A Prospective Study of the Use of Fetal Intelligent Navigation Echocardiography (FINE) to Obtain Standard Fetal Echocardiography Views

Veronese, Paola; Bogana, G.; Cerutti, Alessia; Yeo, Lami; Romero, Roberto; Gervasi, Maria Teresa

doi:10.1159/000446982

Cited by 29 publications

(70 citation statements)

References 71 publications

(87 reference statements)

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“…The difference in the percentage of satisfactory rating views between the two methods was 1.73% (95% CI, 0.5% -3.33%) with P value of 0.144 which is insignificant. Our results showed a strong agreement with other investigators as Garcia M et al [4], who found that FINE was successful to generate the nine planes in 98% -100% of cases and also Veronese P et al [10] who found that FINE was successful to generate the nine planes in 96% -100% of cases.…”

Section: Discussionsupporting

confidence: 93%

The Diagnostic Accuracy of Automated Fetal Heart Echocardiography by Five Dimensional Compared to Two-Dimensional Ultrasound in the Second Trimester of Pregnancy

Abdelrahman¹,

Ramy²,

Abdelhady³

2018

OJOG

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Objective: To compare the diagnostic accuracy of Fetal Intelligent Navigation Echocardiography (FINE) method by Five-Dimensional Ultrasound in automated fetal heart examination to conventional fetal heart examination by Two-Dimensional ultrasound in second trimester pregnancy. Methods: 90 normal singleton pregnancies at the second trimester were enrolled in this prospective study. Fetal heart was examined by Two-Dimensional Ultrasound (2D US) and Five-Dimensional Ultrasound (FINE). Paired numerical data were compared using the paired samples t test. Inter-method agreement for the rating of the quality of cardiac views by 2D US or 5D US was assessed by calculation of the prevalence-adjusted and bias-adjusted kappa coefficient (PABAK). Results: There was no statistical significant difference between fetal heart echocardiography assessment using 2DUS or 5DUS(FINE) (p-value > 0.05). The overall inter-method agreement between 2D US and 5D US was 0.92. The difference in % of satisfactory views between 2D and 5D US was 1.73%, (95% CI -0.5% to 3.33%) (P-value = 0.144). Conclusion: Our findings indicate the accuracy of 5DUS (FINE) echocardiography in evaluation of normal heart in the second trimester of pregnancy.

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Section: Discussionsupporting

confidence: 93%

The Diagnostic Accuracy of Automated Fetal Heart Echocardiography by Five Dimensional Compared to Two-Dimensional Ultrasound in the Second Trimester of Pregnancy

Abdelrahman¹,

Ramy²,

Abdelhady³

2018

OJOG

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“…Such training occurred in a 2-day period and included: 1) attending didactic lectures on FINE; and 2) review of 16 previously acquired STIC volume datasets of normal fetal hearts using the FINE method. Specifically, the following features of FINE were reviewed during the training period (Table 1): 55,76,77,79 1) intelligent navigation technology; 2) STICLoop ™ and STICLoop criteria; 3) Anatomic Box® (learning how to identify and mark anatomical structures of the fetal heart); 4) diagnostic planes; 5) automatic labeling and its features; 6) Virtual Intelligent Sonographer Assistance (VIS-Assistance®) and its advantages in providing additional information, as well as how to perform double and triple VIS-Assistance; 80 and 7) intelligent and marking alerts. Moreover, the same investigator was provided a written manual on FINE and underwent a practical session on how to technically use the system (e.g.…”

Section: Methodsmentioning

confidence: 99%

“…43,55 However, the use of software to perform manual navigation 76 through such volume datasets is time consuming, highly operator dependent, and requires a thorough knowledge of cardiac anatomy. 77–79 As a result, this process is difficult and impractical, especially when the fetal heart is abnormal. 80 …”

Section: Introductionmentioning

confidence: 99%

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Fetal Intelligent Navigation Echocardiography (FINE) Detects 98% of Congenital Heart Disease

Yeo

Luewan

Romero

2018

J of Ultrasound Medicine

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Objective Fetal Intelligent Navigation Echocardiography (FINE) is a novel method that automatically generates and displays nine standard fetal echocardiography views in normal hearts by applying intelligent navigation technology to spatiotemporal image correlation (STIC) volume datasets. The main objective was to determine the sensitivity and specificity of FINE in the prenatal detection of congenital heart disease (CHD). Methods A case-control study was conducted in 50 fetuses with a broad spectrum of CHD (cases) and 100 fetuses with normal hearts (controls) in the second and third trimesters. Using four-dimensional ultrasound with STIC technology, volume datasets were acquired. After all identifying information was removed, the datasets were randomly distributed to a different investigator for analysis using FINE. The sensitivity and specificity for the prenatal detection of CHD, as well as positive and negative likelihood ratios (LR) were determined. Results The diagnostic performance of FINE for the prenatal detection of CHD was: sensitivity 98% (49/50), specificity 93% (93/100), positive LR of 14, and negative LR of 0.02. Among cases with confirmed CHD, the diagnosis based upon FINE completely matched the final diagnosis in 74% (37/50), minor discrepancies were seen in 12% (6/50), and major discrepancies were seen in 14% (7/50). Conclusions We present for the first time the sensitivity and specificity of the FINE method in fetuses with normal hearts and CHD in the second and third trimesters. Since FINE identifies a broad spectrum of CHD with 98% sensitivity, this method could be used prenatally to screen for and diagnose CHD.

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“…However, the optimum interrogation of STIC volume data sets remains difficult . Recently, some studies have reported that fetal intelligent navigation echocardiography (FINE) is a novel and useful technology for automatically obtaining 9 recommended fetal cardiac views through the application of intelligent navigation technology in STIC volume data sets . The FINE method can simplify fetal cardiac examinations and reduce operator dependency.…”

mentioning

confidence: 99%

Is Fetal Intelligent Navigation Echocardiography Helpful in Screening for d‐Transposition of the Great Arteries?

Huang

Zhao

Chen

et al. 2019

J of Ultrasound Medicine

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Objectives To evaluate the performance of fetal intelligent navigation echocardiography (FINE) applied to spatiotemporal image correlation (STIC) volumes in generating 3 specific abnormal cardiac views (left ventricular outflow tract, right ventricular outflow tract, and 3‐vessel and trachea) used to screen for d‐transposition of the great arteries (d‐TGA). Methods In this prospective study, 1 or more STIC volumes were obtained from the 4‐chamber view in 34 second‐ and third‐trimester fetuses with d‐TGA. Each appropriate STIC volume was evaluated by STICLoop (Samsung Medison, Seoul, Korea) before applying the FINE method. One optimal volume per fetus was selected by observers. The visualization rates of the 3 specific abnormal cardiac views of d‐TGA and their diagnostic elements were calculated, and the reliability between 2 observers was verified by the intraclass correlation coefficient. Results Fetal intelligent navigation echocardiography applied to STIC volume data sets of fetuses with d‐TGA successfully generated the 3 specific abnormal cardiac views in the following manner for 2 observers: 75.0% (n = 21) for the left ventricular outflow tract, 89.2% (n = 25) for the right ventricular outflow tract, and 85.7% (n = 24) for the 3‐vessel and trachea view. Twenty‐four (85.7%) of the STIC volume data sets showed 2 or 3 of the abnormal cardiac views. The interobserver intraclass correlation coefficients between the 2 observers ranged from 0.842 to 1.000 (95% confidence interval), indicating almost perfect reliability for the 2 observers. Conclusions In cases of d‐TGA, the FINE method has a high success rate in generating 3 specific abnormal cardiac views and therefore can be performed to screen for this congenital defect.

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A Prospective Study of the Use of Fetal Intelligent Navigation Echocardiography (FINE) to Obtain Standard Fetal Echocardiography Views

Cited by 29 publications

References 71 publications

The Diagnostic Accuracy of Automated Fetal Heart Echocardiography by Five Dimensional Compared to Two-Dimensional Ultrasound in the Second Trimester of Pregnancy

The Diagnostic Accuracy of Automated Fetal Heart Echocardiography by Five Dimensional Compared to Two-Dimensional Ultrasound in the Second Trimester of Pregnancy

Fetal Intelligent Navigation Echocardiography (FINE) Detects 98% of Congenital Heart Disease

Is Fetal Intelligent Navigation Echocardiography Helpful in Screening for d‐Transposition of the Great Arteries?

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