Doppler myocardial imaging (DMI) represents one among the most promising ap
plications of the Doppler tissue technique. Instead of addressing flow and/
or pressure events in the cardiac cavities, DMI applies the Doppler princip
le to myocardial walls. A visual qualitative analysis of color Doppler myoc
ardial images cannot show low velocity changes in myocardial walls, and a q
uantitative analysis of tissue Doppler data is mandatory to assess myocardi
al velocity gradient (MVG) across the wall thickness with the use of color
images. Some data regarding the automatic quantification modalities that we
developed in our laboratory and newer modalities are provided. Due to the
continuously evolving technology and the recent combination of DMI with oth
er modalities, this review should be considered as providing the "current o
perational scope."