Evaluation of right ventricular function

A correct and attentive evaluation of right ventricular (RV) morphology and function is mandatory in each patient. RV is considered rather difficult to assess by imaging techniques. However, with the use of echocardiography and CMR, a complete assessment of RV geometry and function is usually achievable. Because of its non-invasive nature, wide availability, and repeatability, echocardiography remains the first-line imaging technique to be used for assessing RV morphology and function in patients with suspected right-side heart disease. CMR is, undoubtedly, the ‘gold-standard’ in assessing RV volumes, ejection fraction, and tissue characterization. 3D-echocardiography, deformation imaging, and cardiac CT add valuable information, depending on the clinical question to be answered. A multi-modality approach for RV function assessment is recommended when echocardiography is not able to provide complete diagnostic information.