2 9 t h A n n u a l S c i e n t i f i c S e s s i o n s

A m e r i c a n S o c i e t y o f E c h o c a r d i o g r a p h y

A D V A N C E P R O G R A M

S E E T H E S O U N D

& C o n v e n t i o n C e n t e r

H E A R T H E S C I E N C E

G a y l o r d O p r y l a n d R e s o r t

NASHVILLE TN

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“See the Sound. Hear the Science.” What theme can better capture the experience of the 29th Annual American Society of Echocardiography Scientific Sessions in Nashville, Tennessee?

June 22-26, 2018, we will gather at the Gaylord Opryland® Resort & Convention Center for the premier echocardiography educational event of the year. Featuring an emphasis on research with presentation of abstracts and posters highlighting the latest science, along with sessions on adapting guidelines into practice, echo lab operations, and the use of social media will ensure we and others “see” the value and utility of echocardiography.

The symposia cover a wide range of topics, including cardio-oncology, multimodality imaging, and structural heart disease. The Edler, Feigenbaum, Kalmanson, and Kerber lectures will feature luminaries in the field. In addition, “Lessons from the Legends,” “Stress Echo with the Experts,” and “Simulated Heart Team Sessions” provide expert advice from renowned authorities in echocardiography.

Individual educational tracks will address both foundational concepts and evolving practice in the areas of circulation ultrasound, essentials of echocardiography, pediatric echocardiography, and perioperative imaging.

On behalf of this year’s Program Committee, we would like to highlight several features of the upcoming sessions:

« An Intersocietal Accreditation Commission (IAC) Boot Camp will again be offered on Friday, June 22, in order to educate and assist you with your accreditation questions and concerns.

« We will offer sessions on the use of point of care ultrasound (POCUS) in Extra Cardiac Imaging and Extracorporeal Life Support. Additional topics include New Frontiers for POCUS and Pediatric Point of Care Ultrasound.

« Sessions will be offered on lab management, education, and career development for both sonographers and physicians. In addition, a panel discussion on Pathways to Leadership for Women in ASE will be held.

« A Tuesday morning session offers case-based presentations from the new CASE (Cardiovascular Imaging Case Reports) journal.

« Chalk Talks, which allow dynamic interactions with luminaries in the field of echocardiography, will occur throughout the meeting.

« Learning labs which allow for hands-on education in the areas of strain, 3D, and other new technologies in echocardiography.

But that’s not all! The ASE Foundation’s Annual Research Awards Gala on Sunday evening will celebrate individual and ASE achievements. The Science & Technology Theaters and 3rd Echovation Challenge will provide multiple opportunities to advance your knowledge. There will be numerous networking opportunities for career development interspersed throughout the program. In addition, Echo Jeopardy and Pediatric Echo Jeopardy are back! Look for these ever popular, fast-paced, educational offerings the afternoon of Saturday, June 23.

Please join us at ASE 2018 at Nashville’s Gaylord Opryland in June! Plan to bring your family to enjoy “The Music City,” where you can participate in a whole host of one-of-a-kind experiences. We hope you take advantage of all that the 2018 Scientific Sessions have to offer. See y’all there!

ASE 2018 Sonographer Co-ChairMerri L. Bremer, EdD, RN, RDCS, ACS, FASEMayo ClinicRochester, Minnesota

#ASE2018 INNOVATIVE LEARNING OPPORTUNITIES AT ASE 2018

ASE 2018 Program Chair Sunil V. Mankad, MD, FASEMayo ClinicRochester, Minnesota

#ASE2018 3

F R I D AY, J U N E 2 2 N D IAC Echocardiography Boot Camp

In partnership with the Intersocietal Accreditation Commission (IAC), ASE is offering this unique, interactive session as an opportunity to learn everything you need to know about accreditation or reaccreditation directly from IAC experts in a succinct half day format. Information covered will include:

�« Interactive case and report review�« Using the QI Tool for the QI Measures

�« Quick Fill Reaccreditation

POCUS Extracardiac Imaging Workshop

This workshop is designed to instruct cardiologists and other echo professionals and will feature anesthesia, critical care, and emergency medicine experts applying non-cardiac point of care ultrasound in the care of patients. There will be a combination of didactic and hands-on learning opportunities. Faculty will be discussing and demonstrating:

�« Abdominal Ultrasound�« Lung Ultrasound

�« Vascular Ultrasound/Access

New Frontiers of POCUS

This session is designed to instruct cardiologists and other echo professionals and will feature anesthesia, critical care, and emergency medicine experts addressing their specialty’s rapidly expanding use of point of care ultrasound in the care of patients. They will address how these new applications of POCUS may integrate with conventional echocardiography. Faculty will be discussing:

�« Differentiating POCUS from Conventional Echocardiography�« Usefulness of Echo-contrast in Critically Ill Patients�« Systolic and Diastolic Ventricular Function in Sepsis�« Application of TEE in Cardiac Arrest�« Board Certification in Critical Care Echo: Why We Need It�« POCUS in Neurocritical Care

�« Echocardiography to assess renal perfusion

Adult Congenital Primer

This session will feature a combination of didactic and hands-on learning opportunities. Topics include:

�« Basic Segmental Anatomy of CHD�« Evaluation of Intracardiac Shunts�« Echocardiography in the ACHD Patient with Tetralogy

of Fallot�« Echocardiographic Evaluation of Systemic Right

Ventricle in Transposition of the Great Arteries - CCTGA, Senning and Mustard Procedure�« Echocardiographic Evaluation of the Adult with

Single Ventricle

Vascular Hands-on Learning Lab

Featuring vascular ultrasound experts, this exciting hands-on learning lab gives direct instruction from the experts in this field. The workshop starts with short presentations of basic scanning and performance of Carotid, Abdominal Aorta, and Ankle-Brachial Index studies according with ICVL and ACR standards. The participants will then rotate through different stations, where experienced vascular technologists will guide hands-on demonstrations and show the participants how to perform the studies and point out the nuances of good quality studies and interpretation.

M O N D AY, J U N E 2 5 T H

Value of Echo Summit

This special session will explore the cataclysmic changes in the U.S. healthcare system and provide expert opinions on how best to navigate and thrive in this new environment. There will be two sessions, The Quality Echo Lab and Transitioning from Fee for Service to Value-based Reimbursement, 8:00 – 11:45 AM, focused on helping the entire cardiovascular ultrasound community understand how their practice is impacted. Registered attendees are invited to bring their hospital administrators and service line leaders to these sessions free of charge. Please visit ASEScientificSessions.org to download the administrator registration form.

The Quality Echo Lab

�« Ensuring Quality in the the Echo Lab�« Quality in Perioperative Echo�« Appropriate Use of Appropriate Use�« Imaging and Information Technology Management of the Echo Lab

�« A Practical Guide To Peer Review

Transitioning from Fee for Service to Value-based Reimbursement

�« ACA in 2017: The Impact of What Endures�« MACRA in the Echo Lab �« Strategies to Reduce Low Value Care

�« ImageGuideEcho® Registry

L E A R N I N G L A B SCourse attendees have access to small-group ticketed opportunities to participate in hands-on workshops throughout the program. Four learning labs will be held concurrently with the main Scientific Sessions Program. Additional fees are required for these sessions, and tickets will be sold as part of the registration process. Topics covered will be:

�« 3D Volume/Function Quantification ~ Saturday, June 23 �« 3D Cropping ~ Sunday, June 24 �« Myocardial Strain by Speckle Tracking ~ Sunday, June 24 �« 3D Echo in CHD ~ Tuesday, June 26

INNOVATIVE LEARNING OPPORTUNITIES AT ASE 2018

4 #ASE2018

SEE THE SOUND, HEAR THE SCIENCECardiovascular ultrasound experts see with sound waves every day. The 29th Annual ASE Scientific Sessions provides an excellent opportunity to hear the science behind amazing cutting-edge research. See what is on the horizon for cardiovascular ultrasound with the increased focus on original science that is reflected in several of the sessions such as Novel Concepts in Diastology, Microbubbles: Developing Applications in the Decade Ahead, and the latest on cardio-oncology. You will not want to miss both the Sonographer and Young Investigator Award competitions on Monday afternoon.

UNIQUE LEARNING OPPORTUNITIES STRIKE A CHORD WITH EVERYONELast year’s IAC Echocardiography Boot Camp was so popular, and rated so highly, we brought it back for a reprise on Friday afternoon. This unique session invites you to bring your laptop and learn everything you need to know about how to become an IAC Accredited Lab or apply for reaccreditation. Friday will also have two special POCUS sessions. New Frontiers of POCUS will discuss how POCUS is being utilized around the country in both emergent and critical care arenas. A hands-on POCUS Extra Cardiac Imaging Workshop will cover abdominal, lung, and vascular ultrasound. Another hands-on opportunity Friday is the Vascular Screening Workshop which will cover the carotid, aorta, and ankle-brachial index. The always popular Chalk Talks, held during select breaks in the Exhibit & Poster Hall, feature luminary faculty to help you with your clinical conundrums or any other questions you may have. Topics this year include the new valve guidelines, strain, diastology, and pediatrics. These intimate Chalk Talks are your opportunity to get direct answers from ASE’s expert educators.

THE ACADEMY OF ASE AWARDS Mark K. Friedberg, MD, FASE, Associate Scientist, Research Institute, The Hospital for Sick Children/ University of Toronto, and Associate Professor in Pediatrics, University of Toronto, Toronto, Ontario, Canada, will deliver the 19th Annual Feigenbaum Lecture on Monday afternoon during the 2018 Arthur E. Weyman Young Investigator’s Award competition. Dr. Friedberg is a premier leader in the scientific investigation of congenital heart disease, a gifted and entertaining presenter, and a dedicated volunteer to ASE and its mission. His impact on helping his peers understand ventricular dyssynchrony and ventricular-ventricular interaction when hearts are structurally abnormal is pertinent to both pediatric and adult cardiology, and will lead us well through this century. The Feigenbaum Lecture was named in honor of the founder and first president of ASE, Harvey Feigenbaum, MD, FASE. This lectureship is awarded to a young investigator in recognition of their significant contributions to research in the field of echocardiography and their potential to continue at a high level of achievement. Additional award lectures include the Edler Lecture on Saturday and the Kalmanson and Kerber Lectures on Sunday.

THE B ILLBOARD TOP 10 H ITS FOR ASE 2018

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#ASE2018 5

VALUE OF ECHO SUMMIT – A DUET We have developed a special event, the Value of Echo Summit on Monday, June 25th, to educate everyone on the changes in the U.S. healthcare system. There will be two sessions, The Quality Echo Lab, from 8:00 – 9:30 AM, and Transitioning from Fee for Service to Value-based Reimbursement, from 10:15 – 11:45 AM. ASE recognizes that it is critical for everyone in the hospital or practice to be informed about these important issues, so we are inviting participants to register and bring their hospital administrators and service line leaders to these sessions free of charge.

ECHO AT THE SPEED OF L IFE Now in its 3rd year, ASE is committed to its mission of accelerating innovation and shaping the future of cardiovascular ultrasound through the Echovation Challenge. Following on the success of the new format in 2017, ASE Past President, Randolph P. Martin, MD, FASE, will serve as the emcee again along with an esteemed panel of judges. The exciting Shark Tank-style session features teams showcasing their novel approaches, technologies, and processes in echocardiography for start-up funding. Three finalists will present their solutions. For full details and submission guidelines, visit Herox.com/Echovation-Challenge-2018.

WALTZ INTO THE 9TH ANNUAL RESEARCH AWARDS GALA

Join the ASE Foundation in celebrating cardiovascular ultrasound research at the 9th Annual Research Awards Gala on Sunday, June 24th, 7:30 PM, at the Gaylord Opryland® Resort & Convention Center. The reception before the Gala, with a Tennessee Waltz theme, will take place on Delta Island in the middle of the atrium

at the Gaylord. The Gala is a ticketed event and is ASEF’s signature fundraising event of the year. Proceeds from the Gala provide

investigators with funds to continue the growth and advancement of the field of echo. You may purchase your table or ticket at

ASEFoundation.org/Gala before seating is sold out. A portion of each ticket sale is U.S. tax deductible.

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CHALLENGE 2018

William A. Zoghbi, MD, FASE (Chair); David Adams, RCS, RDCS, FASE; Robert O. Bonow, MD; Maurice Enriquez-Sarano, MD; Elyse Foster, MD, FASE; Paul A. Grayburn, MD, FASE; Rebecca T. Hahn, MD, FASE; Yuchi Han, MD, MMSc; Judy Hung, MD, FASE; Roberto M. Lang, MD, FASE; Stephen H. Little, MD, FASE; Dipan J. Shah, MD, MMSc; Stanton Shernan, MD, FASE; Paaladinesh Thavendiranathan, MD, MSc, FASE; James D. Thomas, MD, FASE; Neil J. Weissman, MD, FASE. Recommendations for Noninvasive Evaluation of Native Valvular Regurgitation: A Report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr 2017; 30: 303-371. Design and illustration by medmovie.com © Copyright 2017 The American Society of Echocardiography

Poster ordering information and full text of ASE guideline documents available at: ASEcho.org

Evaluation of Mitral Regurgitation

A. Color Flow Doppler (2D and 3D)Proximal Isovelocity Surface Area1. Align direction of flow

with insonation beam2. Zoomed view3. Variance off 4. Change baseline of

Nyquist limit (direction of the jet—typically to 30-40 cm/s)

5. Measure radius (white arrow in image) from point of color aliasing to vena contracta

Advantages:•Rapid qualitative and quantitative assessment•This is less likely to misclassify patients at very large(≥1.0cm)orverysmallradii(≤0.3cm)

Disadvantages:•Multiple jets, eccentric jets•Constrained jet (LV wall)•Non-hemispheric shape •Overestimation when MR not holosystolic

Vena Contracta1. Parasternal long-axis

view2. Zoomed view 3. Best measured

when proximal flow convergence, vena contracta and MR jet aligned in same plane

Advantages:•Surrogateforregurgitantorificesize• Independentofflowrateanddrivingpressure•Can be applied in eccentric jets•Good at separating mild (<0.3cm) from severe MR(≥0.7cm)

Disadvantages:•Multiple jets•Overestimation when MR not holosystolic

Jet Area or Jet Area/ LA Area Ratio1. Apical view, zoom view2. Measure largest jet

alone or as ratio to LA area in same view

Advantage:•Easy to measureDisadvantages:•Shown to be imprecise in eccentric jets•Dependent on hemodynamic and technical

variables•Overestimation when MR not holosystolic

Color Flow Doppler 3D1. Color flow sector should

be as narrow as possible2. Align orthogonal

cropping planes along the axis of the jet

3. Planimeter the high velocity aliased signal of VC

Advantages:•Multiplejetsofdifferingdirectionsmaybe

measured •Can identify severe functional MR in some cases

where PISA underestimates EROA Disadvantages:•Subject to color Doppler blooming•Limited temporal and spatial resolution•Overestimation when MR not holosystolic•Multiplejetsmaybeindifferentplanes,mustbe

analyzed separately and then added

B. Pulsed Wave DopplerMitral Inflow Velocity1. Align insonation beam

with the flow2. Sample volume at leaflet

tips

Advantages:•Evelocity≥1.2m/sasimplesupportivesignof

severe MR•DominantA-waveinflowpatterncanexclude

severe MRDisadvantages:•DependsonLVrelaxationandfillingpressures•HighEvelocitynotspecificforsevereMR

Pulmonary Vein Flow Pattern1. Use small sample volume

(3-5 mm) placed 1 cm into pulmonary vein

Advantages:•Systolicflowreversalin>1pulmonaryveinisspecificforsevereMR

•Normal pulmonary vein pattern suggests low LA pressure and non-severe MR

Disadvantages:•Eccentric MR directed into a pulmonary vein may

not be severe•SystolicbluntingisnotspecificforsignificantMR

C. Continuous Wave DopplerDensity and Contour of Regurgitant Jet1. Align insonation beam

with the flow2. Adjust overall gain

Advantages:•Simple •Density is roughly proportional to the number of

red blood cells•Faint/incompletejetiscompatiblewithmildMR•A triangular contour denotes a large regurgitant

pressure wave (red arrow) and hemodynamic significance

Disadvantages:•Qualitative, gain dependent•Perfectly aligned jets may appear denser than

eccentric jets of higher severity•Early peaking contour is not sensitive for

severe MR

D. Quantitative Doppler: EROA, Regurgitant Volume and FractionFlow Convergence Method (PISA):1. See PISA steps above2. Look for need for

angle correction if flow convergence zone is non-planar

3. Measure PISA radius (red solid arrow in image) at roughly the same time as CW jet peak velocity (red dotted arrow)

Advantages:•Rapid quantitative assessment of severity (EROA)

and volume overload (RVol)•Predict outcomes in degenerative and functional

MRDisadvantages:•Multiple jets, eccentric jets or crescent-shaped orifices

•Small errors in radius measurement can lead to substantial errors in EROA

Stroke Volume Method: Regurgitant Volume = SVMV – SVLVOT

1. LVOT systolic diameter and pulsed Doppler sample volume from different views but at same anatomic level (represents forward stroke volume)

2. Mitral mid-diastolic annulus and pulsed Doppler at the same annulus from apical view (represents total stroke volume)

3. Total LV stroke volume can also be measured by the difference between LV end-diastolic volume and end-systolic volume (best by 3D)

Advantages:•Quantitative, valid with multiple jets and eccentric

jets.•Provides both severity (EROA, RF) and volume

overload (RVol)•Validated against CMR in isolated MRDisadvantages:• In setting of AR, pulmonic stroke volume used for

forward stroke volume•Cumbersome, requires training•Requires multiple measurements and small errors

in diameter measurement can lead to substantial errors in EROA

•Pulsed Doppler method (mitral SV) and LV volumemethodmaygivedifferentresults

Grading the Severity of Chronic MR by Echocardiography1

Parameters Mild Moderate Severe

Structural

MV MorphologyNone or mild leaflet abnormality (e.g.,mildthickening,calcifica-tions or prolapse, mild tenting)

Moderateleafletabnormalityormoderate tenting

Severe valve lesions (primary:flailleaflet,ruptured papillary muscle, severe retraction, large perforation; secondary: severe tenting,

poorleafletcoaptation)

LV and LA size2 Usually normal Normal or mildly dilated Dilated3

Qualitative Doppler

Colorflowjetarea4 Small, central, narrow, often brief Variable Largecentraljet(>50%ofLA)oreccentric

wall-impinging jet of variable size

Flow convergence5 Not visible, transient or small Intermediate in size and duration Large throughout systole

CWD jet Faint/partial/parabolic Dense but partial or parabolic Holosystolic/dense/triangular

Semiquantitative

VCW (cm) <0.3 Intermediate ≥0.7(>0.8forbiplane)6

Pulmonaryveinflow7 Systolic dominance (may be blunted in LV dysfunction or AF) Normal or systolic blunting8 Minimaltonosystolicflow/

systolic flow reversal

Mitralinflow9 A-wave dominant Variable E-wavedominant(>1.2m/sec)

Quantitative10,11

EROA, 2D PISA (cm2) <0.20 0.20-0.29 0.30-0.39 (may be lower in secondary MR with ellipticalregurgitantorificearea)

RVol (mL) <30 30-44 45-5910 ≥60(maybelowerinlowflowconditions)

RF <30% 30-39% 40-49% ≥50%

Type I Normal Leaflet Motion

Type IIExcessive Leaflet Motion

Type IIIRestricted Leaflet Motion

Annular Dilation Perforation Prolapse Flail a) Thickening/

Fusionb) LV/LA Dilation

≥0.40

Does MR meet specificcriteria for mild or severe MR?

Intermediate Values: MR Probably Moderate

Chronic Mitral Regurgitation by Echocardiography

Specific Criteria for Mild MR

•Small, narrow central jet•VCW <0.3 cm•PISA radius absent or <0.3 cm atNyquist30-40cm/s

•MitralAwavedominantinflow•Soft or incomplete jet by CW

doppler•Normal LV and LA size

Specific Criteria for Severe MR

•Flailleaflet•VCW≥0.7cm•PISAradiusabsentor≥1.0cmatNyquist30-40cm/s

•Centrallargejet>50%ofLAarea•Pulmonaryveinsystolicflow

reversal•Enlarged LV with normal function

Mild MR Moderate MR Severe MR

EROA 0.2-0.29 cm2 RVol 30-44 ml RF 30-39%

MR Grade II

EROA <0.2 cm2 RVol <30 ml RF <30%

MR Grade I

EROA 0.30-0.39 cm2 RVol 45-59 ml RF 40-49%

MR Grade III

EROA ≥0.4 cm2 RVol ≥60 ml ***

RF ≥50%

MR Grade IV

Perform quantitative

methods whenever possible

•PoorTTEqualityorlowconfidenceinmeasuredDopplerparameters•Discordantquantitativeandqualitativeparametersand/orclinicaldatata

Indeterminate MRConsider further testing:

TEEorCMRforquantification

******

Beware of underestimation of MR severity in eccentric, wall impinging jets; quantitation is advised.All Values for EROA by PISA assume holosystolic MR; single frame EROA by PISA and VCW overestimate non-holosystolic MR.RegurgitantvolumeforsevereMRmaybelowerinlowflowconditions.

1.BoldedsignsareconsideredspecificfortheirMRgrade.Allparametershavelimitations,andanintegrated approach must be used that weighs the strength of each echocardiographic measure-ment. All signs and measures should be interpreted in an individualized manner that accounts for bodysize,sex,andallotherpatientcharacteristics.

2. This pertains mostly to patients with primary MR.3. LV and LA can be within the “normal” range for patients with acute severe MR or with chronic

severe MR who have a small body size, particularly women, or with small LV size preceding the occurence of MR.

4.WithNyquistlimitof50-70cm/sec.5.Smallflowconvergenceisusually<0.3cm,andlargeis≥1cmataNyquistlimitof30-40cm/s.

6.Foraveragebetweenapicaltwo-andfour-chamberviews.7. Not valid with jets directed into the pulmonary vein.8.Systolicbluntingisnon-specificformitralregurgitation.9.Mostvalidinpatients>50yearsoldandisinfluencedbyothercausesofelevated

LA pressure.10.DiscrepanciesamongEROA,RF,andRVolmayariseinthesettingofloworhighflow

states.11. Quantitative parameters can help subclassify the moderate regurgitation group.

Yes, mild* Yes, severe**

2-3criteria

2-3criteria

3 specific criteria for severe MR or elliptical orifice

≥4 criteriadefinitely

mild

≥4 criteriadefinitely

severe

1. Use narrow color flow sector

3. Planimeter vena contracta area

2. Align orthogonal cropping planes

6. Measure PISA radius at roughly the same time as CW jet peak velocity

SVMV = AreaMV x VTIMVSVLVOT = AreaLVOT x VTILVOT

Densetrianglecontour

1. Align beam2. Zoom3. Variance off

Intermediate density

paraboliccontour

1. Align beam2. Zoom3. Variance off 4. Nyquist

shift

1. Parasternal LAX2. Zoomed view

3. Best measured when 3 jet components imaged

1. Apical, Zoom view2. Use largest color jet

for measurements

4. Nyquist shift

5. Radius (to vena contracta)

LVOT Mitral Annulus

Reg Flow = 2πr2 x VaEROA = Reg Flow/PKVReg

5. Radius (to vena contracta)

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TOP GUIDELINE PLAYLISTThe Scientific Sessions is the perfect place to obtain an in-depth understanding of the newest ASE Guidelines and

learn how you can implement them in your practice. Many of the lead authors are incorporated into the program to personally

give their advice on using the new standards. Talks on specific recommendations include: Aortic Stenosis Focused Update, Valvular

Regurgitation, Ultrasound Enhancing Agents (Contrast), Strain, Diastolic Function, Fetal Echo, and Putting Guidelines Into Perioperative Practice.

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Quality

Appropriateness

Value-based

6 #ASE2018

TWO-STEP YOUR WAY TO THE EXHIBIT & POSTER HALLASE 2018 offers the largest echo-specific show in the world featuring nearly 60 exhibitors in one place. The medical field is in an unprecedented growth cycle, with new advances happening at a rapid pace. Talk to the exhibitors about new technologies, and learn about the latest advances to stay current in your field. Take part in interactive demonstrations to gain firsthand knowledge of how devices work and how they will benefit your practice or institution. Learn from the top experts in the field by attending the Science & Technology Theater presentations each day over lunch (complimentary meals are provided by ASE on a first come, first served basis). New this year, there will also be Science and Technology Theaters offered on several evenings. Spend time in the poster area on Sunday and Monday, and gain knowledge from investigators from around the world. Cutting-edge research on the latest advances in cardiovascular ultrasound and cases illustrating evolutions in patient care will be featured.

WORK IN HARMONY WITH THE ASE FOUNDATION TO SUPPORT THE F IELDGet moving with the ASEF Cardiovascular Challenge highlighting physical activity, which can dramatically lower an individual’s risk of cardiovascular disease, improve mental health, and lower the risk of obesity-related diseases. This “pedometer challenge” is designed so attendees visit key areas around the convention center that display step targets. Prizes will be awarded to the top three participants with the most steps, so don’t forget to pack your walking shoes! The Images from the Heart Photo Exhibition highlights photos taken by ASE members as they traveled the world participating in global health events. Pick a favorite, make a donation, and take the photo home with you. Support the Chain Reaction Campaign where teams comprised of two donation captains each start their chain by making a donation to the ASEF 2018 Annual Appeal. Then, they get one person to add to their chain and make a donation, then that person gets another person to donate, and the chain grows!

COUNTRY ROADS TAKE ME HOMEThe ASE Scientific Sessions is the premier event for bringing together echo enthusiasts from over 50 countries for amazing networking opportunities. This is the place to be, for gathering and learning, to enhance your career and professional outlook. Need to convince your lab or hospital to let you attend? An “Attendance Justification Toolkit” to help outline the benefits of attending and help you demonstrate the value of participation is available at ASEScientificSessions.org. There are a variety of ways to improve your professional network including the newest event, the Member Class Reunion Reception, where attendees will gather on Monday evening in the Exhibit & Poster Hall to celebrate the number of years they have been ASE members. The reception will feature five bars with a decade theme from the 1970s through the 2010s.

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CASE-BASED LEARNING CL

During these sessions, the practice of clinical echocardiography and its relationship to patient management will be highlighted and stressed by experts. Special attention is paid to valvular disease during dedicated sessions. In addition, diastolic function, contrast, the right ventricle, and myriad other topics are covered in these sessions. There is a dedicated track devoted to cases each morning from 7:00 – 7:50 AM.

I M A G I N G E S S E N T I A L S E

This track will instruct practitioners on techniques of assessment and quantitation. There are disease-based sessions that will help you improve your skills in chamber quantification and imaging a variety of disease states. In addition, there are practical sessions on lab management, diastology, and pericardial disease that you can incorporate into your lab when you return home.

PEDIATRIC/CONGENITAL PC

The ASE Council on Pediatric and Congenital Heart Disease has created a program packed with cutting-edge science from fetus to adult, whether you are a pediatric echocardiographer or just want to learn more about the care of patients living with congenital heart diseases. The popular staples of the track return: Pediatric Echo Jeopardy, Fireside Chat, case presentations, oral abstract sessions, and the always entertaining controversy debates. We will unveil the mysteries of some of the newer echo technologies, such as 3D printing, and see how expert care centers apply them in clinical practice.

P E R I O P E R AT I V E P

This track has been designed by the ASE Council on Perioperative Echocardiography to bring surgeons, anesthesiologists, echocardiographers, and sonographers together. These sessions will explore incorporating 3D echo into your practice for cases including mitral valve disease, aortic stenosis, and the dilated aortic root.

P O I N T O F C A R E POC

The Point of Care track has been added because this highly valuable modality is of critical importance as healthcare practitioners become skilled in the use of point of care ultrasound. Two special sessions are planned for Friday afternoon, POCUS Extra Cardiac Imaging Workshop and New Frontiers of POCUS. There are also sessions on understanding ultrasound outside the echo lab and evaluating the hypertensive patient in the ICU and emergency department.

S Y M P O S I A S

The 2018 Program Committee has designed the Symposia Track to move from more basic lectures on Saturday to an increasing focus on new technology, techniques, and science on the other days. Each symposium discusses a specific topic in detail and instructs you on how to apply state-of-the-art cardiovascular ultrasound techniques in clinical practice.

R E S E A R C H R

Investigators will present the latest advances in cardiovascular ultrasound throughout the conference. Don’t miss two special competitions designed to acknowledge exceptional research, the Sonographer Investigator’s Award Competition and the prestigious Arthur E. Weyman Young Investigator’s Award Competition, where the four best abstracts submitted compete in front of a panel of luminaries for international recognition. Meet the investigators during dedicated poster viewing times in the Exhibit & Poster Hall.

C I R C U L AT I O N C

ASE’s Council on Vascular Ultrasound has put together a program that will provide attendees with an excellent overview, as well as advanced topics on vascular ultrasound of interest to the practicing cardiologist/sonographer. Topics such as carotid imaging will be covered from basics to advanced techniques. Additional state-of-the-art and cutting-edge technologies will be covered as well in what promises to be an exciting session. You won’t want to miss the special session on Friday, June 22, Vascular Screening: Carotid, Aorta, Ankle-Brachial Index.

For detailed information, please download the ASE Courses app or visit ASEScientificSessions.org.

ASE is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

SCIENT IF IC PROGRAM TRACKS & KEY

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F R I D AY, J U N E 2 2 N D

S AT U R D AY, J U N E 2 3 R D

REGISTRATION OPEN: 12:00 – 6:15 PM (Exhibit & Poster Hall Closed)

2:00 – 4:00 PM

E IAC Echocardiography: An Interactive Accreditation Boot Camp

POC POCUS Extra Cardiac Imaging Workshop C

Vascular Screening: Carotid, Aorta, Ankle-Brachial Index

4:00 – 4:15 PM

REFRESHMENT BREAK

4:15 – 6:15 PM

E IAC Echocardiography: An Interactive

Accreditation Boot CampPOC

New Frontiers of POCUS PC Adult Congenital Primer

6:30 – 8:00 PM

SCIENCE & TECHNOLOGY THEATER

REGISTRATION OPEN: 6:30 AM – 5:00 PM

EXHIBIT & POSTER HALL OPEN: 4:30 – 6:30 PM

7:00 – 7:50 AM

SSocial Media in

Medicine: Time to Get Involved

EHow to Apply the

Guidelines: Diastolic Function Update

CL SAdopting Guidelines Into Clinical Practice

PCPediatric Point of Care

Ultrasound (POCUS)

C Mock RPVI/RVT Exam

8:00 – 9:30 AM ASE AWARDS PRESENTATIONS, ANNOUNCEMENTS, FASE CONVOCATION, AND 29TH ANNUAL EDLER LECTURE

9:30 – 10:00 AM

REFRESHMENT BREAK

10:00 – 11:30 AM

S RNovel Concepts in

Diastology

SThe Right Stuff

EWorking 9 to 5:

Sonographer Career Development

PDecision Making in

Mechanical Circulatory Support

PCPath-Echo Correlations I:

Tetralogy of Fallot

C A Multidisciplinary Approach to Aorta

11:30 AM - 1:00 PM

SCIENCE & TECHNOLOGY THEATER

1:00 – 2:30 PM

S RChallenges in

Cardio-Oncology

S 3D Echocardiography

EState of the Art:

Assessment of Valvular Heart Disease

PFunctional Tricuspid

Regurgitation: The Old and The New

PCPath-Echo Correlations

II: Tetralogy of Fallot with Pulmonary Atresia

and MAPCA's

S RPulmonary

Hypertension

2:30 – 3:00 PM

REFRESHMENT BREAK

3:00 – 4:30 PM

SEcho Jeopardy

SUltrasound in

the Detection of Subclinical Disease

ELab Leadership and

Management Summit

PPerioperative Cardiac Imaging: Welcome to

the Future

PCFireside Chat

Pediatric Echo Jeopardy

C Embolic Stroke

4:30 – 6:30 PM

PRESIDENT’S RECEPTION IN EXHIBIT & POSTER HALL

6:30 – 8:00 PM

SCIENCE & TECHNOLOGY THEATER

Schedule subject to change. For detailed information, please download the ASE Courses app or visit ASEScientificSessions.org.

SCHEDULE AT A GLANCE

#ASE2018 9

S U N D AY, J U N E 2 4 T H

REGISTRATION OPEN: 6:30 AM – 5:00 PM

EXHIBIT & POSTER HALL OPEN: 9:00 AM – 4:00 PM

7:00 – 7:50 AM

CLNovel Treatment

Options for Mitral Regurgitation

CLInfective Endocarditis

EHow to Apply the Guidelines: Aortic Stenosis Focused

Update

CLThe Best of CASE

PCRead with the Masters:

What Am I Thinking?

POC

POCUS in Extracorporeal Life

Support

8:00 – 9:30 AM

SThe Great Debates

SDilemmas in Diastology

ECongenital Heart

Disease for the Adult Sonographer

PThe New Guidelines:

Putting Them Into Perioperative Practice

PC REvidence Based Echo:

From Abstracts to Guidelines

C RGo with the Flow

9:30 – 10:15 AM

REFRESHMENT BREAK, CHALK TALKS, AND VISIT EXHIBIT & POSTER HALL

10:15 – 11:45 AM

SNine for Ninety: Stress Echo with the Experts

S RNovel Concepts in Cardio-Oncology

EStrain Imaging for the

Sonographer

PPresent and Future of Percutaneous Mitral

Valve Therapy

PCPediatric

Interventional Echocardiography

SDilated

Cardiomyopathies(Kerber Lecture)

11:45 AM – 1:15 PM

SCIENCE & TECHNOLOGY THEATER AND MODERATED POSTERS

1:15 – 2:45 PM

SNovel Concepts in

Strain (Joint ASE/EACVI

Session) (Kalmanson Lecture)

S RMicrobubbles:

Developing Applications in the

Decade Ahead

EAchy Breaky Heart:

Ischemic Heart Disease

SPregnancy and Cardiovascular

Disease

PC RAdvanced Evaluation

of Function (Joint ASE/EACVI

Session)

SChamber

Quantification: Beyond Basic Measurements

2:45 – 3:30 PM

REFRESHMENT BREAK, CHALK TALKS, AND VISIT EXHIBIT & POSTER HALL

3:30 – 4:45 PM

PC RBetter Together:

Multi-Institutional Studies

SCase-based Learning: I Did Strain, Now What

Do We Do with the Results?

EThe Essentials of

Being a Good Educator

SHeart Failure with Preserved Ejection

Fraction

SProsthetic Valve: Unsavory SAVR

Situations

5:00 – 6:30 PM

ECHOVATION CHALLENGE COMPETITION

6:30 – 8:00 PM

SCIENCE & TECHNOLOGY THEATER

7:30 – 11:00 PM

ASE FOUNDATION 9TH ANNUAL RESEARCH AWARDS GALA This event requires a separate registration. Proceeds benefit the ASE Foundation’s charitable activities.

Schedule subject to change. For detailed information, please download the ASE Courses app or visit ASEScientificSessions.org.

10 #ASE2018

M O N D AY, J U N E 2 5 T H

REGISTRATION OPEN: 6:30 AM – 5:00 PM

EXHIBIT & POSTER HALL OPEN: 9:00 AM – 6:30 PM

7:00 – 7:50 AM

CLCardio-Oncology

101

CLComprehensive Assessment and

Treatment of Mitral Stenosis

EHow to Apply the

Guidelines: Valvular Regurgitation Update

CLThe Attack of

the Pericardium: The Jedi Return

PCPediatric:

The Athlete’s Heart

CLSystemic Disease From

Around the World

8:00 – 9:30 AM

SSimulated Heart

Valve Team Meeting #1: Mitral Valve Interventions

SMultimodality Imaging

EA Fresh Look at Structural Heart

Disease

POC

POCUS: Managing the Unstable Patient

PC RBench to Bedside

SValue of Echo Summit: The Quality Echo Lab

9:30 – 10:15 AM

REFRESHMENT BREAK, CHALK TALKS, AND VISIT EXHIBIT & POSTER HALL

10:15 – 11:45 AM

S Diastology 1,2, 3:

Case-based Assessment of

Diastolic Function

SStress Exit from CAD: Stress Echo

in Evaluating Non-Ischemic Heart Disease

EPlease Bypass This

Heart: Assist Devices

C Venous

Thromboembolism: From the Popliteal Vein to the Pulmonary Artery

PCQI/Education: How Do

We Get Better?

S Value of Echo Summit: Transitioning from Fee for Service to Value-

based Reimbursement

11:45 AM – 1:15 PM

SCIENCE & TECHNOLOGY THEATER AND MODERATED POSTERS

1:15 – 2:45 PM

SStrain in Heart

Failure (Joint ASE/JSE

Session)

SFocus on the Forgotten

Valves: Right Heart Valve Disease

E RSonographer Investigator’s Competition

SThe Enhancing Agent: Clinical Utility in 2018

PC ROral Abstracts

SDefining and Detecting Pericardial Pathology/ The Painful Pathologic

Pericardium

2:45 – 3:30 PM

REFRESHMENT BREAK, CHALK TALKS, AND VISIT EXHIBIT & POSTER HALL

3:30 – 5:30 PM

ARTHUR E. WEYMAN YOUNG INVESTIGATOR’S AWARD COMPETITION AND 19TH ANNUAL FEIGENBAUM LECTURE

5:30 – 6:30 PM

MEMBER RECEPTION – EXHIBIT & POSTER HALL

SCHEDULE AT A GLANCE

Schedule subject to change. For detailed information, please download the ASE Courses app or visit ASEScientificSessions.org.

#ASE2018 11

REGISTRATION OPEN: 6:30 AM – 2:30 PM (Exhibit & Poster Hall Closed)

7:00 – 7:50 AM

CL The Athlete’s Heart

CL Assessment of

Mechanical Assist Devices

EHow to Apply the

Guidelines: Contrast (UEA) Update

C Hot Topics in

Peripheral Artery Disease

PC CLCase Competition

CL SHitting the Hot Topics: Post MI Complications

8:00 – 9:30 AM

SSimulated Heart

Valve Team Meeting #2: Aortic Valve Interventions

SHeart Failure with Reduced Systolic

Dysfunction

EDon’t Forget to

Remember Me: Right Heart Assessment

SWhere There Is

Smoke…The Left Atrium in Atrial

Fibrillation

PCFetal Symposium

S Developing An Echo Career: Finding Your

Niche

9:30 – 10:00 AM

REFRESHMENT BREAK

10:00 – 11:30 AM

SLessons From the

Legends

S RNew Technology /

Innovation

EDiverse Dilemmas in

Echocardiography

SHemodynamic

Workshop: Echo to the Rescue!

PCDebate and Discussion

S Return of the Jedi:

May the Contrast be with You!

11:30 AM – 1:00 PM

SCIENCE & TECHNOLOGY THEATER

1:00 – 2:30 PM

SEcho in Systemic

Diseases and Cardiac Masses

SI Want To Do Strain in

My Echo Lab

PC RPulmonary

Hypertension Update

S RCardiomyopathies:

Restrictive and Hypertrophic

T U E S D AY, J U N E 2 6 T H

Schedule subject to change. For detailed information, please download the ASE Courses app or visit ASEScientificSessions.org.

12 #ASE2018

E X H I B I T & P O S T E R H A L LThe exchange of information and access to new concepts, technology, devices, and research is a vital component of professional development. Get face-to-face with the industry’s leading developers and executives who can help you discover what’s new, assist you in making the right choices for your institution, and show you ways to reduce costs and improve productivity. The Exhibit & Poster Hall will open with the President’s Reception on Saturday afternoon, which is always a highly anticipated event where you can see new products launched. On Sunday and Monday, join luminary faculty during the session breaks on the exhibit floor for intimate Q&A sessions in Chalk Talks.

Research is the heart of every Scientific Sessions. ASE showcases investigators from around the world presenting cutting-edge research on the latest advances in cardiovascular ultrasound on Sunday and Monday in the Exhibit & Poster Hall. Spend time in the poster area and gain firsthand knowledge and insight from scientific investigators.

The Science & Technology Theater will be located in the Exhibit & Poster Hall. These events are packed with interested professionals eager to learn the latest information on advances in technology and practice. Meals are provided by ASE and are included in your registration fee, but space and meals are on a first come, first served basis.

These industry-supported sessions are independently planned and are not a part of the official ASE 29th Annual Scientific Sessions as planned by the Program Committee or in any way directly endorsed or affiliated with ASE. These sessions are not included in the ASE approved CME credit.

C A L L F O R S C I E N C E A N D C A S E SASE 2018 in Nashville is the premier meeting to present your cutting-edge research on the latest advances in cardiovascular ultrasound and cases illustrating evolutions in patient care. Presenters benefit from feedback and mentoring opportunities with global experts in cardiovascular imaging research and clinical care, as well as low conference registration fees. Exceptional research will be recognized throughout the conference, including the annual Arthur E. Weyman Young Investigator’s Award Competition for investigators under the age of 40, the Sonographer Investigator’s Award Competition for non-physician investigators, the Top 25 travel awards for the best researchers around the globe, and new in 2018 the Alan S. Pearlman and Farooq Chaudhry Research Awards.

Don’t miss your opportunity to be a part of the largest echocardiography conference in 2018. Submission closes February 7, 2018. Apply online today at ASEScientificSessions.org.

Abstracts are currently being accepted in the following categories:

CLINICAL CASES�« Adult Patients�« Pediatric Patients

ORIGINAL SCIENCE: DISEASE/PATHOLOGY-BASED�« Cardio-Oncology�« Diseases of the Aorta/Vascular Diseases�« Echocardiography in SOE/Arrhythmias/Atrial Function�« Echocardiography in Systemic Disease (DM, HTN,

Obesity)/Pericardial Disease/Primary Myocardial Disease�« Ischemic Heart Disease�« Adult Congenital Heart Disease�« Pediatric Heart Disease�« Valvular Heart Disease

ORIGINAL SCIENCE: TECHNIQUE/PROCEDURE-BASED�« 3D Echocardiography�« Contrast Echocardiography�« Critical Care Ultrasound/Point of Care Ultrasound�« Doppler/Hemodynamics�« Intraprocedural Echocardiography (Operating Room and Interventional Lab)/TEE�« New Technology�« Ventricular Function/Myocardial Mechanics�« Value of Echocardiography (Quality and Cost)/Comparative Effectiveness

CONFERENCE INFORMATION

“The inspiring discussions

I was fortunate to have with top

cardiologists from all around the world opened my mind to new horizons of the potentials of research in the field of

echocardiography.”

Alaa M. Omar, MD, PhD, ASE 2017 Abstract

Presenter

#ASE2018 13

A S E 2 0 1 8 M E E T I N G A P PStay up-to-date on the Nashville Scientific Sessions and all of ASE’s live educational courses by downloading the free ASE Courses app. Find detailed information on each of ASE’s events including faculty, agendas, exhibitors, networking events, and more. Use the app to create or sync your event schedule and receive notifications of special activities and sessions while on-site. The app is available for download on both Apple and Android devices. Simply search for “ASE Courses” in the Google Play or Apple stores.

A BO UT NASHV ILLE , T HE “MUS IC C I TY”Lying almost in the center of Tennessee on the Cumberland River, the vibrant and growing capital city of Nashville shines as a leading center of higher education, appropriately known as the “Athens of the South,” there is even a Nashville Parthenon. Nashville is perhaps best known, however, as the capital of country music, as proven by such attractions as the famous Music Row district and Country Music Hall of Fame. Other sites such as the Hermitage and Belle Meade Plantation also add to the history and diversity of this great city. Additionally, The District, a 20-block area in downtown has been the nightlife epicenter for decades, as well as a popular destination for Nashville’s growing food scene, specialty shopping, and many entertainment options. Plan your trip at VisitMusicCity.com!

A C C O M M O D AT I O N SASE has secured a block of rooms at the Gaylord Opryland® Resort & Convention Center.

To make reservations, please call 877-491-7397 and reference “ASE Attendee Housing” to obtain the conference pricing. To make reservations online visit: ASEScientificSessions.org/Housing.

The room block will be held until May 21, 2018, or until the block is sold out. After this date, reservations will be accepted on a space-available basis. A major credit card is required to guarantee each reservation. Please check with the Gaylord Opryland® Resort & Convention Center on their cancellation policies.

14 #ASE2018

A B O U T A S EASE was founded in 1975, and is the largest global nonprofit organization for cardiovascular ultrasound imaging professionals. Comprising over 17,000 members including physicians, sonographers, nurses, and scientists, ASE advocates for and leads in setting standards and guidelines for the profession. ASE is a strong voice providing guidance, expertise, and education to its members with a commitment to improving the practice of ultrasound and imaging of the heart and cardiovascular system for better patient outcomes. For more information, visit ASEcho.org.

A S E M E M B E R S H I POver 17,000 members turn to ASE as the voice in the cardiovascular ultrasound community and to provide resources that are vital to continued professional development. ASE serves its members in numerous ways by providing education, advocacy, research, practice guidelines, and a community for their profession. Member benefits include over $750 of FREE CME credits a year, in addition to discounts on all ASE educational courses and products. Also included is a monthly subscription to the Journal of the American Society of Echocardiography (JASE), access to CASE, ASE’s online case reports journal, help with coding and reimbursement issues, and other career resources.

For anyone who has never been a member of ASE, 2018 membership is included in the nonmember Scientific Sessions registration fees. The ASE membership will expire on December 31, 2018. A wealth of online tutorials, webinars, and other educational activities make membership attractive to echo enthusiasts located around the world. To see the extensive member benefits, please visit ASEcho.org.

Contact Us

American Society of Echocardiography2530 Meridian Parkway, Suite 450Durham, NC 27713Phone: 919-861-5574 | Fax: 919-882-9900ASEcho.org | ASEScientificSessions.org Registrar@ASEcho.org

#ASE2018 15

Register for the ASE 29th Annual Scientific Sessions by visiting ASEScientificSessions.org.

ASE 2018 Scientific Sessions will be held at the Gaylord Opryland Resort & Convention Center, located at 2800 Opryland Drive, Nashville, TN 37214.

Located less than 10 miles from Nashville International Airport, you can find shopping and dining all right under one roof, as well as premier entertainment attractions including the Grand Ole Opry, Opry Mills, the Country Music Hall of Fame and the General Jackson Showboat nearby.

A S E 2 0 1 8 R E G I S T R AT I O N R AT E SYour ASE 2018 registration fee includes CME/CEU credit, admission to the Exhibit & Poster Hall, breakfast, coffee breaks, President’s Reception, and the Member Reception.

* On-site registration is available, but beginning June 22, 2018, all fees will increase by an additional $100.

**IMPORTANT NOTE FOR ABSTRACT PRESENTERS: If you are submitting an abstract for ASE 2018 and wish to receive the discounted rate for abstract presenters, please do not register prior to receiving acceptance notification on March 16, 2018. No refunds will be given for registrations made prior to notification. If you will be serving as faculty at the Scientific Sessions, please do not register as there will be a separate process.

Registration Type Current ASE Member* Through May 22

Current ASE Member* After May 22

Nonmember* Includes 2018 ASE Membership

Physician/Scientist $795 $895 $995

Allied Health/Sonographer $495 $595 $695

Fellow in Training $295 $395 $495

Sonographer Student $295 $395 $495

Abstract Presenter** $295 $395 $495

One Day Rate $195 ASE membership not included in this registration.

Weekend Rate $400 ASE membership not included in this registration.

Military Attendees $295 ASE membership not included in this registration.

Corporate/Industry/Other $899 ASE membership not included in this registration.

REGISTRAT ION

American Society of Echocardiography2530 Meridian Parkway, Suite 450Durham, NC 27713

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asescient i f icsess ions .orgEar ly Registrat ion Ends May 22, 2018

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