Increasing the Detection Rate of Congenital Heart Disease During Routine Obstetric Screening Using Cine Loop Sweeps

Scott, Ted; Jones, Judy; Rosenberg, Hans; Thomson, A.T.; Ghandehari, Hournaz; Rosta, Neil; Jozkow, Kim; Stromer, M; Swan, Hans

doi:10.7863/ultra.32.6.973

Cited by 12 publications

(10 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Alternatively, using cineloop sweeps provides the sonographer and the interpreting physician with the opportunity to perform an assessment of the fetal heart in real-time. 51 The use of cineloops and real-time assessment of the fetal heart has been suggested by a number of authors as a means of improving the screening process. 36,52 The use of cineloop sweeps will provide many more images of the fetal heart, establishing critical anatomic relationships and cardiac dynamics.…”

Section: Discussionmentioning

confidence: 99%

Screening for Congenital Heart Disease

Scott¹,

Jones

Swan

2016

Journal of Diagnostic Medical Sonography

Self Cite

View full text Add to dashboard Cite

Compared with the assessment of most fetal anatomic structures, the assessment of the fetal heart during routine obstetric screening represents a diagnostic challenge for sonographers and interpreting physicians. This is due to a number of factors: the structural complexity of the heart, the rate at which it moves, the position of the fetus relative to the transducer, and variations in assessment protocols used by sonographers and physicians. The fetal heart is a relatively small and complex structure, as seen in an early second-trimester sonogram. In some forms of congenital heart disease, the abnormality may be detectable within only a relatively small fraction of the heart volume. Congenital heart disease represents a range of structural defects, a number of which have specific sonographic features that can be identified during routine assessment. Many approaches have been proposed to improve the assessment of the fetal heart, including specific still images, color Doppler, 3D imaging techniques, and cineloops.

show abstract

Section: Discussionmentioning

confidence: 99%

Screening for Congenital Heart Disease

Scott¹,

Jones

Swan

2016

Journal of Diagnostic Medical Sonography

Self Cite

View full text Add to dashboard Cite

show abstract

“…The use of cine-loop sweeps has been found to increase the detection rate of CHD by 38% for nonexperts (radiologists) and 36% for experts (pediatric cardiologist and pediatric cardiology sonographer) compared with the use of still images only. 1 The implementation of a standardized assessment technique of the fetal heart in real time, using cine-loop sweeps represents a practical approach that can be used by the majority of screening centers. 1 The standardized technique is limited to those centers with the capability of storing cine-loops as part of the clinical record.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the Fetal Heart During Routine Obstetrical Screening, a Standardized Method

Scott¹,

Jones

Swan

2016

Journal of Diagnostic Medical Sonography

Self Cite

View full text Add to dashboard Cite

Assessment of the fetal heart during routine obstetrical screening remains a challenge for sonographers and physicians. Reliance on still images and nonstandard methods of acquiring images and assessing the fetal heart contribute to the relatively low rate of identification of congenital heart disease (CHD). A standardized assessment of the fetal heart using two cine-loop sweeps has been shown to address some of these challenges. Image acquisition using two cine-loop sweeps combined with a standardized five-step assessment is proposed to address the limitations of the nonstandard approach in place at most screening centers today.

show abstract

“…A prerequisite for recommending the workflow strategy with standardized ultrasound examination protocols stored as cine-loops is that no diagnostic information is lost in the process (6). The clinical experience found in the literature from different areas where cine-loop documentation for US examinations has been used, has shown positive results (7)(8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 95%

“…Some review can be made if moving sequences are saved (14). According to Pallan et al (43), the value of reviewing static US images is very limited and is associated with lower diagnostic specificity (7,8).…”

Section: Traditional Ultrasound Methodsmentioning

confidence: 99%

Standardized ultrasonography with cine-loop documentation : diagnostic variability in liver and kidney examinations

Stenman¹

2016

View full text Add to dashboard Cite

Increasing the Detection Rate of Congenital Heart Disease During Routine Obstetric Screening Using Cine Loop Sweeps

Abstract: The use of cine loop sweeps has the potential to increase the detection of fetal cardiac defects without increasing the rate of false-positive findings or increasing the interpretation and decision-making times.

Cited by 12 publications

References 20 publications

Screening for Congenital Heart Disease

Screening for Congenital Heart Disease

Assessment of the Fetal Heart During Routine Obstetrical Screening, a Standardized Method

Standardized ultrasonography with cine-loop documentation : diagnostic variability in liver and kidney examinations

Contact Info

Product

Resources

About