Accuracy, Agreement, and Reliability of Fetal Cardiac Measurements Using 4-Dimensional Spatiotemporal Image Correlation

Wang, Nan; Xie, Hong‐Ning; Ruan, Peng; Zheng, Jin; Zhu, Yunxiao

doi:10.7863/jum.2012.31.11.1719

Cited by 18 publications

(16 citation statements)

References 47 publications

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“…Moreover, five ‘short‐axis views’ have been proposed as a screening method for comprehensive fetal echocardiography. A large body of evidence now indicates that four‐dimensional (4D) sonography with spatiotemporal image correlation (STIC) can facilitate examination of the fetal heart and may also be used to evaluate CHD. STIC technology enables acquisition of a volume dataset of the fetal heart, and displays a cine loop of a complete, single cardiac cycle in motion.…”

Section: Introductionmentioning

confidence: 99%

Prospective evaluation of the fetal heart using Fetal Intelligent Navigation Echocardiography (FINE)

Garcia

Yeo

Romero

et al. 2016

Ultrasound in Obstet & Gyne

106

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Objective To evaluate prospectively the performance of Fetal Intelligent Navigation Echocardiography (FINE) applied to spatiotemporal image correlation (STIC) volume datasets of the normal fetal heart. Methods In all women between 19 and 30 weeks of gestation with a normal fetal heart, an attempt was made to acquire STIC volume datasets of the apical four-chamber view if the following criteria were met: 1) fetal spine located between the 5- and 7-o’clock positions; 2) minimal or absent shadowing (including a clearly visible transverse aortic arch); 3) absence of fetal breathing, hiccups, or movement; and 4) adequate image quality. Each STIC volume successfully acquired was evaluated by STICLoop™ to determine its appropriateness before applying the FINE method. Visualization rates of fetal echocardiography views using diagnostic planes and/or Virtual Intelligent Sonographer Assistance (VIS-Assistance®) were calculated. Results One or more STIC volumes (365 in total) were successfully obtained in 72.5% (150/207) of women undergoing ultrasound examination. Of the 365 volumes evaluated by STICLoop, 351 (96.2%) were considered to be appropriate. From the 351 STIC volumes, only one STIC volume per patient (n=150) was analyzed using the FINE method; consequently, nine fetal echocardiography views were generated in 76–100% of cases using diagnostic planes only; in 98–100% of cases using VIS-Assistance only; and in 98–100% of cases when using a combination of diagnostic planes and/or VIS-Assistance. Conclusions In women between 19 and 30 weeks of gestation with a normal fetal heart undergoing prospective sonographic examination, STIC volumes can be successfully obtained in 72.5% of cases. The FINE method can be applied to generate nine standard fetal echocardiography views in 98–100% of these cases using a combination of diagnostic planes and or VIS-Assistance. This suggests that FINE could be implemented in fetal cardiac screening programs.

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Section: Introductionmentioning

confidence: 99%

Prospective evaluation of the fetal heart using Fetal Intelligent Navigation Echocardiography (FINE)

Garcia

Yeo

Romero

et al. 2016

Ultrasound in Obstet & Gyne

106

View full text Add to dashboard Cite

show abstract

“…Furthermore, the azygos vein and descending aorta diameters of the healthy fetuses were measured by 2‐dimensional sonography, but they were retrospectively analyzed by 4D STIC volumes for the 25 fetuses with malformations. However, 4D sonography with STIC has good agreement with 2D transabdominal echocardiography 24 . Another limitation may have been that the number of abnormal cases evaluated was rather, albeit not importantly, limited, including 25 fetuses with venous malformations related to the azygos vein or hemi‐azygos vein; however, these are indeed rare congenital malformations.…”

Section: Discussionmentioning

confidence: 99%

Azygos Vein Z Scores in Healthy Fetuses and Fetuses With Venous Malformations Related to the Azygos Vein

Xie

Paladini

et al. 2016

J of Ultrasound Medicine

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“…The Clopper‐Pearson method was used to calculate the 95% confidence interval (CI) for proportions. Interobserver reliability and repeatability were analyzed by the intraclass correlation coefficient (ICC; ICC <0.40 indicated poor reliability, whereas ICC >0.81 indicated perfect reliability) . SPSS version 22.0 software (IBM Corporation, Armonk, NY) was used to perform the statistical analysis.…”

Section: Methodsmentioning

confidence: 99%

Is Fetal Intelligent Navigation Echocardiography Helpful in Screening for d‐Transposition of the Great Arteries?

Huang

Zhao

Chen

et al. 2019

J of Ultrasound Medicine

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Objectives To evaluate the performance of fetal intelligent navigation echocardiography (FINE) applied to spatiotemporal image correlation (STIC) volumes in generating 3 specific abnormal cardiac views (left ventricular outflow tract, right ventricular outflow tract, and 3‐vessel and trachea) used to screen for d‐transposition of the great arteries (d‐TGA). Methods In this prospective study, 1 or more STIC volumes were obtained from the 4‐chamber view in 34 second‐ and third‐trimester fetuses with d‐TGA. Each appropriate STIC volume was evaluated by STICLoop (Samsung Medison, Seoul, Korea) before applying the FINE method. One optimal volume per fetus was selected by observers. The visualization rates of the 3 specific abnormal cardiac views of d‐TGA and their diagnostic elements were calculated, and the reliability between 2 observers was verified by the intraclass correlation coefficient. Results Fetal intelligent navigation echocardiography applied to STIC volume data sets of fetuses with d‐TGA successfully generated the 3 specific abnormal cardiac views in the following manner for 2 observers: 75.0% (n = 21) for the left ventricular outflow tract, 89.2% (n = 25) for the right ventricular outflow tract, and 85.7% (n = 24) for the 3‐vessel and trachea view. Twenty‐four (85.7%) of the STIC volume data sets showed 2 or 3 of the abnormal cardiac views. The interobserver intraclass correlation coefficients between the 2 observers ranged from 0.842 to 1.000 (95% confidence interval), indicating almost perfect reliability for the 2 observers. Conclusions In cases of d‐TGA, the FINE method has a high success rate in generating 3 specific abnormal cardiac views and therefore can be performed to screen for this congenital defect.

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Accuracy, Agreement, and Reliability of Fetal Cardiac Measurements Using 4-Dimensional Spatiotemporal Image Correlation

Cited by 18 publications

References 47 publications

Prospective evaluation of the fetal heart using Fetal Intelligent Navigation Echocardiography (FINE)

Prospective evaluation of the fetal heart using Fetal Intelligent Navigation Echocardiography (FINE)

Azygos Vein Z Scores in Healthy Fetuses and Fetuses With Venous Malformations Related to the Azygos Vein

Is Fetal Intelligent Navigation Echocardiography Helpful in Screening for d‐Transposition of the Great Arteries?

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