Evaluating the Right Ventricle and Tricuspid Valve Function: A Multimodality Imaging Approach

The right ventricle (RV) and tricuspid valve (TV) are important determinants of cardiovascular outcomes. With the rapid evolution of transcatheter tricuspid valve interventions, comprehensive multimodality imaging has become essential for patient selection, procedural guidance, and prognostic stratification. Strain and volumetric parameters enable earlier detection of myocardial dysfunction and refined assessment of patients undergoing transcatheter interventions, although uncertainties regarding thresholds and standardization remain. Echocardiography, cardiac magnetic resonance (CMR), and computed tomography (CT) have improved RV phenotyping and understanding of RV–TV interactions. This review synthesizes contemporary evidence regarding imaging assessment of the RV and tricuspid valve, emphasizing the complementary strengths of multimodality imaging and its clinical applications.