Echocardiography - a non-invasive alternative for assessing cardiac morphology and function in Atlantic salmon (Salmo salar L.)

Cardiac-related mortality is increasing in farmed salmon. Non-invasive tools for examining and screening for cardiac morphology and function are limited, and most common methodologies are lethal, time-consuming, and immobile. Echocardiography has previously been tested as a non-invasive, quick, and portable alternative, though its implementation is minimal. Improvements in echocardiographic techniques during the last decade have enabled more refined assessments of structure and function and hold potential for use in fish farms. Utilising a compact, transportable ultrasound system, we examined the applicability of echocardiography in Atlantic salmon (Salmo salar L.). Several protocols and projections were tested, and intra- and inter-variation for both operators (image acquisition) and observers (image analysis) were assessed. In addition, the accuracy of cardiac structure/function measurements was compared with standard methods. In general, high accuracy and reproducibility of cardiac dimensions and functional parameters were found within the same and between different observers analysing the same dataset (intra- and inter-observer). Measurements between recordings of the same operator (intra-operator) and between different operators (inter-operator) were less accurate and repeatable but comparable to observations in previous human and mammalian studies. Cardiac output was slightly higher when measured with echocardiography compared to transit time flow probe. Yet, a strong correlation exists between the two methods. Furthermore, morphology measured in excised hearts ex vivo was comparable to echocardiography measurements and strongly correlated. Thus, ultrasound presents a highly feasible, non-invasive, and swift alternative to current methods for detailed cardiac assessment of salmon hearts.