[The significance and development of quantitative study of the myocardium with echocardiography]. / Intérêt et développement de l'étude quantitative du myocarde en échocardiographie.

Quantification, standardisation, and reproducibilty are three of the constraints facing echocardiography. New MRI and CT techniques allow some of these constraints to be circumvented. Tissue Doppler, using a quantitative and very physiological approach in theory will enable echocardiographic evaluation to advance. A low reproducibilty for Doppler tools limits routine widespread use. This problem should in future be avoided by using a more recent and more exhaustive approach called 2D-strain, based on processing conventional images with a technique called 'speckle tracking'. These tools are still new, but without doubt they herald a new method which is both more pathophysiological and quantitative.