Twist mechanics of the left ventricle: principles and application.

By Partho P. Sengupta, A. Tajik, K. Chandrasekaran, B. Khandheria. JACC Cardiovascular Imaging, 2008

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Use of myocardial strain imaging by echocardiography for the early detection of cardiotoxicity in patients during and after cancer chemotherapy: a systematic review. (2014, background): “Peak systolic twisting velocity measures the peak positive rate of torsional deformation during the ejection phase, whereas peak diastolic untwisting velocity measures the peak negative rate of torsional deformation during early diastole (18,20,21).”
Current and evolving echocardiographic techniques for the quantitative evaluation of cardiac mechanics: ASE/EAE consensus statement on methodology and indications endorsed by the Japanese Society of Echocardiography. (2011, methodology): “In a normal heart, the onset of myofiber shortening occurs earlier in the endocardium than the epicardium.(45) During preejection,”