Toronto
November 6th, 2026
Key Information
Date: November 6th, 2026
Hosted by: Department of Anesthesiology & Pain Medicine, and the Interdepartmental Division of Critical Care Medicine of the University of Toronto
Duration: 8.5-hour course
Pre-course material: thirteen 20-minute pre-recorded lectures on 3D anatomy, image acquisition, image optimization, and clinical applications (260 minutes).
The Department of Anesthesiology and Pain Medicine of the University of Toronto endorses the 7th Annual Toronto Perioperative 3D TEE Course (2026).
The 6th Annual (2025) Toronto Perioperative 3D TEE Course Accreditation Statements:
“This activity is an Accredited Self-Assessment Program (Section 3) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by the Canadian Anesthesiologists' Society. You may claim a maximum of 13.3 hours (credits are automatically calculated ”
International agreement statement:
“Through an agreement between the Royal College of Physicians and Surgeons of Canada and the American Medical Association, physicians may convert Royal College MOC credits to AMA PRA Category 1 Credits™. Information on the process to convert Royal College MOC credit to AMA credit can be found at https://edhub.ama-assn.org/pages/applications.”
Accreditation for the 2026 offering is currently under review.
Agenda 2026
Preliminary agenda (Subject to change)
7:30 Registration and Breakfast
7:50 Introduction to 3D TEE Course and Faculty – Jacobo Moreno
Introduction to 3D TEE (Moderator Elmari Neethling)
8:00 Echo Anatomy: 3D models & imaging correlation – Jacobo Moreno
8:30-9:20 Knobology: Image Optimization and 3D Acquisition Fundamentals
Five Stations (stations 1-2-5 for Phillips and stations 3-4 for GE).
Two stations per participant, with 5-6 participants per station, 50 minutes per station or 25 minutes per station if Philips/GE is selected.
Gain, depth, focus, frequency, line density, dynamic range/compression, sector size, frame rate optimization, Live 3D, Zoom, Full Volume (Philips), Medium/Large Volume (GE), HVR, ECG gating, single-beat and multi-beat acquisitions, stitch artifact recognition, and selection of the optimal acquisition mode for clinical applications.
· Station 1: EPIQ – Wendy Tsang/Marcus Salvatori
· Station 2: EPIQ – Yannis Amador/Pablo Perez D’Empaire
· Station 3: Vivid – Kendra Derry/JP Larkin
· Station 4: Vivid – Daniel Kim/Fabio Papa
· Station 5: EPIQ – Ahmad Omran/Jennifer Day
09:15 Q&A (Moderator Elmari Neethling)
09:20 Refreshment break (10 min)
9:30-12:20 Image Acquisition and Optimization: Vivid and EPIQ platforms
This hands-on session focuses on the acquisition of high-quality 3D echocardiographic datasets using both Philips EPIQ and GE Vivid platforms. Participants will learn how to optimize image quality through adjustment of gain, depth, focus, sector size, frame rate, gating, and acquisition settings. Faculty will demonstrate the strengths and limitations of Live 3D, Zoom, Full Volume, Large Volume, and other acquisition modes for different clinical applications.
Working in small groups, participants will rotate through dedicated stations using cardiac phantoms and anatomical models to acquire 3D datasets of the mitral, aortic, tricuspid, left ventricular, and right ventricular structures. Emphasis will be placed on obtaining datasets suitable for post-processing, quantification, and clinical decision-making.
Learning objectives:
Optimize 2D images prior to 3D acquisition.
Select the appropriate 3D acquisition mode for different clinical questions.
Understand the trade-offs between spatial resolution, temporal resolution, sector size, and frame rate.
Acquire high-quality 3D datasets of cardiac valves and ventricular structures.
Recognize and avoid common acquisition artifacts.
Phantoms/Models Hands-on (Moderator Elmari Neethling)
Five stations, with 5-6 participants per station, 50 minutes per station, and a 10-minute break between stations.
Stations 1-2-5 for the EPIQ (3 rotations). Stations 3-4 for the Vivid (3 rotations).
Station 1: 3D TTE Acquisition MV, LV/RV, AV-TV (EPIQ-Model/Phantom) – Wendy Tsang/Marcus Salvatori
Station 2: 3D TTE Acquisition MV, LV/RV, AV-TV (EPIQ-Model/Phantom) – Yannis Amador/Pablo Perez D’Empaire
Station 3: 3D TEE Acquisition MV, LV/RV, AV-TV (Vivid-Model/Phantom) – Kendra Derry/JP Larkin
Station 4: 3D TTE Acquisition MV, LV/RV, AV-TV (Vivid-Model/Phantom) – Daniel Kim/Fabio Papa
Station 5: 3D TTE Acquisition MV, LV/RV, AV-TV (EPIQ-Model/Phantom) – Ahmad Omran/Jennifer Day
12:20 Q&A (Moderator Elmari Neethling)
12:30 Lunch Break (60 min)
13:30 3D Dataset Post-Processing and Quantification:
Participants will learn a systematic approach to post-processing 3D echocardiographic datasets using Philips EPIQ and GE Vivid platforms. Through hands-on exercises, participants will manipulate mitral, aortic, tricuspid, left ventricular, and right ventricular datasets using cropping, multiplanar reconstruction, rendering, and advanced visualization tools.
Topics include dataset orientation, multiplanar reconstruction (MPR), cropping techniques, rendering optimization, transparency imaging, advanced visualization tools, and preparation of datasets for quantitative analysis.
Learning Objectives
Orient and navigate a 3D dataset efficiently.
Perform systematic cropping and multiplanar reconstruction (MPR).
Optimize visualization of cardiac valves and ventricular structures.
Understand the strengths and limitations of various rendering techniques.
Prepare datasets for quantitative analysis and reporting.
Generate clinically meaningful 3D images for communication with surgeons and cardiologists.
Transform a raw 3D dataset into a clinically interpretable image.
Moderator Elmari Neethling
Three stations per participant, with 5-6 participants per station, 60 minutes per station, and a 10-minute break between stations.
Stations 1-2-5 for the EPIQ (3 rotations). Stations 3-4 for the Vivid.
Station 1: 3D TEE postprocessing of the MV, LV/RV, AV-TV (EPIQ) – Wendy Tsang/Marcus Salvatori
Station 2: 3D TEE postprocessing of the MV, LV/RV, AV-TV (EPIQ) – Yannis Amador/Pablo Perez D’Empaire
Station 3: 3D TEE postprocessing of the MV, LV/RV, AV-TV (Vivid) – Kendra Derry/JP Larkin
Station 4: 3D TEE postprocessing of the MV, LV/RV, AV-TV (Vivid) – Daniel Kim/Fabio Papa
Station 5: 3D TEE postprocessing of the MV, LV/RV, AV-TV (EPIQ) – Ahmad Omran/Jennifer Day
17:00 Q&A (Moderator Elmari Neethling)
17:10 Quiz, Evaluations, Summary & Concluding remarks– Jacobo Moreno
17:30 Adjournment – Jacobo Moreno
Faculty
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Jacobo Moreno Garijo, MD PhD EDAIC FASE
COURSE DIRECTOR
Staff Cardiovascular Anesthesiologist, Department of Anesthesia, Sunnybrook Health Sciences Centre. Clinician-Investigator, Assistant Professor, Department of Anesthesia and Interdepartmental Division of Critical Care Medicine, University of Toronto. Dr. Moreno completed clinical fellowships in Critical Care Medicine (2008-2009), Cardiovascular Anesthesia (2013) and Thoracic Anesthesia (2014) at Toronto General Hospital. He is a Fellow of the American Society of Echocardiography (FASE), and is certified in Advance Perioperative Echocardiography (Advanced PTEeXAM) from the National Board of Echocardiography. He is an associate investigator at the Lynn & Arnold Irwin Advance Perioperative Imaging Lab (APIL) at Toronto General Hospital and is an active member of The Resuscitative TEE project and Perioperative Echocardiography Group at Sunnybrook Health Sciences Centre. He is the Director of the Toronto and Barcelona 3D Perioperative Echocardiography TEE courses and a long-standing member of the planning committee of the Toronto Perioperative Echo Symposium, CVT section of the CAS, SCA Echo and EACTAIC Echo.
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Elmari Neethling, MD FRCPC
COURSE DIRECTOR
Staff Cardiovascular Anesthesiologist & Critical Care Physician, Department of Anesthesia & Pain Management, Toronto General Hospital, University Health Network. Assistant Professor, Dept of Anesthesiology & Pain Medicine, University of Toronto. Dr. Neethling graduated from Stellenbosch University and completed residency training at the University of Cape Town, South Africa. She subsequently completed both Cardiac Anesthesia and Critical Care Medicine Fellowships at the Toronto General Hospital in Canada and is certified in Advance Perioperative Echocardiography (Advanced PTEeXAM) from the National Board of Echocardiography. Her clinical and research interests in trans esophageal echocardiography, critical care medicine, perioperative outcome and point-of-care ultrasound (POCUS).
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Pablo Perez D’Empaire, MD FRCPC FCCM FASE
COURSE DIRECTOR
Staff Cardiovascular Anesthesiologist, Department of Anesthesia, Sunnybrook Health Sciences Centre. Lecturer, Dept of Anesthesiology & Pain Medicine, University of Toronto. Dr. Perex D'Empaire completed his undergraduate medical educaition at the University of Zulia, Venezuela. He completed his residency in anesthesiology and clinical fellowships in Critical Care Medicine and Cardiovascular Anesthesiology at the University of Toronto. He is a Fellow of the American College of Critical Care Medicine (FCCM) and the American Society of Echocardiography (FASE). He is certified in Advance Perioperative Echocardiography (Advanced PTEeXAM) and Critical Care Echocardiography (CCEeXAM) by the National Board of Echocardiography.
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Wendy Tsang, MD FRCPC FASE
SPEAKER
Staff Cardiologist and Clinician Investigator, Toronto General Hospital, University Health Network. Associate Professor, Department of Medicine, University of Toronto. Dr. Tsang is the head of the Complex Valve clinic at Toronto General Hospital. She completed her medical degree at Queen’s University and went on to complete her Adult Cardiology fellowship at the University of Toronto. She then completed a CIHR-funded Multimodality Cardiac Imaging research fellowship at the University of Chicago. During that time, she also obtained a Master’s degree in Health Studies. She was a member of the writing groups for both the 2012 ASE/EACVI 3D Guidelines and the 2015 ASE/EACVI Chamber Quantification Guidelines. She also serves on the Editorial Board of the Journal of the American Society of Echocardiography and is a member of the Royal College of Physician and Surgeon’s Area of Focused Competency subcommittee in Adult Echocardiography. She currently holds a Heart and Stroke Foundation of Canada National New Investigator Award. Her research focuses on congenital and valvular heart disease, 3D echocardiography, and artificial intelligence.
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Yannis Amador, MD FRCPC
SPEAKER
Staff Cardiovascular Anesthesiologist, Department of Anesthesiology & Perioperative Medicine, Kingston Health Sciences Centre Assistant Professor, Department of Anesthesiology, Queen's University. Dr. Amador completed residency training in anesthesiology and emergency medicine in Costa Rica. Subsequently he completed a research fellowship with Dr. Feroze Mahmood at Beth Israel Deaconess Medical Center, Harvard Medical School followed by a clinical fellowship in cardiovascular anesthesiology at Toronto General Hospital. He is certified in Advance Perioperative Echocardiography (Advanced PTEeXAM) from the National Board of Echocardiography. He is the organizer of the ulti-disciplinary echo rounds at the Kingston Health Sciences Centre and a member of the organizing committee for the POCUS workshop at the Canadian Anesthesia Society (CAS) meeting.
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Ahmad Omran, MD FACC FESC FASE FECVI
SPEAKER
Staff Cardiologist, Toronto General Hospital, University Health Network. Dr. Omran completed his fellowship in echocardiography at Toronto General Hospital in 1996 and subsequently collaborated with Tirone David in developing intraopertive imaging techniques to support the development of novel techniquest for aortic and mitral valve repair. He is the author of landmark papers on TEE assessment of mitral valve anatomy and suitability for mitral valve repair and created the first map of TEE classification of the mitral valve segments and scallops which is still in use in many centers. Dr. Omran has published more than 35 papers in role of TEE in valves repair and contributed chapters in 5 textbooks of echocardiography including chapter of role of 3D TEE in cardiac operating room in the “Nanda’s Comprehensive Textbook of Echocardiography”. He is certified by National Board of Echocardiography and European Association of Cardiovascular Imaging (EACVI) and is an active member of American and European societies of echocardiography. He is currently working as staff cardiologist supporting the perioperative echocardiography program at Toronto General Hospital. He is a highly regarded teacher in echocardiography and runs the quality assurance program for intraoperative TEE at Toronto General Hospital.
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Daniel Kim, MD FRCPC
SPEAKER
Since completing his residency in Anesthesiology at London Health Sciences Centre and completing a cardiac anesthesiology fellowship at St. Michael’s Hospital, Daniel Kim has been working as a cardiac anesthesiologist and cardiovascular ICU intensivist. He has been at Southlake Regional Hospital since it started its Cardiac Surgical Program in 2003. He has previously worked as the CVICU Director, was part of the Southlake’s MiniMitral program, and is currently part of the MitraClip team as an imager. The imaging platform he currently works with is the GE VividE95.
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Jennifer Day, Cardiac Sonographer
SPEAKER
Cardiac Sonographer at University Health Network | UHN, Peter Munk Cardiac Centre, Toronto General Hospital
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Fabio Papa, MD FASE
SPEAKER
Staff Anesthesiologist, St. Michael’s Hospital, Toronto. Assistant Professor, Department of Anesthesiology and Pain Medicine, University of Toronto. Dr. Papa graduate from University of São Paulo at Ribeirão Preto School of Medicine where he also finished his anesthesia residency. He completed his clinical fellowship in Cardiovascular Anesthesiology at the University of Toronto. Dr. Papa is Fellow of the American Society of Echocardiography (FASE), Associated Editor of the Brazilian Journal of Anesthesiology (BJAN) and completed a Master in Health Practitioner in Clinical Education at Dala Lana School of Public Health at the University of Toronto. He is certified in Advance Perioperative Echocardiography (Advanced PTEeXAM) and Critical Care Echocardiography (CCEeXAM) by the National Board of Echocardiography.
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Selene Martinez Perez, MD FRCPC
SPEAKER
Clinical Assistant Professor at Department of Anesthesiology and Pain Medicine, Toronto General Hospital, University of Toronto, Canada. Dr. Martinez did her medical degree from University Central of Venezuela, Caracas, Venezuela. Subsequently, she did her Anesthesiology Residency in Barcelona, Spain. Following, Dr. Martinez completed cardiovascular and thoracic fellowships in Toronto General Hospital, University of Toronto. She Currently works as Anesthesiologist in Toronto General Hospital, main interest is cardiovascular, perioperative transesophageal echocardiography thoracic and transplant anesthesia including liver, lung and heart transplant. Staff Anesthesiologist, Department of Anesthesia and Pain Management, Toronto General Hospital. University Health Network Assistant Professor, Department of Anesthesiology and Pain Medicine, University of Toronto European Diploma of Anesthesiology and Intensive Care.
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Marcus Salvatori, MD FRCPC
SPEAKER
Dr. Salvatori obtained a Master of Science from the University of Toronto Department of Physiology (2005) and a Bachelor of Medicine and Surgery from Newcastle University School of Medicine, Newcastle upon Tyne, UK (2013). Dr. Salvatori completed his anesthesia residency at the University of Toronto and obtained his Fellowship, Royal College of Physicians of Canada (FRCPC) in Anesthesiology in 2019. He completed a cardiovascular anesthesia and critical care medicine fellowship at the Toronto General Hospital, University Health Network. His areas of interest include adult congenital heart disease, aortic surgery, solid organ transplantation and transesophageal echocardiography. He currently serves as the Director of Perioperative Echocardiography at Toronto General Hospital and is co-director of both the Multicentre Echo Teaching Series and the Toronto Perioperative Echo Symposium.
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Kendra Derry , MD
SPEAKER
Dr. Kendra Derry is an attending anesthesiologist at St. Michael's Hospital in Toronto, Canada, and an assistant professor in the Department of Anesthesiology and Pain Medicine at the University of Toronto. She specializes in cardiac anesthesiology and is an echocardiographer for the structural heart team at St. Michael's Hospital. Dr. Derry earned her medical degree from the Schulich School of Medicine in London, Ontario, followed by a residency in anesthesiology through the University of Ottawa. She completed her fellowship in cardiac anesthesiology at the Ottawa Heart Institute and further specialized with an advanced structural heart imaging fellowship at Harvard University in Boston, MA. Her research interests include imaging techniques for structural heart disease interventions and advances in medical education.
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Ashton Chang,MD, MRCP(UK), FRCPC
SPEAKER
Dr. Ashton Chang is a currently completing his fellowship in Cardiac Anesthesia and Critical Care at St. Michael’s Hospital, Toronto. He earned his Bachelor of Medicine and Surgery from Barts and the London Medical School in London, UK. After completing Acute Care Common Stem (Anaesthestics Branch) in the UK, he completed his Anaesthesiology Residency at the University of Toronto. Dr. Chang has an interest in education in echocardiography and has successfully completed his examination in Special Competence in Advanced Perioperative Transesophageal Echocardiography (Advanced PTEeXAM).
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John Paul Larkin, MD FRCPC
SPEAKER
Staff Cardiovascular Anesthesiologist and Anesthesia Education Coordinator with Southlake Health, Newmarket, Ontario. Dr. Larkin completed medical school and Anesthesia Residency with University of Western Ontario, then went on to complete a fellowship in Cardiac Anesthesia at University of Ottawa Heart Institute. Dr. Larkin has a special interest in echocardiography, and is a member of the the structural heart imaging team at Southlake Health, currently opening on the GE platform.
Location
Location: Sunnybrook Health Sciences Centre, McLaughlin Auditorium, Room EG18A.
Address: 2075 Bayview Avenue, Toronto, ON, M4N 3M5.
Updates
Previous Meetings
2025
2021
2024
2023
2022
2024 5th Toronto 3D TEE Perioperative Course learning
“I learned how to acquire and analyze a 3D set -clinical applications of a 3D set”
“I learned all the functionality of the machine caveats on acquiring good quality images”
“I learned to unlock the machine's full potential”
“I have a list of 27 things to take back to my practice!! Haha”
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