The ‘starfish’ sign: a novel sonographic finding with B‐flow imaging and spatiotemporal image correlation in a fetus with total anomalous pulmonary venous return

Lee, W.; Espinoza, Jimmy; Cutler, Norman L.; Bronsteen, Richard; Yeo, Lami; Romero, R.

doi:10.1002/uog.7503

Cited by 11 publications

(14 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Forest plot of rate of favorable outcome (alive operated) for fetuses with total anomalous pulmonary venous connection, reported in 10 primary studies and five case reports. Only first author of each study is given.…”

Section: Resultsmentioning

confidence: 99%

“…Forest plots for studies on cases of total anomalous pulmonary venous connection, of rate of prenatally detected ventricular disproportion reported in eight primary studies and five case reports (a), increased area behind left atrium reported in 10 primary studies and four case reports (b) and vertical vein reported in 10 primary studies and three case reports (c). Only first author of each study is given.…”

Section: Resultsmentioning

confidence: 99%

“…Forest plot of rate of total anomalous pulmonary venous connection (TAPVC) suspected primarily on color/power Doppler reported in eight primary studies and one case report (a) and obstructed abnormal return reported for cases of TAPVC in nine primary studies and three case reports (b). Only first author of each study is given.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Prenatal diagnosis of total and partial anomalous pulmonary venous connection: multicenter cohort study and meta‐analysis

Paladini

Pistorio

et al. 2018

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

TAPVC can be associated with other cardiac and extracardiac anomalies in a significant percentage of cases. Leading sonographic signs are ventricular disproportion, increased area behind the left atrium and the finding of a vertical vein. Color/power Doppler is the key mode for diagnosis of TAPVC. Obstructed venous return can be expected in roughly one-third of cases of TAPVC and outcome is favorable in less than half of cases. Data for SS and PAPVC are too few to synthesize. Copyright © 2017 ISUOG. Published by John Wiley & Sons Ltd.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Prenatal diagnosis of total and partial anomalous pulmonary venous connection: multicenter cohort study and meta‐analysis

Paladini

Pistorio

et al. 2018

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

show abstract

“…Volpe et al 9 showed that 4D sonography with B‐flow imaging and STIC could clearly visualize the anomalous pulmonary venous confluence and the draining vertical vein in all 4 of their cases and made a conclusion that 4D sonography with B‐flow imaging and STIC is apparently able to facilitate identification of the anatomic features of total anomalous pulmonary venous connections. Lee et al 11 reported a case with a supracardiac total anomalous pulmonary venous connection and displayed the “starfish” sign for showing the vertical vein with B‐flow and STIC imaging. That appearance is a useful direct sign for diagnosis of total anomalous pulmonary venous connections.…”

Section: Discussionmentioning

confidence: 99%

Four-Dimensional Sonography With Spatiotemporal Image Correlation and Tomographic Ultrasound Imaging in the Prenatal Diagnosis of Anomalous Pulmonary Venous Connections

Ruan

Xie

et al. 2012

Journal of Ultrasound in Medicine

View full text Add to dashboard Cite

show abstract

“…Moreover, B-flow may have less signal dropout when the ultrasound beam is perpendicular to the vessel. B-flow imaging can provide important insight into abnormal vascular connections to the fetal heart, including total anomalous pulmonary venous return 47 (Fig. 5) and tortuous aorta in cases of coarctation of aorta 48 .…”

Section: Rendering With B-flowmentioning

confidence: 99%

The Role of Spatio-Temporal Imaging Correlation (Stic) in the Prenatal Diagnosis of Congenital Heart Defects

Espinoza

2014

Fet. Matern. Med. Rev.

View full text Add to dashboard Cite

INTRODUCTIONSpatio-temporal image correlation (STIC) is a feature of four-dimensional ultrasonography (4D US) that allows the acquisition of volume datasets akin to blocks of pathological specimens, where all the anatomical information is contained in the block and the information displayed depends on the level at which the block is cut. STIC has the additional advantages that these planes can be assessed in a virtual beating heart, and that rendering techniques can be used to gain additional insight into the structure and function of the fetal heart.With the use of STIC, volume datasets from fetal heart are acquired with a single automated sweep of the transducer, spatial and temporal information are combined to display images that can be extracted from volume datasets. Thus, standard planes for fetal echocardiography, including the four-chamber view, left and right outflow tracts can be obtained from the volume datasets at the time of the sonographic examination or afterwards and novel planes for fetal echocardiography can also be obtained. In addition to this anatomic information, functional information of the fetal heart can be obtained, including the direction of blood flow if the volume dataset was obtained with color Doppler or high definition (HD) power Doppler.Accumulating evidence indicates that 4D US facilitates examination of the fetal heart 1-12 . Thus, 4D fetal echocardiography has the potential to reduce the operator dependency of two-dimensional (2D) US. Prenatal diagnosis of Congenital Heart Diseases (CHDs) is challenging because of the complexity of the fetal heart and the expertise required in performing fetal echocardiography. In addition, fetal and maternal motion, maternal body mass index, gestational age, adequacy of the amniotic fluid volume and fetal position are important factors that can affect image quality. Prenatal diagnosis of CHDs is important because unrecognized CHDs may be associated with worse neonatal outcome. This paper reviews some technical aspects of 4D US, including volume acquisition and rendering, displays modalities in 4D US and summarizes the evidence evaluating the accuracy and reproducibility of 4D US in the prenatal diagnosis of CHDs. ACQUISITION OF VOLUME DATASETS WITH 4D US AND STIC Volume acquisition with mechanical transducersThis is performed with an automated sweep of the transducer, acquiring sequential frames at a rapid rate. Acquisition time ranges from 5 to 15 sec; the longer the acquisition time, the better the spatial resolution. During acquisition, on the basis of changes in the cardiac motion, the STIC algorithm detects the fetal heart rate and synchronizes 2D images. Frames acquired during the same phase in the cardiac cycle are merged into one volume dataset representing approximately 40 volumes. After analysis and rearrangement, the dynamic images are displayed on the screen in three planes that are orthogonal to each other 8 .The image quality contained in an STIC volume dataset can be improved by optimizing the settings before acquisition. This c...

show abstract

The ‘starfish’ sign: a novel sonographic finding with B‐flow imaging and spatiotemporal image correlation in a fetus with total anomalous pulmonary venous return

Cited by 11 publications

References 4 publications

Prenatal diagnosis of total and partial anomalous pulmonary venous connection: multicenter cohort study and meta‐analysis

Prenatal diagnosis of total and partial anomalous pulmonary venous connection: multicenter cohort study and meta‐analysis

Four-Dimensional Sonography With Spatiotemporal Image Correlation and Tomographic Ultrasound Imaging in the Prenatal Diagnosis of Anomalous Pulmonary Venous Connections

The Role of Spatio-Temporal Imaging Correlation (Stic) in the Prenatal Diagnosis of Congenital Heart Defects

Contact Info

Product

Resources

About