Customizing the bull's-eye to improve the clinician's diagnostic intuition

The standard bull's-eye plot is a synthetic planar representation of left ventricular (LV) myocardium pathologies, as studied in all imaging modalities. The graphical display of a three-dimensional solid on a two-dimensional plane implies distorted or partial representation of the LV, affecting evaluation of the extent of a variety of pathological processes. This study, after having estimated the entity of the divergence of visual assessment of myocardial infarct extension from reality, proposes to upgrade the bull's eye plot in order to provide a more likely information, so to improve the clinician's perception of the heart. The presented alternatives keep the accepted 17 segments architecture, eventually tailored on real LV of each patient.