In an effort to ensure quality cardiac ultrasound imaging and to avoid unnecessary use of the technology, the American Society of Echocardiography (ASE; Raleigh, North Carolina) and the American College of Cardiology Foundation (ACCF; Washington), in partnership with five other groups, released Appropriateness Criteria for two of the most commonly used cardiac ultrasound techniques —transthoracic (TTE) and transesophageal (TEE) echocardiography — just in time for the 18th annual Scientific Sessions of ASE in Seattle in June.