Real-time three-dimensional foetal echocardiography using a new transabdominal xMATRIX array transducer

Acar, Philippe; Battle, Laia; Dulac, Yves; Peyre, Marianne; Dubourdieu, Hélène; Hascoët, Sébastien; Groussolles, Marion; Vayssière, Christophe

doi:10.1016/j.acvd.2013.10.003

Cited by 17 publications

(13 citation statements)

References 24 publications

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“…With the inherent nature of low cost [64] and no radiation, the capacity of dynamically visualizing the anatomy and geometry in real-time and user-friendly interaction with the operators expands the application of real-time 3D US imaging in clinical examinations increasingly. The main approaches to accomplishing a real-time US imaging system are systematically discussed in this review.…”

Section: Discussionmentioning

confidence: 99%

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A Review on Real-Time 3D Ultrasound Imaging Technology

Huang

Zeng

2017

BioMed Research International

233

153

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Real-time three-dimensional (3D) ultrasound (US) has attracted much more attention in medical researches because it provides interactive feedback to help clinicians acquire high-quality images as well as timely spatial information of the scanned area and hence is necessary in intraoperative ultrasound examinations. Plenty of publications have been declared to complete the real-time or near real-time visualization of 3D ultrasound using volumetric probes or the routinely used two-dimensional (2D) probes. So far, a review on how to design an interactive system with appropriate processing algorithms remains missing, resulting in the lack of systematic understanding of the relevant technology. In this article, previous and the latest work on designing a real-time or near real-time 3D ultrasound imaging system are reviewed. Specifically, the data acquisition techniques, reconstruction algorithms, volume rendering methods, and clinical applications are presented. Moreover, the advantages and disadvantages of state-of-the-art approaches are discussed in detail.

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Section: Discussionmentioning

confidence: 99%

“…In addition, real-time 3D US imaging can also be applied to assist the diagnosis in rib anomalies, fluid accumulation, and abnormal spine curvature [63]. Utilizing matrix array transducer allows multimodality, for example, live xPlane imaging and live 3D surface, to examine the fetal heart in real-time [64]. …”

Section: Applicationsmentioning

confidence: 99%

A Review on Real-Time 3D Ultrasound Imaging Technology

Huang

Zeng

2017

BioMed Research International

233

153

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“…Acquired 3D volume data can be displayed in three orthogonal planes and provide all the 2D planes for a complete anatomical evaluation of the particular organ. Therefore, 3D-ultrasound with multiplanar reconstruction or surface rendering has advantages in the evaluation of complex anatomy, such as fetal heart, central nervous system and face [ 6 7 8 9 10 ]. For example, a single volume sweep provides reconstruction of a midsagittal plane for evaluation of nuchal translucency and nasal bone [ 11 12 ].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of three-dimensional reconstruction and automated measurement of fetal long bones using 5D Long Bone

et al. 2015

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ObjectiveTo evaluate the feasibility of five-dimensional Long Bone (5D LB), a new technique that automatically archives, reconstructs images, and measures lengths of fetal long bones, to assess whether the direction of volume sweep influences fetal long bone measurements in three-dimensional (3D) ultrasound and 5D LB, and to compare measurements of fetal long bone lengths obtained with 5D LB and those obtained with conventional two-dimensional (2D) and manual 3D techniques.MethodsThis prospective study included 39 singleton pregnancies at 26+0 to 32+0 weeks of gestation. Multiple pregnancies, fetuses with multiple congenital anomalies, and mothers with underlying medical diseases were excluded. Fetal long bones of the lower extremities-the femur, tibia, and fibula were measured by 2D and 3D ultrasound, and 5D LB, by an expert and non-expert examiner. First, we analyzed the 3D ultrasound and 5D LB data according to 2 different sweeping angles. We analyzed intra- and inter-observer variability and agreement between ultrasound techniques. Paired t-test, interclass correlation coefficient, and Bland-Altman plot and Passing-Bablok regression were used for statistical analysis.ResultsThere was no statistical difference between long bone measurements analyzed according to 2 different volume-sweeping angles by 3D ultrasound and 5D LB. Intra- and inter-observer variability were not significantly different among all 3 ultrasound techniques. Comparing 2D ultrasound and 5D LB, the interclass correlation coefficient for femur, tibia, and fibula was 0.91, 0.92, and 0.89, respectively.Conclusion5D LB is reproducible and comparable with conventional 2D and 3D ultrasound techniques for fetal long bone measurement.

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“…With the introduction of 3D and 4D ultrasound probes in 2003 by General Electric and Philips Ultrasound, a new era of fetal cardiovascular imaging was introduced as research concepts evolved into clinical tools . The Philips xMATRIX array probe was designed for applications in adult and pediatric cardiology, but did not gain wide range utilization in the obstetrical community as supported by the paucity of publications describing its use in fetal cardiology . The probe introduced by GE ultrasound was a 3D/4D probe using a mechanical sweep technique called spatial‐temporal image correlation (STIC) in which multiple 2‐dimensional images were stacked one behind the other to create a volume dataset .…”

Section: Introductionmentioning

confidence: 99%

“…From the STIC acquisition, three‐dimensional voxels were created that had an X, Y, and Z component, resulting in three simultaneously displayed images referred to as the A, B, and C planes (Figure ). Following the first publication describing the STIC technique, numerous studies have been reported describing the use of this technique for evaluation of fetal cardiovascular structures and function …”

Section: Introductionmentioning

confidence: 99%

4D fetal echocardiography—An update

2017

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With the introduction of the electronic 4-dimensional and spatial-temporal image Correlation (e-STIC), it is now possible to obtain large volume datasets of the fetal heart that are virtually free of artifact. This allows the examiner to use a number of imaging modalities when recording the volumes that include two-dimensional real time, power and color Doppler, and B-flow images. Once the volumes are obtained, manipulation of the volume dataset allows the examiner to recreate views of the fetal heart that enable examination of cardiac anatomy. The value of this technology is that a volume of the fetal heart can be obtained, irrespective of the position of the fetus in utero, and manipulated to render images for interpretation and diagnosis. This article presents a summary of the various imaging techniques and provides clinical examples of its application used for prenatal diagnosis of congenital heart defects and abnormal cardiac function.

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Real-time three-dimensional foetal echocardiography using a new transabdominal xMATRIX array transducer

Abstract: The new xMATRIX transabdominal transducer allows a multimodality approach to the foetal heart. Further studies that include foetuses with cardiac malformations are required.

Cited by 17 publications

References 24 publications

A Review on Real-Time 3D Ultrasound Imaging Technology

A Review on Real-Time 3D Ultrasound Imaging Technology

Feasibility of three-dimensional reconstruction and automated measurement of fetal long bones using 5D Long Bone

4D fetal echocardiography—An update

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