@FGraziani_Grace @BURZOTTA_F @Unicatt @meucci_chiara @RosaLillo14 @GiuliaIannacco2 @MariluNarducci @DanielaPedicino @GabriellaLocor1 @Anto_Lombard @CristinaAuri17 @giovannaliuzzo1 Complimenti a tutti! Great achievement and so much more to come from this great new generation
#echofirst #science is in secure hands

#echofirst emoticons

#echofirst case report about functional TR non atrial nor ventricular
👉 academic.oup.com/ehjcr/advance-…
@dr_benoy_n_shah @echo_batman @echo_stepbystep @StellEkaterina

#echofirst 3D of tricuspid valve by TEE
Make sure to have good 2D as reference plane
#ALAMO is 🔑

👉 Annulus
👉 Leaflets
👉 (no) Artifacts
👉 Movement of Leaflets in the ROI
👉 Orientation landmarks
4D Zoom preparation or full volume
See more #3DEchoBerlin 3D and beyond .2027 Berlin
👉 dhzb-akademie.de/course/3d-work…

#echofirst question
How often is PISA EROA in primary eccentric MR suitable?
How often should we use PISA / EROA for severity quantification?

@argulian @echo_batman @Ph_Bertrand @dr_benoy_n_shah

#echofirst 3D Compilation
Teasing #3DEchoBerlin
22.01.- 24.01.2027 Advanced Echocardiography Workshop

Sunday 3D Hands on with GE & Philips (TomTec)
👉lnkd.in/eWskntkH
👉 lnkd.in/eWskntkH

Where to go to learn more about #echofirst 3D and even beyond?
#3DEchoBerlin 22.01. - 24.01.2027
Onsite attendance & online (Friday & Saturday lectures)
Sunday 3D Hands on with GE & Philips (TomTec)
👉lnkd.in/eWskntkH
👉 lnkd.in/eWskntkH

#echofirst 3D different rendering
👉 HD live
👉 FlexiLight
👉 Silhouette
#3DEchoBerlin

🫀 3D Advanced Echo Workshop | 22–24 Jan 2027, Berlin
#echofirst
International experts, hybrid format. 3D focus, but not only.
Friday's Basics session alone: physics by images, how to do 3D, contrast in unexpected ways, live knobology on GE & Philips real 3D cases. And that's justn @alexsfelixecho @papadocardio @fiore_corrado
And many more to come
👉 shorturl.at/VzVzf
👉 shorturl.at/rdvQp

EACVI Board election 🗳️ to shape the future of #echofirst
President @NAjmoneMarsan with strong team
Treasurer @Ph_Bertrand
Councillor @papadocardio & Vlatka Reskovic Luci

👉 escardio.org/communities/as…

Thank you, that is true, trying is learning....
#echofirst needs practice

Tips and tricks to get aortic valve nice in 3D #echofirst #3DEchoBerlin
What are your tricks to increase image quality in 3D?
Share your knowledge

#3DEchoBerlin
22.01. - 24.01.2027
👉online attendance 2 Days
👉onsite 2 Days
😎 onsite 3Days including hands on GE & Philips (TomTec)

👉lnkd.in/eWskntkH
👉 lnkd.in/eWskntkH

Learn 3D Echocardiography? 🫀 #3DEchoBerlin2027
Building strong 3D echo skills starts with mastering 2D imaging.
🔹 Master standard 2D #echofirst
🔹 learn optimal acquisition and artifact reduction.
🔹 Step 4: Post-process 3D
🎯 Better 3D imaging. More reliable analysis.

#echofirst film on how to go for TEER Screen with TEE if TTE shows MR is severe by multiparametric means
👉 severe MR has ⬆️ LV vol. and ⬇️ forward SV
👉 E Wave > 1 m/s
👉 ⬆️ LA/LVESD
👉 PISA only if suitable & plausible same for VC/3D VCA

👉TEER screen if surgery no option

The upcoming Advanced 3D #echofirst Workshop | Berlin, 22–24 January 2027 🫀
World known experts share knowledge to guide therapy & show how to ace therapy and show when & how to go further medically using MCS
🔗 dhzb-akademie.de/course/3dworks…

👇 take a look at one of many Sessions

#echofirst 🗓️ October

Advanced #echofirst Workshop with focus on 3D
📍Berlin hybrid but don’t miss being there in Person
📆22.01. - 24.01.2027
Great faculty
Take a look at the program
👉 lnkd.in/ek3d3_A3
Register here
👉 lnkd.in/eWskntkH
👇 just a little part of what you can get

today had the pleasure of presenting at Master #echofirst course at siena @unisiena by @Matte_Cameli & @DrGEMandoli
Echo in LVAD carriers
Standardized approach is key to understand

#echofirst 3D VCA in a nutshell

Great pleasure and honor to be first speaker at the #echofirst course treating the vast field of interventional echocardiography My topic is kinda gatekeeper for what coming in terms of therapy “What is severe MR” machine settings are crucial

#echofirst 3D compilation of tricuspid valve more to see and do at #3DEchoBerlin
👉 backend.dhzb-akademie.de/app/uploads/20…
👉 dhzb-akademie.de/course/3d-work…
Just take a look at this GOAT line up 🔝
@alex1708ander @alexsfelixecho @dr_benoy_n_shah
@iceman_ex @echo_batman @FGraziani_Grace rtrand
@StellEkaterina @echo_stepbystep
@fiore_corrado @LunaGargani
@ArgaizR @papadocardio @eromerodorta
@mauripieroni72 @LHoyesWouter
@JanKnierim @echotainment
@DonalErwan @FH_Verbrugge

We all struggle to understand severity quantification of regurgitation by #echofirst If our KOL present cases on the big stage they show severe Regurgitation showing VC width or 3DVCA usually without showing the needed machine settings We need to understand how to do #EACVI26

#echofirst TTE organic MR
Different color maps using translumination tool #FlexiLight
First step is always #ALAMO (all the following captured?)
👉 Annulus
👉 Leaflet
👉 Artifacts
👉 Movement of leaflets
👉 Orientation
Gaining, Gamma, FlexiLight and color maps (depth perception)

@AliAliRomanista And often they are not seniors in #echofirst

#echofirst 🗓️
August is looking at tricuspid valve

@bwoody58 @alex1708ander

#echofirst advanced Workshop 
#3DEchoBerlin 
👉 22.01.- 24.01.2027 by @DHZB_Akademie 

Register & view the full program: backend.dhzb-akademie.de/app/uploads/20…

We will start strong 💪 and there is more to follow 

👉 Physics Explained Through Images
Master the 5–7 core principles with clear visumans @echo_batman
👉 3D Imaging Masterclass
From initial acquisition to comprehensive 3D reconstruction.
(N. Merke @NMerke
👉 Unexpected Value of Contrast
Deep dives into endocarditis, regurgitation, stenosis & vascular disease.
(A. Hagendorff)
🚨 LIVE KNOBOLOGY ON GE
(N. Merke & A. Felix @alexsfelixecho

In #echofirst it is pivotal to be aware of the settings of the machine to ensure that our results can be trusted
In national & international meetings I do miss this in echo based talks almost always
@EACVIPresident @escardio
My Conflict of Image Quality
Frequency
•2D Imaging: 1.4/MHz
Frame Rate
•2D Imaging: ~50 FPS
•2D Color: 25–30 FPS
•3D (LV EF): 20–25 FPS
•3D Valve : 20–30 FPS
•3D Color: 20–25 FPS
Image quality requires balancing frequency, frame rate, spatial resolution, and temporal resolution. Optimizing one parameter often comes at the expense of another.

@Hragy You are right! Sport used to be about sportsmanship!
Today is all about cheating.
If they kick the ball out everybody calls it its own
When they kick someone they claim to be innocent 😇
It is all about money 💰

@DHZB_Akademie "3D Advanced Echocardiography Workshop" (happening January 22- 24, 2027) makes it clear why this is way "more than just 3D."
The program bridges advanced imaging with intensive clinical realities”specifically targeting ICU management, complex valvular heart culatory support (MCS), and heart failure.

Perfect for clinicians who want practical utility, not just pretty 3D pictures.
Yes, it’s a 3D workshop but we are taking it straight to the ICU
At the #echofirst Workshop , we aren't just looking at static valves. We’re tackling the tough cases:
Echo in ICU: Deep dives into ECMO hemodynamics and using echo to guide acute fluid management. 
Critical Decision Making: Using acute heart failure echo to trigger therapy (from diuretics to MCS). 
Live Knobology: Real-time mastering of GE & Philips systems.
Register & view the full program: backend.dhzb-akademie.de/app/uploads/20…

Just take a look at this GOAT line up 🔝
@alex1708ander @alexsfelixecho @dr_benoy_n_shah @iceman_ex @echo_batman @FGraziani_Grace @VictoriaDe32503 @Ph_Bertrand @StellEkaterina @echo_stepbystep @fiore_corrado @LunaGargani @ArgaizR @papadocardio @eromerodorta @mauripieroni72 @KemalogluOz @JanKnierim @echotainment @DonalErwan @FH_Verbrugge

@echo_batman @AHagendorff #echofirst Summary to start my presentation…👊

@echo_batman @AHagendorff That is the complete title..😎

🌟 The International Highlight of the German Echocardiography Congress 2026 🌟

Dear #echofirst Enthusiasts,

We are delighted to invite you to what will undoubtedly be one of the highlights of this year’s congress: an outstanding international symposium bringing together diovascular imaging from across Europe.

A special thank you to @eromerodorta, whose initiative made this unique collaboration possible.

📅 29 June 2026

🌍 AG5/DGK meets EACVI (European Association of Cardiovascular Imaging)
🎓 Teaching Course & Masterclass
✅ Officially Endorsed by the EACVI

This exclusive session will provide state-of-the-art education, practical insights, and expert perspectives from internationally recognized faculty:

🔹 @PhilippeUnger
🔹 @DrGEMandoli
🔹 @StellEkaterina
🔹 @DrTrobs
🔹 @michetomaselli
🔹 #JoschaKandels
🔹 @echo_batman
🔹#RubénFernándezGalera

@echo_batman @Frances98392343 @alex1708ander @IrmaMDv @nihar_nayak2 @argulian @DrRajeshG1 @ParrasJorge2 SMR

@CASivaram1 That is really bad. We need better training for our fellows!

#echofirst calendar 🗓️ 3D Mitral valve TTE vs TEE

Another #echofirst basic teaching course by @DHZB_Akademie and again fully booked
Attendees very interactive
Proud to help teaching future imaging elite & experts and taking in 🆕 young talented speakers
#JohannaKahl from Hamburg
@DEGUMeV

#echofirst 🆕 month dedicated to TR

@EHJCVIEiC @JGrapsa @EACVIPresident @VDelgadoGarcia @BenekiEirini @echo_stepbystep @ErsozluSara AR quantification isn´t easy at all, as often jet is eccentric so PISA EROA using #echofirst isn´t best option. VTI not well captured
Nevertheless this approach is interesting as it involves #WhynotCMR

@alex1708ander @Rajiv83162478 @GEHealthCare here is something about #echofirst 3D using Philips

#echofirst limits of 3D.
Not all “limitations” are real—many come down to technique and interpretation:
- Incomplete reference planes
- Poor 2D image quality
- Low gain → missing or unclear structures
- Low frame rate → NOT ALWAYS TRUE
- Uncorrected artifacts
- Suboptimal int:
These are operator- and technique-dependent, not true limitations of 3D echo

#echofirst 3D needs rules to make images clear and comprehensive
👉 all starts with good 2D
👉 #ALAMO
👉 good resolution (as high as possible?)

Sometimes also reduced FPS can be suffice

Single valve regurgitation by #echofirst severity grading beyond vena contracta and PISA EROA
👉 recognize the problem
👉 very eccentric faint jet probably commissural
👉 look at LV dimension, LA volume, E Wave inflow
👊 always go for volumes

B-day of a #echofirst and beyond legend @AHagendorff