The value of 3D and 4D assessments of the fetal heart

Júnior, Edward Araujo; Rôlo, Líliam Cristine; Rocha, Luciane Alves; Nardozza, Luciano Marcondes Machado

doi:10.2147/ijwh.s47074

Cited by 19 publications

(12 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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

View full text Add to dashboard Cite

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.

show abstract

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

“…These challenges in prenatal diagnosis might generally be attributed to the complex anatomy of the heart, its motion, and its relatively small size . Four‐dimensional ultrasound (US) with spatiotemporal image correlation (STIC) has been shown to be able to overcome these issues . Nevertheless, the detailed information incorporated in an STIC volume is rather difficult to depict, mainly because of operator dependency and lack of standardization .…”

mentioning

confidence: 99%

Semiautomatic Fetal Intelligent Navigation Echocardiography Has the Potential to Aid Cardiac Evaluations Even in Less Experienced Hands

Gembicki

Hartge

Dracopoulos

et al. 2019

J of Ultrasound Medicine

View full text Add to dashboard Cite

Objectives To investigate the interobserver and intraobserver variability and corresponding learning curve in a semiautomatic approach for a standardized assessment of the fetal heart (fetal intelligent navigation echocardiography [FINE]). Methods A total of 30 stored spatiotemporal image correlation volume data sets of second‐trimester fetuses were evaluated by 3 physicians with different levels of expertise in fetal echocardiography by using the FINE approach. Data were analyzed regarding the examination time and proper reconstruction of the diagnostic cardiac planes. The completions and numbers of correct depictions of all diagnostic planes were evaluated by a blinded expert (time t0). To determine interobserver and intraobserver variability, the volumes were reassessed after a 4‐week training interval (time t1). Results All operators were able to perform the investigation on all 30 volumes. At t0, the interobserver variability between the beginner and both the advanced (P = .0013) and expert (P < .0001) examiners was high. Focusing on intraobserver variability at t1, the beginner showed a marked improvement (P = .0087), whereas in advanced and expert hands, no further improvement regarding proper achievement of all diagnostic planes could be noticed (P > .999; P = .8383). The beginner also showed improvement in the mean investigation time (t0, 82.8 seconds; t1, 73.4 seconds; P = .0895); nevertheless, the advanced and expert examiners were faster in completing the examination (t1, advanced, 20.9 seconds; expert, 28.3 seconds; each P < .0001). Conclusions Based on our results, the FINE technique is a reliable and easily learned method. The use of this semiautomatic work flow–based approach supports evaluation of the fetal heart in a standardized and time‐saving manner. A semiautomatic evaluation of the fetal heart might be useful in facilitating the detection of fetal cardiac anomalies.

show abstract

“…In addition, the calculated reference range for the fetal interventricular septum has been found to correlate with gestational age (r 5 0.81) and to increase from 0.47 cm 2 at 18 wk to 2.42 cm 2 at 33 wk of gestation, respectively ). Very recently, Araujo J unior et al (2014b) reported that 4-D fetal echocardiography in the rendering mode allows visualization of the virtual planes of the interatrial and interventricular septa and of the atrioventricular valve annulus.…”

Section: -Dus and Fetal Echocardiogrammentioning

confidence: 99%