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. Author manuscript; available in PMC: 2016 Jan 1.
Published in final edited form as: J Cardiovasc Comput Tomogr. 2014 Nov 26;9(1):1–12. doi: 10.1016/j.jcct.2014.11.007

Figure 3. Stepwise Approach in Creating Planes for Ventricular Function Analysis.

Figure 3

Step 1. In the axial image, scroll to a modified 4-chamber level and rotate the reference line (orange) to be parallel to the LV cavity and positioned in the center of the mitral valve coursing through the apical cap. Step 2. In the 2-chamber view, rotate the reference line (green) to be parallel to the LV cavity and positioned in the center of the mitral valve coursing through the apical cap. These first 2 steps will get the double-oblique true short-axis. Step 3. In the short-axis view at the mid ventricular level, rotate the reference line (green) towards the RV crux to remove the LV outflow tract (LVOT) from the image to get the true 4-chamber view and 2-chamber view, which can be used for image interpretation. Step 4. In the 4-chamber view, move the reference line (blue) up and down to get the basal, mid-cavity and apical short-axis views for image interpretation. Step 5. In the mid-cavity short-axis, rotate the reference line (green) towards the 10 o’clock position to bring out the vertical long-axis 3-chamber (parasternal) view (Step 6).