# Speckle Tracking MasterClass ## Metadata - Content type: Course - Canonical URL: https://123sonography.com/course/speckletrackingmasterclass - Published: January 26, 2018 - Last updated: August 12, 2025 - Category: Echo - Course Type: Master Class ## Overview The Speckle Tracking MasterClass will teach you this important modality of echocardiography. You will gain a deep knowledge of strain rate imaging and where it can be applied to use it in your clinical practice right away. Note: This course includes AI-generated translations in Spanish and Arabic. Accuracy is not guaranteed (read more in Terms & Conditions) ## Media ![stmc trailer thumbnail](https://123sonography.com/sites/default/files/2024-04/screenshot_2024-04-17_at_12.13.15.png) ## Snapshot - Duration: 13.9 hours - Total CME credits that can be earned: 12.25 - Chapters: 17 - Lectures: 39 - Quizzes: 15 ## Intended Audience - Cardiologists - Internists - Anaesthetists - Sonographers - Medical Students ## Faculty - [Prof. Thomas Binder, MD, FESC](/speaker/30) - Cardiologist, Head of Digital Learning; Medical University of Vienna - [Fabian Knebel, MD, PhD](/speaker/46) - Senior Consultant Cardiologist; Charité Berlin - [Elena Surkova, MD, MSc, PhD](/speaker/32) - Cardiologist; Royal Brompton and Harefield Hospitals - [Steven J. Lester, MD](/speaker/47) - Senior Cardiologist, Sonographer & Internist; Mayo Clinic Scottsdale, Arizona, USA - [Jens Uwe Voigt, MD, PhD](/speaker/44) - University Professor, Senior Consultant; Catholic University of Leuven, Leuven - Belgium - [Assami Rösner, MD, PhD](/speaker/37) - Senior Consultant Cardiologist; University Hospital of Tromsø - [Ole-Alexander Breithardt, MD](/speaker/45) - Senior Consultant Cardiologist; Agaplesion Diakonie Clinic, Kassel - [Natesa G. Pandian, MD](/speaker/25) - Senior Cardiologist; Tufts Medical Center, Boston - [Sunil V. Mankad, MD](/speaker/53) - [Dr. Satish Govind](/speaker/19) - [Dr. Alberto Milan](/speaker/54) - [Prof. Dr. Peter Fitscha](/speaker/18) ## Learning Objectives - After completing the Speckle Tracking MasterClass, you will be able to perform speckle-tracking echocardiography. - Know which parameters can be determined. - Learn about the pitfalls of the method. - Know when to use speckle tracking in clinical practice. ## Topics - Cardiology - Other (please specify) ## Pricing Options - Supported currencies: AED, CLP, COP, EGP, EUR, INR, MXN, PEN, QAR, USD ### One-Month Access - Payment type: Monthly subscription - Price: €167 - Currency: EUR - Access duration: 1 month - Add to cart: /add-to-cart/108/154 Take the most flexible route with a monthly subscription. You get: - Cancellation possible anytime after 4 months minimum run time - Ability to complete quizzes and earn CME credits ### Half-Year Access - Payment type: One-time payment - Price: €940 - Currency: EUR - Access duration: 6 months - Add to cart: /add-to-cart/108/428 Our shortest option for very fast learners. Ideal for people who have plenty of time to learn. You get: - 6 months access to our course - Ability to complete quizzes and earn CME credits ### One-Year Access - Payment type: One-time payment - Price: €1316 - Currency: EUR - Access duration: 12 months - Add to cart: /add-to-cart/108/430 Our most recommended access duration to dive deep into the course. Save 30% on the 6-month option. You get: - 12 months access to our course - Ability to complete quizzes and earn CME credits ### Two-Year Access - Payment type: One-time payment - Price: €2256 - Currency: EUR - Access duration: 24 months - Add to cart: /add-to-cart/108/432 If you want to take your time learning, this option is perfect for you. Save 40% on the 6-month option. You get: - 24 months access to our course - Ability to complete quizzes and earn CME credits ## Recommended Blog Posts - [Stop sweating in critical situations!](/blog/case/stop-sweating-critical-situations) - Here, we have a speckle tracking echo study for you! This echo is from a 24-year-old healthy professional male football player. - [Left ventricular function](/blog/common-topics/left-ventricular-function) - 🔍 Dive Deeper into LVF Assessment! Curious about the myriad indications for measuring LVF? Explore the essential role of echocardiography in clinical scenarios like STEMI, cardiac arrest, and heart failure. Join us as... ## CME Information ### Introduction The goal of this activity is to provide online education for the course Speckle Tracking MasterClass. This activity is intended for Cardiologists, Primary Care Physicians, Critical Care Physicians, Intensivists, Anaesthesiologists, Internists. ### Financial disclosures Prof Binder does not have any relevant financial relationship with ineligible companies to disclose; Dr Knebel does not have any relevant financial relationship with ineligible companies to disclose; Dr. Natesa Pandian does not have any relevant financial relationship with ineligible companies to disclose; Dr. Sunil V. Mankad does not have any relevant financial relationship with ineligible companies to disclose; Dr. Satish Govind does not have any relevant financial relationship with ineligible companies to disclose; Dr. Elena Surkova does not have any relevant financial relationship with ineligible companies to disclose; Dr Breithardt does not have any relevant financial relationship with ineligible companies to disclose; Dr. Steven Lester does not have any relevant financial relationship with ineligible companies to disclose; Dr. Alberto Milan does not have any relevant financial relationship with ineligible companies to disclose; Dr Rösner does not have any relevant financial relationship with ineligible companies to disclose; Dr Voigt does not have any relevant financial relationship with ineligible companies to disclose; Dr. Sunil Bohra does not have any relevant financial relationship with ineligible companies to disclose; Birgit Sticht does not have any relevant financial relationship with ineligible companies to disclose; Prof. Dr. Peter Fitscha does not have any relevant financial relationship with ineligible companies to disclose; Staff at Siyemi Learning and 123 Sonography do not have any relevant financial relationship with ineligible companies to disclose. This course is certified for CME, further information on how to claim your CME credits can be found below. ### CME information This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Siyemi Learning and 123 Sonography. Siyemi Learning is accredited by the ACCME to provide continuing medical education for physicians. Siyemi Learning designates this enduring material for a maximum of 12.25 *AMA PRA Category 1 Credits™*. Physicians should claim only the credits commensurate with the extent of their participation in the activity. ![](https://legacy.123sonography.com/profiles/sono/modules/custom/sonocertificates/resources/accme.png) ![](https://legacy.123sonography.com/profiles/sono/modules/custom/sonocertificates/resources/siyemi.png) ### How to earn your CME credit In order to earn credit, you must watch the videos, take the quiz (pass mark 75%) and complete the evaluation. While you can claim CME certificates as you work through each chapter, if you prefer (e.g. if you are only able to use full credits because you are based in Europe) you can claim a single certificate for your total activity in this course. You will need to pass the quiz at the end of each chapter you complete, then just let us know you are ready to claim your certificate. Send a mail to . Release date 26 February 2018 Expiry date: 26 February 2021 Revision date: 27 February 2021 Expiry date: 27 February 2024 Revision date: February 2024 Expiry date: February 2027 This course has been created in March 2023 merging the Speckle Tracking Compendium and Speckle Tracking Advanced courses, previously published separately. ## Curriculum ### Free lectures - Chapter content: 2 lectures and 0 quizzes - Lecture: [Free lecture 1](/course/speckletrackingmasterclass#sg_course_lecture_2374) (Duration: 00:05; Free) - Lecture: [Free lecture 2](/course/speckletrackingmasterclass#sg_course_lecture_2375) (Duration: 00:09; Free) ### Compendium Speckle Tracking Compendium is a systematic video tutorial covering the essentials of Speckle Tracking Echocardiography (Deformation Imaging) and how it can be used to study left heart function. The course provides an: Introduction explaining the relevance of Speckle Tracking Echocardiography. Critical view of ejection fraction that demonstrates the need for other techniques to quantify left ventricular function. Explanation of what “deformation” is and how Speckle Tracking is able to measure “strain”. Demonstration of how to record images and perform a basic Speckle Tracking analysis (bullseye display). Overview of the most important clinical applications of Speckle Tracking, what we know from the literature, and how it can be used in clinical decision making. - Chapter content: 12 lectures and 1 quizzes - Chapter CME credits that can be earned: 3 - Lecture: [Introduction](/course/speckletrackingmasterclass#sg_course_lecture_461) (Duration: 00:06) - Here you will learn why you should use Speckle Tracking Imaging and where you can apply it in your practice. Find out what key experts in the field think about deformation imaging and what it will bring in the future.   - Lecture: [Limitations of Ejection Fraction](/course/speckletrackingmasterclass#sg_course_lecture_462) (Duration: 00:13) - It is often taught that ejection fraction is the holy grail of echocardiography. In this chapter, you will learn that ejection fraction is not such a good parameter after all. Can strain imaging overcome some of the limitations? Watch this chapter and find out.   - Lecture: [Myocardial Mechanics](/course/speckletrackingmasterclass#sg_course_lecture_464) (Duration: 00:06) - The work of the famous anatomist Torrent Guasp had great impact on our understanding of myocardial function. A thorough understanding of the different directions of contraction is key to our understanding of deformation imaging, which is the topic we will focus on in this... - Lecture: [Deformation Imaging](/course/speckletrackingmasterclass#sg_course_lecture_466) (Duration: 00:13) - How can strain be measured from a simple 2D image? What are the fundamental principles behind this method? What are we actually measuring? Watch this lecture to understand what Speckle Tracking Echocardiography is all about.   - Lecture: [Image Acquisition and Analysis](/course/speckletrackingmasterclass#sg_course_lecture_470) (Duration: 00:22) - Do you want to improve your clinical results with Speckle Tracking? If so, you will first need to know how to correctly acquire images. Here we highlight the most frequent mistakes before we take you through a basic analysis of longitudinal strain. This chapter is essential to... - Lecture: [Normal versus Abnormal](/course/speckletrackingmasterclass#sg_course_lecture_471) (Duration: 00:11) - So now you have a perfect bullseye display and wonderful curves. But what do you do with them? What do all the values mean? Are there cut-off values? This chapter will teach you the typical features of a normal Speckle Tracking study and help you to distinguish it from both the... - Lecture: [Left Ventricular Hypertrophy](/course/speckletrackingmasterclass#sg_course_lecture_463) (Duration: 00:24) - Left ventricular hypertrophy is among the most promising targets for deformation imaging. The strain pattern can look quite different depending on whether the patient has hypertensive heart disease, hypertrophic cardiomyopathy or infiltrative heart disease. Learn more in this... - Lecture: [Dilated Cardiomyopathy](/course/speckletrackingmasterclass#sg_course_lecture_465) (Duration: 00:08) - Imagine you could detect left ventricular dysfunction at an early stage, even before ejection fraction drops. In this chapter, we show you how this can be done with Speckle Tracking. You will also learn how longitudinal strain can be used to follow up on patients with dilated... - Lecture: [Cardio-Oncology](/course/speckletrackingmasterclass#sg_course_lecture_467) (Duration: 00:09) - Did you know that Speckle Tracking Echocardiography is a highly recommended tool to detect chemotherapy-induced cardiotoxicity? Here we will explain what can happen after chemotherapy and how deformation imaging can help you to detect early-stage left ventricular dysfunction... - Lecture: [Dyssynchrony](/course/speckletrackingmasterclass#sg_course_lecture_469) (Duration: 00:14) - With Speckle Tracking, Echocardiography has once again proven itself vital when it comes to assessing dyssynchrony. In fact, Speckle Tracking has lead to a renaissance of echo for the detection and analysis of patients with dyssynchrony. However, should we use STE for the... - Lecture: [Coronary Artery Disease](/course/speckletrackingmasterclass#sg_course_lecture_468) (Duration: 00:19) - Do you sometimes struggle to detect wall motion abnormalities? Speckle Tracking Echo can greatly assist you with this pathology. Yet moreover, Strain imaging provides additional, incremental value in many scenarios. In this chapter, we will discuss its role in chronic stable CAD... - Lecture: [Valvular Heart Disease](/course/speckletrackingmasterclass#sg_course_lecture_472) (Duration: 00:24) - Left ventricular function dictates our management of valvular heart disease. But is ejection fraction always a good parameter to monitor left heart function? In this chapter, we will discuss the role that strain plays in aortic stenosis, aortic regurgitation, mitral stenosis and... - CME Quiz: STE Compendium (CME: 3) ### Myocardial Mechanics - Advanced An important chapter that will set the stage for a better understanding of strain and its role in cardiovascular disease. Here you will learn how the heart muscle contracts, which parameters of cardiac function we can describe and which components of strain we can discern. - Chapter content: 1 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.25 - Lecture: [Myocardial Mechanics - Advanced](/course/speckletrackingmasterclass#sg_course_lecture_479) (Duration: 00:20) - CME Quiz: STE Advanced - Myocardial Mechanics - Advanced (CME: 0.25) ### Methodology and Normal Findings This chapter will provide you with in depth knowledge on what deformation is and which parameters can be measured. You will learn how Speckle Tracking works, which advantages it has to tissue Doppler and if values can be compared among different vendors. Finally, we will answer the question: Can we currently define normal values? - Chapter content: 1 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.5 - Lecture: [Methodology and Normal Findings](/course/speckletrackingmasterclass#sg_course_lecture_506) (Duration: 00:30) - CME Quiz: STE Advanced - Methodology and Normal Findings (CME: 0.5) ### Instrumentation - Different vendors How should a strain analysis be performed? Which buttons do I press? Which information can be obtained? We show you how to get the most out of a Speckle Tracking analysis on four different platforms (Canon/Toshiba, GE EchoPac, Siemens SC2000 and TomTec). - Chapter content: 4 lectures and 0 quizzes - Lecture: [Instrumentation - Different vendors - GE](/course/speckletrackingmasterclass#sg_course_lecture_508) (Duration: 00:17) - Lecture: [Instrumentation - Different vendors - Siemens](/course/speckletrackingmasterclass#sg_course_lecture_509) (Duration: 00:12) - Lecture: [Instrumentation - Different vendors - Toshiba](/course/speckletrackingmasterclass#sg_course_lecture_510) (Duration: 00:15) - Lecture: [Instrumentation - Different vendors - TomTec](/course/speckletrackingmasterclass#sg_course_lecture_511) (Duration: 00:10) ### Thick Myocardium Here you will dig deeper into the field of longitudinal strain in patients with increased wall thickness. You will learn how this tool can help in the differential diagnosis of different causes of "thick walls" such as hypertrophic CMP, hypertensive heart disease, amyloid heart disease and athletes heart. We will also discuss the prognostic value that Speckle Tracking echocardiography can provide and illustrate this through many cases. - Chapter content: 3 lectures and 1 quizzes - Chapter CME credits that can be earned: 1.25 - Lecture: [Thick Myocardium - Part 1 - Hypertrophic CMP](/course/speckletrackingmasterclass#sg_course_lecture_514) (Duration: 00:38) - Lecture: [Thick Myocardium - Part 2 - Infiltrative and Storage disease](/course/speckletrackingmasterclass#sg_course_lecture_515) (Duration: 00:26) - Lecture: [Thick Myocardium - Part 3 - Athletes Heart](/course/speckletrackingmasterclass#sg_course_lecture_516) (Duration: 00:15) - CME Quiz: STE Advanced - Thick Myocardium (CME: 1.25) ### Dilated Cardiomyopathy - Advanced Speckle Tracking can have a large impact on the management of patients with dilated CMP. This chapters demonstrates why it is of value, how it can help to assess left ventricular function and which prognostic information it provides. Again, we show many case examples that will help you better understand how STE can be used in various settings including patients with HFpEF. - Chapter content: 1 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.5 - Lecture: [Dilated Cardiomyopathy - Advanced](/course/speckletrackingmasterclass#sg_course_lecture_482) (Duration: 00:35) - CME Quiz: STE Advanced - Dilated Cardiomyopathy - Advanced (CME: 0.5) ### Cardio-Oncology With improvements in the survival of cancer, chemotherapy induced cardiotoxicity is a growing problem. In this chapter, you will discover the magnitude of this problem, which risk factors we can identify and what the mechanisms of cardiotoxicity are. You will also learn how STE should be implemented into your workflow to detect cardiotoxicity at an early stage. - Chapter content: 3 lectures and 1 quizzes - Chapter CME credits that can be earned: 1 - Lecture: [Cardio-Oncology - Part 1 Chemotherapy - Overview](/course/speckletrackingmasterclass#sg_course_lecture_483) (Duration: 00:28) - Lecture: [Cardio-Oncology - Part 2 Chemotherapy - Speckle Tracking](/course/speckletrackingmasterclass#sg_course_lecture_517) (Duration: 00:22) - Lecture: [Cardio-Oncology - Part 3 Radiation Therapy](/course/speckletrackingmasterclass#sg_course_lecture_518) (Duration: 00:16) - CME Quiz: STE Advanced - Cardio-Oncology (CME: 1) ### Dyssynchrony - Advanced Speckle Tracking allows you to look at the timing of regional contraction. Therefore, STE can be used to study dyssynchrony in potential CRT candidates. This chapter will provide an overview on dyssynchrony and how the Speckle Tracking curves can help you to detect, and even quantify, the magnitude of dyssynchrony. Within specific cases we will provide many practical tips. - Chapter content: 1 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.5 - Lecture: [Dyssynchrony - Advanced](/course/speckletrackingmasterclass#sg_course_lecture_484) (Duration: 00:38) - CME Quiz: STE Advanced - Dyssynchrony - Advanced (CME: 0.5) ### Coronary Artery Disease With STE it is possible to look at regional contraction in the setting of coronary artery disease. In this chapter we will discuss how acute coronary syndromes and chronic coronary artery disease influence longitudinal strain, what post-systolic thickening is and why it is important in coronary artery disease. Case examples will highlight the different patterns of regional longitudinal strain depending on the affected coronary territory and which prognositic information longitudonal strain can provide. - Chapter content: 2 lectures and 1 quizzes - Chapter CME credits that can be earned: 1 - Lecture: [Coronary Artery Disease — Part 1](/course/speckletrackingmasterclass#sg_course_lecture_486) (Duration: 00:33) - Lecture: [Coronary Artery Disease — Part 2](/course/speckletrackingmasterclass#sg_course_lecture_519) (Duration: 00:25) - CME Quiz: STE Advanced - Coronary Artery Disease (CME: 1) ### Stress Echo If strain is able to detect ischemia, why not apply it during stress echocardiography? This chapter discusses the potential role and limitation of Speckle Tracking to detect coronary artery disease during stress echocardiography. - Chapter content: 1 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.25 - Lecture: [Stress Echo](/course/speckletrackingmasterclass#sg_course_lecture_487) (Duration: 00:20) - CME Quiz: STE Advanced - Stress Echo (CME: 0.25) ### Aortic Stenosis Left ventricular function plays an important role in the management of patients with aortic stenosis, and Speckle Tracking is able to provide valuable information on top of ejection fraction. This chapter will explain why and show how this technique can be used to monitor patients and assess the prognosis. - Chapter content: 1 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.5 - Lecture: [Aortic Stenosis](/course/speckletrackingmasterclass#sg_course_lecture_488) (Duration: 00:30) - CME Quiz: STE Advanced - Aortic Stenosis (CME: 0.5) ### Aortic Regurgitation Aortic regurgitation can cause left ventricular dysfunction. With Speckle Tracking, we can detect deterioration of left ventricular function at an early stage. How can this be helpful in aortic regurgitaion? What are the current guidelines for the management of patients with AR? Keynote lectures and cases studies will provide you these answers. - Chapter content: 1 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.5 - Lecture: [Aortic Regurgitation](/course/speckletrackingmasterclass#sg_course_lecture_520) (Duration: 00:28) - CME Quiz: STE Advanced - Aortic Regurgitation (CME: 0.5) ### Mitral Regurgitation Optimal timing of surgery in mitral regurgitation is critical for long term survival. In this chapter, we provide an overview of the current guidelines and show how Speckle Tracking can provide important additional information, both in structural and functional mitral regurgitation. Several case examples will help you better understand in which scenarios strain is helpful. - Chapter content: 2 lectures and 1 quizzes - Chapter CME credits that can be earned: 1 - Lecture: [Mitral Regurgitation - Part 1](/course/speckletrackingmasterclass#sg_course_lecture_521) (Duration: 00:30) - Lecture: [Mitral Regurgitation - Part 2](/course/speckletrackingmasterclass#sg_course_lecture_522) (Duration: 00:20) - CME Quiz: STE Advanced - Mitral Regurgitation (CME: 1) ### Right Ventricular Strain Longitudinal deformation can also be measured in the right ventricle. This chapter will show you how such an analysis is performed, how strain compares to traditional parameters of right ventricular function, what the normal values are and in which clinical scenarios this information is of value. Numerous case examples will put this theoretical knowledge into a practical context. - Chapter content: 2 lectures and 1 quizzes - Chapter CME credits that can be earned: 1 - Lecture: [Right Ventricular Strain - Part 1](/course/speckletrackingmasterclass#sg_course_lecture_523) (Duration: 00:36) - Lecture: [Right Ventricular Strain - Part 2](/course/speckletrackingmasterclass#sg_course_lecture_524) (Duration: 00:32) - CME Quiz: STE Advanced - Right Ventricular Strain (CME: 1) ### Left Atrial Strain The measurement of left atrial strain is a promising new way to study the function of the left atrium. It is easy to apply and could provide valuable information especially in patients with atrial fibrillation and diastolicdysfunction. In this chapter, we will discuss the physiology of the left atrium, technical aspects of the method, and what the prognostic significance is of a reduction in left atrial strain. - Chapter content: 1 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.5 - Lecture: [Left Atrial Strain](/course/speckletrackingmasterclass#sg_course_lecture_490) (Duration: 00:33) - CME Quiz: STE Advanced - Left Atrial Strain (CME: 0.5) ### Future of STE This chapter discusses the current limitations of the method and highlights the newest developments in ultrasound. Find out how Speckle Tracking can be used to directly image blood flow and and how high frame rate imaging could dramatically change the way we use Speckle Tracking in the future. - Chapter content: 1 lectures and 1 quizzes - Chapter CME credits that can be earned: 0.5 - Lecture: [Future of STE](/course/speckletrackingmasterclass#sg_course_lecture_491) (Duration: 00:22) - CME Quiz: STE Advanced - Future of Strain (CME: 0.5)