcelona, Spain – [September 2025] – ADAS3D Medical is pleased to share, for public aware

ness, the 2025 Reimbursement & Co

ding Update, an informational resource providing an overview of the HCPCS code C9793, recently updated by the Centers for M

edicare & Medicaid Services (CMS) — the U.S. federal agency responsible for administering the Medicare and Medicaid programs.

Originally effective January 1, 2024, HCPCS code C9793 describes the creation of a 3D predictive model for pre-procedural planning of a cardiac intervention, using data from cardiac CT angiography (CTA). As of April 1, 2025, CMS revised the code descriptor to include cardiac magnetic resonance imaging (CMR) as an eligible imaging modality under the Medicare Outpatient Prospective Payment System (OPPS).

This document is intended solely for informational purposes, to raise awareness among hospitals, clinicians, and healthcare organizations about the coding and reimbursement framework associated with 3D predictive cardiac modeling in the United States.

Disclaimer: This material is provided for general informational use only. It does not constitute legal, financial, clinical, or reimbursement advice and does not guarantee coverage or payment.

📄 Download the full document (PDF):
2025 Reimbursement & Coding Update – ADAS3D Medical

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Imaging Integration in VT Ablation Takes the Spotlight: ADAS3D Medical at VT Symposium 2025 https://www.adas3d.com/imaging-integration-in-vt-ablation-takes-the-spotlight-adas3d-medical-at-vt-symposium-2025/ Wed, 15 Oct 2025 14:46:11 +0000 https://www.adas3d.com/?p=5178 Philadelphia, PA – [October 11, 2025] – ADAS3D Medical team participated as sponsor and exhibitor in the VT Symposium 2025, an international event that gathered top electrophysiologists and cardiology experts to discuss the latest innovations in ventricular tachycardia (VT) ablation and imaging integration in Philadelphia. Throughout the sessions, ADAS3D Medical’s advanced imaging software was featured in multiple presentations, highlighting its growing […]

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Philadelphia, PA – [October 11, 2025] – ADAS3D Medical team participated as sponsor and exhibitor in the VT Symposium 2025, an international event that gathered top electrophysiologists and cardiology experts to discuss the latest innovations in ventricular tachycardia (VT) ablation and imaging integration in Philadelphia.

Throughout the sessions, ADAS3D Medical’s advanced imaging software was featured in multiple presentations, highlighting its growing impact on clinical decision-making and procedural planning in VT ablation.

Highlights from the Scientific Program

Session I – Imaging in VT Ablation
Moderated by Timm Dickfeld, MD, PhD, this session focused on how imaging technologies are reshaping VT ablation strategies.

  • Ivo Roca-Luque, MD, PhD presented on Non-invasive Assessment of the Ventricular Arrhythmogenic Substrate: ECGi in Combination with CMR, emphasizing multimodal imaging integration.

  • Larry Chinitz, MD demonstrated Near Field Analysis and ADAS Software to localize potential ablation sites, showcasing the precision that ADAS3D tools bring to substrate mapping.

  • Saman Nazarian, MD, PhD concluded with Image-Based Dissection of Ventricular Tachycardia Circuitry: Bridging the Gap Between Structure and Electrical Activity.

The session concluded with a dynamic panel discussion and Q&A, highlighting the growing role of advanced imaging in improving VT ablation outcomes.

 

Session II – Pulsed Field Ablation and Translational Research
Later in the program, Dr. Srinivas Dukkipati and Prof. Cory M. Tschabrunn, PhD, presented key findings on High Voltage PFA for VT: Insights from a Porcine Model of Chronic Infarction, illustrating how cardiac MRI and 3D analysis enhance understanding of ablation effects. Their work demonstrated the power of integrating ADAS3D Medical’s imaging solutions for visualizing structural and functional cardiac changes pre- and post-ablation.

“The VT Symposium in Philadelphia offered an exceptional platform to demonstrate how advanced imaging is driving innovation in arrhythmia management,” said Rosa Figueras, Senior Scientist & Product Specialist at ADAS3D Medical. “We’re proud to see our technology supporting researchers and clinicians dedicated to improving outcomes for patients with complex ventricular arrhythmias.”

ADAS3D Medical thanks all speakers and collaborators for their contributions to advancing the field of cardiac imaging and electrophysiology.

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Cardiac MRI Post Processing Software: Innovations to Improve Cardiac Diagnostics https://www.adas3d.com/cardiac-mri-post-processing-software/ Mon, 02 Dec 2024 09:53:14 +0000 https://www.adas3d.com/?p=4990 Cardiac MRI post-processing software plays a crucial role in modern medical imaging. It enhances the capabilities of cardiac MRI by enabling detailed analysis and interpretation of heart images. Advanced algorithms within this software improve accuracy and efficiency in assessments. These tools are essential for streamlining workflows and providing critical insights for cardiac diagnostics. The role […]

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Cardiac MRI post-processing software plays a crucial role in modern medical imaging. It enhances the capabilities of cardiac MRI by enabling detailed analysis and interpretation of heart images. Advanced algorithms within this software improve accuracy and efficiency in assessments. These tools are essential for streamlining workflows and providing critical insights for cardiac diagnostics.

The role of cardiac MRI in modern medical imaging

Cardiac MRI has become a cornerstone in the field of medical imaging, offering unparalleled insights into cardiac health and function. Its ability to provide detailed anatomical and functional information is essential for diagnosis and treatment planning.

Importance in Cardiac Diagnostics

Cardiac MRI is regarded as the gold standard for diagnosing various heart conditions. Its significance in clinical practice includes:

  • Non-invasive assessment of cardiac anatomy and function.
  • Accurate evaluation of myocardial viability and perfusion.
  • Detailed visualization of cardiac structures, including chambers, valves, and blood vessels.
  • Improved detection of structural heart diseases and cardiomyopathies.

Cardiac function analysis enhancements

Recent advancements in cardiac MRI technology have led to more refined analyses of cardiac function. Key enhancements include:

  • 3D imaging capabilities that allow for comprehensive volumetric analysis.
  • Advanced post-processing techniques that improve the accuracy of function metrics.
  • Integration of machine learning algorithms that enhance image quality and diagnostic insights.

These improvements contribute to a more nuanced understanding of cardiac performance, enabling practitioners to tailor treatments to individual patient needs.

Understanding Cardiac MRI Post-Processing Software

This section delves into the crucial aspects of cardiac MRI post-processing software, highlighting its features, innovations, and the significant impact of advanced algorithms on clinical practices.

Key Features and Innovations

Cardiac MRI post-processing software integrates advanced technologies to provide comprehensive analysis tools for clinicians. Some notable features include:

  • Automated segmentation that simplifies image analysis.
  • Real-time imaging capabilities enabling immediate feedback for healthcare providers.
  • Compatibility with various MRI machines, ensuring versatility in clinical settings.
  • User-friendly interfaces that facilitate smoother workflows for medical professionals.

The impact of advanced algorithms

Advanced algorithms are at the heart of cardiac MRI post-processing software, enhancing accuracy and operational efficiency. These algorithms support various analytical functions that are crucial for precise diagnosis.

Proven accuracy and efficiency

Many software solutions rely on validated algorithms that deliver consistent results. Accuracy is vital for effective treatment planning, as even minor discrepancies can lead to significantly different clinical decisions. The application of these algorithms ensures that clinicians can rely on the data provided for patient care.

Supports time savings and workflow efficiency

Efficient workflows in medical environments are paramount. Advanced software minimizes manual input and processing times, allowing healthcare professionals to focus more on patient interaction rather than administrative tasks. This efficiency translates to quicker diagnostics and better resource allocation within hospitals and clinics.

Leading Software Solutions for Cardiac MRI

The cardiac MRI software landscape is rapidly evolving, with cutting-edge solutions designed to improve diagnostic accuracy and streamline workflow for medical professionals. One such leading solution is ADAS 3D, a specialized software tool for advanced cardiac imaging.

Cardiac MRI software such as ADAS 3D plays a pivotal role in modern cardiology, enabling clinicians to gain deeper insight into myocardial tissue characterization, scar analysis and arrhythmia management. Its robust algorithms provide detailed visualization and quantification of fibrosis and other cardiac abnormalities, enabling physicians to make more informed decisions for conditions such as atrial fibrillation and ventricular tachycardia.

When evaluating cardiac MRI software, several key criteria should be considered to ensure optimal performance and ease of use:

  1. Effectiveness in diagnosing cardiac conditions: ADAS 3D excels at providing accurate, reproducible measurements of myocardial tissue, enabling accurate diagnosis and treatment planning for complex cardiac conditions.
  2. Integration with existing systems: Compatibility with PACS and other imaging systems is critical. ADAS 3D offers seamless integration, ensuring smooth incorporation into existing workflows without disrupting clinical operations.
  3. User experience and interface design: Intuitive interfaces and streamlined workflows reduce the learning curve and improve operational efficiency, a hallmark of ADAS 3D.
  4. Support and training: Vendors like ADAS 3D prioritize customer support and provide extensive training resources to help clinicians maximize the software’s potential.

ADAS 3D is a testament to how innovative software solutions can transform cardiac MRI diagnostics, improving both accuracy and patient outcomes.

Integration and workflow enhancements

Integration and workflow improvements play a pivotal role in enhancing the efficiency of cardiac MRI post-processing systems. By streamlining processes, these advancements lead to better clinical outcomes and increased productivity in healthcare settings.

Improve clinical workflows with automation

Automation has revolutionized clinical workflows by reducing manual tasks, enabling healthcare providers to focus more on patient care rather than administrative duties. Automated systems facilitate:

  • Real-time data processing, allowing for immediate insights.
  • Standardization of procedures, leading to consistent results.
  • Minimized human error through automated analysis, ensuring higher accuracy.

Such enhancements promote a more efficient working environment and allow clinicians to dedicate more time to diagnosis and treatment planning.

Vendor-independent post-processing: Flexibility in Clinical Environments

Vendor independence in post-processing tools allows facilities to select and integrate various software solutions tailored to their specific needs. This flexibility leads to:

  • Seamless integration with existing imaging systems.
  • Improved interoperability across different platforms, enhancing collaboration among departments.
  • Cost-effectiveness by utilizing multiple software options without being locked into a single vendor.

Ultimately, this adaptability empowers medical facilities to optimize their cardiac imaging services and better meet patient needs.

Improve efficiency with advanced reporting tools

Advanced reporting tools are integral to streamlining analyses and improving communication. Key benefits include:

  • Faster report generation, enabling swift decision-making.
  • Customizable reporting formats tailored to clinician preferences.
  • Enhanced visualizations for clearer presentation of complex data.

The implementation of these tools not only accelerates the reporting process but also enhances collaboration between healthcare professionals, ensuring comprehensive patient care.

Applications and Benefits of Cardiac MRI Software

Cardiac MRI software provides a multitude of applications that enhance diagnostic accuracy and efficiency in evaluating heart conditions. Its advanced capabilities support healthcare professionals in delivering precise assessments and effective treatment plans.

Accurate assessment of cardiac function

This software significantly improves the assessment of cardiac function. By utilizing sophisticated imaging techniques, it enables clinicians to examine:

  • Left and right ventricular volumes.
  • Myocardial strain and stress.
  • Global and regional wall motion abnormalities.

The ability to accurately measure these parameters allows for early detection of heart diseases, leading to timely interventions.

Advanced Deformation Analysis

The deformation analysis capabilities of cardiac MRI software offer insights into myocardial mechanics. This includes:

  • Quantitative assessment of myocardial deformation.
  • Analysis of both longitudinal and circumferential strain.
  • Evaluation of potential ischemic regions through strain imaging.

Such analysis is essential for understanding the heart’s performance under various conditions and helps in tailoring treatment strategies.

Comprehensive time-saving tools

Integrating efficient workflows, cardiac MRI software includes various time-saving features. These tools streamline processes by:

  • Automating segmentation and measurements.
  • Reducing manual data entry and analysis time.
  • Providing intuitive interfaces that enhance user experience.

The focus on efficiency not only saves time but also enables clinicians to dedicate more effort to patient care.

Future Directions in Cardiac MRI Post-Processing

The landscape of cardiac MRI post-processing is rapidly evolving, driven by advancements in technology and innovative approaches. These developments promise to enhance diagnostic capabilities and improve patient outcomes.

Future trends in medical imaging

As technology continues to advance, several trends are emerging in the field of medical imaging that are set to shape the future of cardiac MRI post-processing:

  • Enhanced imaging techniques that offer higher resolution and faster acquisition times.
  • Integration of 3D and 4D imaging technologies to provide more detailed anatomical insights.
  • Increased focus on interoperability, allowing seamless data exchange between different systems and platforms.

The role of AI and automation in diagnostics

Artificial intelligence (AI) and automation are becoming critical components in cardiac MRI analysis. These technologies deliver numerous advantages:

  • AI-driven algorithms improve diagnostic accuracy by identifying patterns that may be missed by human analysts.
  • Automation tools expedite data processing, significantly reducing the time required for image interpretation.
  • Machine learning models continuously optimize imaging protocols, adapting to patient-specific needs and improving overall workflow.

As these technologies advance, the potential to reshape clinical practices and enhance patient care becomes increasingly evident. The integration of AI and automation is expected to play a transformative role in the efficiency and effectiveness of cardiac diagnostics.

Bibliographic references

Fast‐track virtual reality for cardiac imaging in congenital heart disease – This study evaluates virtual reality technology for cardiac anatomy renderings and its comparison to standard 3D techniques, highlighting innovations in post-processing (Raimondi et al., 2021).

Advances in Cardiac Processing Software – Discusses iterative reconstruction, resolution recovery, and noise compensation in myocardial perfusion SPECT, which parallels advancements in cardiac MRI software (Depuey, 2014).

An extensible software platform for interdisciplinary cardiovascular imaging research – Introduces CAIPI, a platform for cardiac image processing, emphasizing integration and validation of innovations in clinical workflows (Huellebrand et al., 2019).

Artificial intelligence in cardiac magnetic resonance fingerprinting – Highlights AI applications in cardiac imaging, particularly in enhancing processing speeds and diagnostic accuracy (Velasco et al., 2022).

Advances in machine learning applications for cardiovascular 4D flow MRI – Reviews machine learning techniques for improving accuracy and automation in 4D flow MRI post-processing (Peper et al., 2022).

Super Resolution of Cardiac Cine MRI Sequences Using Deep Learning – Discusses a deep learning network for enhancing the resolution of cardiac cine MRI data, emphasizing post-processing advancements (Basty & Grau, 2018).

Artificial Intelligence in Cardiac MRI: Is Clinical Adoption Forthcoming? – Explores AI’s potential in automating cardiac MRI post-processing and improving clinical diagnostics (Fotaki et al., 2022).

Automatic initialization and quality control of large‐scale cardiac MRI segmentations – Proposes fully automated methods for initializing and quality-controlling cardiac MRI segmentations (Albà et al., 2018).

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ADAS3D Medical Showcased Cutting-Edge Cardiac Imaging Solutions at the Heart Rhythm Society Congress in Boston, May 16-19 https://www.adas3d.com/adas3d-medical-showcased-cutting-edge-cardiac-imaging-solutions-at-the-heart-rhythm-society-congress-in-boston-may-16-19/ Mon, 24 Jun 2024 13:15:14 +0000 https://www.adas3d.com/?p=3917 La entrada ADAS3D Medical Showcased Cutting-Edge Cardiac Imaging Solutions at the Heart Rhythm Society Congress in Boston, May 16-19 se publicó primero en Adas 3D.

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Philadelphia, PA – [October 11, 2025] – ADAS3D Medical team participated as sponsor and exhibitor in the VT Symposium 2025, an international event that gathered top electrophysiologists and cardiology experts to discuss the latest innovations in ventricular tachycardia (VT) ablation and imaging integration in Philadelphia.

Throughout the sessions, ADAS3D Medical’s advanced imaging software was featured in multiple presentations, highlighting its growing impact on clinical decision-making and procedural planning in VT ablation.

Highlights from the Scientific Program

Session I – Imaging in VT Ablation
Moderated by Timm Dickfeld, MD, PhD, this session focused on how imaging technologies are reshaping VT ablation strategies.

  • Ivo Roca-Luque, MD, PhD presented on Non-invasive Assessment of the Ventricular Arrhythmogenic Substrate: ECGi in Combination with CMR, emphasizing multimodal imaging integration.

  • Larry Chinitz, MD demonstrated Near Field Analysis and ADAS Software to localize potential ablation sites, showcasing the precision that ADAS3D tools bring to substrate mapping.

  • Saman Nazarian, MD, PhD concluded with Image-Based Dissection of Ventricular Tachycardia Circuitry: Bridging the Gap Between Structure and Electrical Activity.

The session concluded with a dynamic panel discussion and Q&A, highlighting the growing role of advanced imaging in improving VT ablation outcomes.

Session II – Pulsed Field Ablation and Translational Research
Later in the program, Dr. Srinivas Dukkipati and Prof. Cory M. Tschabrunn, PhD, presented key findings on High Voltage PFA for VT: Insights from a Porcine Model of Chronic Infarction, illustrating how cardiac MRI and 3D analysis enhance understanding of ablation effects. Their work demonstrated the power of integrating ADAS3D Medical’s imaging solutions for visualizing structural and functional cardiac changes pre- and post-ablation.

“The VT Symposium in Philadelphia offered an exceptional platform to demonstrate how advanced imaging is driving innovation in arrhythmia management,” said Rosa Figueras, Senior Scientist & Product Specialist at ADAS3D Medical. “We’re proud to see our technology supporting researchers and clinicians dedicated to improving outcomes for patients with complex ventricular arrhythmias.”

ADAS3D Medical thanks all speakers and collaborators for their contributions to advancing the field of cardiac imaging and electrophysiology.

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Breaking Boundaries in Healthcare: ADAS3D Highlights Latest Technologies at EHRA 2024 https://www.adas3d.com/breaking-boundaries-in-healthcare-adas3d-highlights-latest-technologies-at-ehra-2024/ Mon, 24 Jun 2024 13:12:43 +0000 https://www.adas3d.com/?p=3907 Barcelona, April 12, 2024 – ADAS3D, a leader in visualization and analysis technology for cardiovascular health, announced today its successful participation in the EHRA 2024 Congress. Held from April 7 to 9 in Berlin, the event provided a platform for ADAS3D to showcase its innovative solutions in over 20 scientific sessions, demonstrating its commitment to […]

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Barcelona, April 12, 2024 – ADAS3D, a leader in visualization and analysis technology for cardiovascular health, announced today its successful participation in the EHRA 2024 Congress. Held from April 7 to 9 in Berlin, the event provided a platform for ADAS3D to showcase its innovative solutions in over 20 scientific sessions, demonstrating its commitment to advancing medical technology and improving patient care.

Key Highlights of ADAS3D’s Participation:

  • Scientific Contributions: ADAS3D’s involvement in more than 20 scientific sessions underscored its pivotal role in the field of electrophysiology. The presentations garnered significant interest, reflecting the growing recognition of its advanced imaging solutions.
  • Innovative Demonstrations: The clinical team from ADAS 3D engaged with electrophysiology specialists worldwide, showcasing the latest features of their software. A major highlight was the demonstration of the software’s capability to accurately extract crucial anatomical structures such as the esophagus, phrenic nerve course, and intramyocardial fat. These features were particularly well-received by electrophysiologists for their potential to enhance detailed and precise visualizations in clinical practice.
  • Technological Advancements: ADAS3D’s software demonstrated its ability to accurately identify corridors and fibrosis, providing invaluable tools for electrophysiologists. This capability is crucial for planning and guiding complex cardiac procedures, offering significant benefits in clinical settings.

“We’re thrilled with the positive response we received at EHRA 2024,” said Jacobo Gil de Biedma, Business Director. “Our team has worked hard to develop tools that are not only innovative but also practical for EP clinical use. The ability of our software to extract corridors and fibrosis accurately is incredibly valuable for electrophysiologists in their work.”

The EHRA 2024 Congress has been an exceptional platform for ADAS3D to collaborate with industry experts, exchange knowledge, and advance the field of electrophysiology. The company looks forward to continuing to innovate and collaborate with the medical community to improve patient outcomes worldwide.

For more information about ADAS3D and its solutions, please contact [email protected]

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ADAS3D Medical Secures Chinese NMPA Approval for Software Distribution https://www.adas3d.com/adas3d-medical-secures-chinese-nmpa-approval-for-software-distribution/ Mon, 24 Jun 2024 12:23:05 +0000 https://www.adas3d.com/?p=3902 Exciting news! #ADAS3D has officially secured Chinese NMPA approval, marking a significant milestone for our team. This approval allows us to reinforce ADAS3D’s expansion in this important market.  NMPA unveils groundbreaking quality standards for Medical Device Operations in China, prioritizing public safety and industry standardization. Nota: ADAS3D Medical Secures Chinese NMPA Approval for Software Distribution […]

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Exciting news! #ADAS3D has officially secured Chinese NMPA approval, marking a significant milestone for our team. This approval allows us to reinforce ADAS3D’s expansion in this important market. 

Image
NMPA unveils groundbreaking quality standards for Medical Device Operations in China, prioritizing public safety and industry standardization.

Nota:

ADAS3D Medical Secures Chinese NMPA Approval for Software Distribution

Barcelona, January 18 2024 – ADAS3D Medical, a leading innovator in medical software solutions, proudly announces the recent approval granted by the Chinese National Medical Products Administration (NMPA) to distribute its advanced software throughout China. The official authorization, issued on December 27, marks a significant milestone for the company, enabling the widespread deployment of its cutting-edge solution across the entire Chinese territory.

ADAS 3D is an advanced software for electrophysiologists that uses CT and MRI to plan procedures. The software’s results can be imported into navigation systems, providing a road map to supplement electro-anatomical mapping, making navigation and targeting easier. Users of ADAS3D will benefit from the seamless transformation of CTA and DE-MRI images into detailed 3D analyses.

The approval to commence commercialization in China signifies the success of ADAS3D’s sets the stage for the commercial growth, strategically positioned to address the substantial number of patients in China grappling with heart disease. Highlighting the immense potential, the Business Director Jacobo Gil de Biedma added, “The approval by the NMPA is outstanding news for ADAS3D. We are thrilled to have reached this pivotal point in our international growth strategy.”

As our goal remains to improve cardiovascular care by making Cardiac Imaging (MRI and CT) more accessible and effective for electrophysiology procedures, the NMPA approval signifies a key milestone in its mission to make a positive impact on medical procedures in China.


For more information about ADAS3D and its solutions, contact [email protected].

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Case of VT Ablation in a patient with Mitral Valve Prosthesis using ADAS 3D model to plan the procedure. https://www.adas3d.com/vt-ablation-case-in-a-patient-with-mitral-valve/ Fri, 26 May 2023 10:55:06 +0000 https://www.adas3d.com/?p=3107 We present a case from Dr. Alba Santos (Hospital Vall d’Hebron, Spain) of a patient suffering from ventricular tachycardia (VT). The magnetic resonance images (MRI) and computed tomography (CT) were analyzed with ADAS 3D software to extract detailed information about the patient. Description of the case We present a 50-year-old woman with a history of inferior myocardial […]

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We present a case from Dr. Alba Santos (Hospital Vall d’Hebron, Spain) of a patient suffering from ventricular tachycardia (VT). The magnetic resonance images (MRI) and computed tomography (CT) were analyzed with ADAS 3D software to extract detailed information about the patient.

Description of the case

We present a 50-year-old woman with a history of inferior myocardial infarction with no significant lesions in the coronary arteries and mechanical mitral valve prosthesis because of severe mitral regurgitation. A single chamber ICD was implanted after recovered sudden cardiac death ten years ago.

Recently, she received ICD therapies due to ventricular tachycardia, which has recurred despite antiarrhythmic drugs. Due to the presence of a mechanical mitral prosthesis, retrograde aortic access was used for ablation.

Analysis with ADAS 3D software

Before the procedure

The DICOM images were imported into ADAS 3D software to be processed by Gabriel Pascual Gonzalez (nurse at Hospital Vall d’Hebron, Spain). The tissue characterization analysis of the left ventricle was performed using the DE-MRI. The DE-MRI had some artifacts caused by the device, which were excluded from analysis, luckily not affecting the area of interest.

LV wall thickness map and some anatomical structures (left atrium, device cables, calcifications, prosthetic mitral valve, the aorta, right ventricle, right atrium, and pulmonary artery) were obtained from the CT.

Figure 1. Comparison between the wall thickness map of the LV (left image, obtained from CTA) with the tissue characterization and the corridors of LV (right image, obtained from DE-MRI) together with the aorta, right ventricle, right atrium, left atrium and the calcifications (obtained from the CTA).

An interactive ADAS 3D model which displays the tissue characterization analysis from the DE-MRI can be found in:

https://www.adasonline.com/open?study_id=894911ea-ea4f-4181-8a5c-13a2548bfa64

An interactive ADAS 3D model which displays the tissue characterization analysis from the CT with the anatomical structures can be found in:

https://www.adasonline.com/open?study_id=d3ac9f5f-5060-495e-9a60-7af9e6b809e0

 

During the procedure:

During the procedure, the analysis of ADAS 3D was imported into the Ensite X navigation system, and the electro-anatomical map was done with the HD grid catheter. In the image below, the EAM is shown with the HD grid in the Ensite X together with the prosthetic valve, device lead, calcifications, and the left atrium from the ADAS 3D analysis. The visualization of the calcifications and the prosthetic valve, helped to be more careful during the procedure near these areas.

Figure 2. EAM map registered with the anatomical structures from the ADAS 3D model with the Ensite X system.

After the procedure:

After the procedure, the EAM was imported into ADAS 3D and compare with the CT analysis. In the following image the high correlation between the CT analysis (displaying the areas of thinning and the calcifications) and the EAM can be seen. In addition, the calcifications are visualized in the area of interest.

Figure 3. Comparison between the wall thickness map of the LV (left image) with the EAM of the Ensite system (right image) together with the aorta, the lead, the calcification, and the prosthetic mitral valve obtained from the CT.

What does the expert say?

Statement of Dra. Alba Santos

Thank you, Dra. Alba Santos, Gabriel Pascual, and all the Vall d’Hebron arrhythmia unit team for sharing this interesting case with us.

 If you want to share your successful cases analyzed with ADAS 3D, please fill in this form.

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Challenging case of recurrent Ventricular Tachycardia https://www.adas3d.com/challenging-case-of-recurrent-ventricular-tachycardia/ Thu, 22 Sep 2022 09:48:09 +0000 https://www.adas3d.com/?p=2984 In this post, we present a case report from Dr. Stephen Tuohy (Beacon Hospital Dublin, Ireland) of a patient suffering from ventricular tachycardia (VT). The magnetic resonance images (MRI) were analysed with ADAS 3D software to extract detailed information from the patient. What are the patient characteristics? The patient was a 61-year-old female with nonischaemic cardiomyopahty […]

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In this post, we present a case report from Dr. Stephen Tuohy (Beacon Hospital Dublin, Ireland) of a patient suffering from ventricular tachycardia (VT). The magnetic resonance images (MRI) were analysed with ADAS 3D software to extract detailed information from the patient.

What are the patient characteristics?

The patient was a 61-year-old female with nonischaemic cardiomyopahty (NICM), complete AV block and recurrent VT. The patient had an implantable cardioverter-defibrillator (ICD) placed after the cardiac magnetic resonance acquisition. Moreover, she had a family history of VT and cardiomyopathy.

The VT morphology suggested an anterior RV site of origin. Previously, electrophysiologists attempted a VT ablation but was unsuccessful —weak match of pace-mapped to RVOT and empiric ablation unsuccessful—. The VT was suppressed with a drug approach based on amiodarone but some side effects appeared. Therefore, the medical team planned a redo for the VT ablation. An imaging guidance was requested to help with this challenging case.

Analysis with ADAS 3D software

Before the procedure, the DICOM images were imported into ADAS 3D software to be post-processed. The software generated a 3D model of the left ventricle and represented the adjacent anatomy.

Tissue is displayed in blue for non-enhanced tissue (healthy), in red for highly-enhanced tissue (core), and from light blue to orange represents the grey-area tissue. The white tube are the centerlines of the automatically detected border-zone corridors.

LGE-MRI map of the left ventricle, next to a three-plane view of the DICOM

The location of the corridor helped to decide the retrograde approach for the procedure. Redo ablation was successful and the clinical response from the patient was excellent.

What does the expert say?

Statement of Dr. Stephen Tuohy

Thank you Dr. Tuohy for sharing this interesting case with us.

If you want to share your successful cases analysed with ADAS 3D, please fill in this form.

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Publications https://www.adas3d.com/publications/ Tue, 08 Mar 2022 11:00:03 +0000 https://wp-test.adas3d.com/?p=231 Lorem ipsum dolor sit amet, consectetur adipiscing elit. In tempus felis quis augue feugiat, vel semper nulla pretium. Etiam egestas magna neque, at dignissim ex aliquam sed. Pellentesque id odio fermentum, tristique dui sit amet, cursus ligula. Suspendisse ut quam quis odio suscipit ultricies dignissim ac nisl. Nam elementum enim libero, at facilisis dui tristique […]

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Case of VT procedure using ADAS3D with Ensite and HD-grid https://www.adas3d.com/case-of-vt-procedure-using-adas3d-with-ensite-and-hd-grid-2/ Sun, 08 Mar 2020 11:00:39 +0000 https://wp-test.adas3d.com/?p=229 We present a case report from Dr. Javier Moreno (Hospital Ramón y Cajal, Spain) of a patient suffering from ventricular tachycardia. The MRI shows a scar in basal and middle segments of the inferior-lateral face of the left ventricle. Before the procedure The analysis of the DICOM was performed by ADAS 3D and the result […]

La entrada Case of VT procedure using ADAS3D with Ensite and HD-grid se publicó primero en Adas 3D.

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We present a case report from Dr. Javier Moreno (Hospital Ramón y Cajal, Spain) of a patient suffering from ventricular tachycardia. The MRI shows a scar in basal and middle segments of the inferior-lateral face of the left ventricle.

Before the procedure

The analysis of the DICOM was performed by ADAS 3D and the result showed an endocardial-transmural scar in the lateral wall with a main corridor, going from base to apex in the lateral wall.

LGE-MRI map of the left ventricle with the anatomy of the right ventricle, next to a three-plane view of the DICOM. The main corridor is remarked with a yellow arrow.

During the procedure

In the procedure, the MRI analysis was imported in the Ensite and visualized by the physician. Then, late activation and voltage maps were performed using the HD grid catheter. The correlation was good between the scar of the EAM and the MRI analysis. Late activation map showed a slow conduction area which correlates directly with the main corridor of the MRI.

Ventricular tachycardia was induced and the diastolic potential was found in the same area of late potential. The ablation was performed in this area. Finally, EAM and MRI analysis were registered and showed a good correlation.

MRI analysis registered with the EAM

After the procedure

After the procedure*, the EAM maps were imported into ADAS 3D and compared with the MRI analysis. In the following image it is shown a good correlation between MRI analysis and EAM voltage map. The scar is found in the lateral wall.

*This feature is not available for clinical use in the USA

In the left appears the MRI analysis and in the right the voltage map of the EAM.

Thank you Dr. Moreno for sharing this case with us. If you want to share your successful cases analysed with ADAS 3D, please fill in this form.

La entrada Case of VT procedure using ADAS3D with Ensite and HD-grid se publicó primero en Adas 3D.

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