Editorial
Second harmonic imaging: a new tune for an old fiddle?
| The first 150 words of the full text of this article appear below. |
As with so many important discoveries in science, the significant improvements in echocardiographic image quality generated by second harmonic imaging were discovered almost by chance. Sound signals, including ultrasound transmitted through tissue, usually contain harmonics. These are additional frequencies, at multiples of the main frequency (called the fundamental). Therefore, second harmonic signals have been present within transmitted and reflected ultrasound data since echocardiography began. However, our ultrasound scanners have been "tuned in" to receive only the main or fundamental frequency and the second harmonic has been ignored. The paper by Franke and colleagues in this issue of Heart is one of several studies1-6 that have appeared over the past year or so indicating the improved endocardial definition and therefore diagnostic accuracy obtained by using harmonic imaging. This improvement is especially important during stress echocardiography studies.
Second harmonic imaging was originally developed as a technique to
increase the sensitivity of detection
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