A new state-of-the-art review in the #EHJ-IMP highlights how multimodality imaging can guide the complete management pathway for tricuspid regurgitation—from referral to surgery, transcatheter intervention, and follow-up. The review outlines the complementary role of: 🔹 Transthoracic echocardiography: initial assessment and disease severity 🔹 3D transesophageal echocardiography: detailed leaflet and annular anatomy 🔹 Cardiac magnetic resonance: reproducible assessment of right ventricular volumes and function 🔹 Cardiac CT: annular geometry, adjacent structures, device leads, and vascular access The authors emphasize that treatment decisions should integrate: ✅ Mechanism of tricuspid regurgitation ✅ Annular dilatation and leaflet tethering ✅ Right ventricular function and reserve ✅ Pulmonary hemodynamics ✅ End-organ involvement ✅ Surgical, transcatheter, or surveillance options 🔗 Read the full review: doi.org/10.1093/ehjimp/qyag1… @EHJIMPEiC @VikashJaiswalMD #TricuspidRegurgitation #HeartValveDisease #StructuralHeartDisease #Echocardiography #CardiacMRI #CardiacCT #MultimodalityImaging #CardiacSurgery #TranscatheterTherapy #RightHeartFailure #HeartTeam #Cardiology #CardiovascularImaging #MedicalResearch #PatientCare