First trimester two‐ and four‐dimensional cardiac scan: intra‐ and interobserver agreement, comparison between methods and benefits of color Doppler technique

Tudorache, Ş.; Cara, M.; Iliescu, Dominic Gabriel; Novac, Liliana; Cernea, N.

doi:10.1002/uog.12459

Cited by 33 publications

(36 citation statements)

References 29 publications

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“…Color Doppler associated with 4D Spatio Temporal Image Corelation (STIC) can improve the identification of cardiac structures up to a percentage of 90% [24][25][26]. So, the detection of CAVSD is possible at the end of first trimester.…”

Section: When To Screen For a Cavsd?mentioning

confidence: 99%

Complete atrioventricular septal defect in the era of prenatal diagnosis

et al. 2016

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Complete atrioventricular septal defect (CAVSD) is a fetal cardiac malformation (5% of all cardiac malformations) that can be detected prenatally with a reserved prognosis. The diagnosis can be suspected early at the end of the first trimester using the transabdominal or transvaginal ultrasound approach. Generally, the diagnostic can be established during the mid-trimester scan at 19-24 weeks of gestation. The percentage of antenatal diagnostic of CAVSD is between 57-92%. This review aims to analyze the anatomical principles and the ultrasound techniques that can improve the prenatal diagnosis of CAVSD. We have also analyzed the structural and genetic anomalies frequently associated with CAVSD.

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Section: When To Screen For a Cavsd?mentioning

confidence: 99%

Complete atrioventricular septal defect in the era of prenatal diagnosis

et al. 2016

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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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“…All cardiac planes were visible in one plane with the added utility of color Doppler imaging. As others have also shown, color Doppler has great value in identifying basic and extended cardiac views at 11-14 weeks' gestation 20 .…”

Section: Two-dimensional Transvaginal or Transabdominal Firsttrimestementioning

confidence: 87%

First‐trimester fetal cardiac examination using spatiotemporal image correlation, tomographic ultrasound and color Doppler imaging for the diagnosis of complex congenital heart disease in high‐risk patients

Turan

Desai

et al. 2014

Ultrasound in Obstet & Gyne

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First trimester two‐ and four‐dimensional cardiac scan: intra‐ and interobserver agreement, comparison between methods and benefits of color Doppler technique

Cited by 33 publications

References 29 publications

Complete atrioventricular septal defect in the era of prenatal diagnosis

Complete atrioventricular septal defect in the era of prenatal diagnosis

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

First‐trimester fetal cardiac examination using spatiotemporal image correlation, tomographic ultrasound and color Doppler imaging for the diagnosis of complex congenital heart disease in high‐risk patients

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