Diagnostic Accuracy of Fetal Echocardiography in Congenital Heart Disease

Mozumdar, Namrita; Rowland, Jem J.; Pan, Stephanie; Rajagopal, Hari; Geiger, Miwa; Srivastava, Shubhika; Stern, Kenan W.D.

doi:10.1016/j.echo.2020.06.017

Cited by 26 publications

(40 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The sensitivity for fetal echocardiograms may range as low as 20% to as high as 80% for revealing minor CHD [14][15][16][17]. One recent study evaluating 17,096 fetal echocardiograms noted that diagnostic discrepancies between the fetal and the postnatal echocardiogram occurred 13.5% of the time, with discrepancies most often involving the ventricular septum (23%) [21]. This is consistent with this study, where both missed defects involved the ventricular septum.…”

Section: Discussionsupporting

confidence: 87%

Usefulness of Postnatal Echocardiograms in Patients with Omphaloceles Who Previously Had a Normal Fetal Echocardiogram

et al. 2021

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 87%

Usefulness of Postnatal Echocardiograms in Patients with Omphaloceles Who Previously Had a Normal Fetal Echocardiogram

et al. 2021

View full text Add to dashboard Cite

“…2,3 Moreover, the diagnostic accuracy of cardiac ultrasound (US) is limited per se, even when performed by specialists. 2,4,5 The prenatal diagnosis of CHD has been improved recently by using intelligent methods, such as fetal intelligent navigation echocardiography, with more than 90% diagnostic accuracy, but these techniques are not yet widely used. 6 Finally, only a relatively small proportion of fetuses undergo targeted cardiac US for suspicion of CHD.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic quality of 3Tesla postmortem magnetic resonance imaging in fetuses with and without congenital heart disease

Ulm

Dovjak

Scharrer

et al. 2021

American Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

“…However, the relative dependence on image quality and lower spatial resolution of TTE remains challenging in some pediatric patients who have poor acoustic windows, especially those with postoperative sternal deformity and thick bodies. What’s more, there are also important differences in individual examiners’ experiences ( 27 ). With the development of technology, CCT not only has great advantages in displaying anatomical structure as the result of excellent spatial resolution and imaging quality, but also can evaluate the cardiac function ( 28 , 29 ).…”

Section: Discussionmentioning

confidence: 99%

Cardiac Computed Tomography-Derived Left Atrial Strain and Volume in Pediatric Patients With Congenital Heart Disease: A Comparative Analysis With Transthoracic Echocardiography

Xie

Chen

et al. 2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

PurposeThis study aimed at exploring the feasibility and reproducibility of CCT for the measurement of Left Atrial (LA) strain and volume compared with transthoracic echocardiography (TTE) in pediatric patients with congenital heart disease (CHD).Materials and MethodsThe present study included 43 postoperative patients with CHD (7.39 ± 3.64 years, 56% male) who underwent clinically indicated CCT, and all patients underwent additional TTE on the same day. LA strain and volume parameters were measured by dedicated software. The correlation and agreement of LA strain and volume parameters were assessed using Pearson’s correlation coefficient and Bland-Altman analysis. Intra-class correlation coefficients (ICC) were used to assess CCT intra-observer and inter-observer reproducibility.ResultsAll strain parameters of CCT were lower compared to TTE (reservoir strain: 28.37 ± 6.92 vs. 32.15 ± 8.15, respectively; conduit strain: 21.33 ± 6.46 vs. 24.23 ± 7.75, respectively; booster strain: 7.04 ± 2.74 vs. 7.92 ± 3.56). While the volume parameters of CCT were higher compared to TTE (LAV: 29.60 ± 19.01 vs. 25.66 ± 17.60, respectively; LAVi: 30.36 ± 22.31 vs. 28.63 ± 19.25, respectively). Both LA strain and volume measurements showed good correlation and agreement between the two modalities (r = 0.63–0.87, p < 0.001). CT-derived LA strain and volume measurements showed good intra- and inter-observer reproducibility using prototype software (ICC = 0.78–0.96).ConclusionsCCT was feasible for measuring LA strain and volume with good correlation and high reproducibility as compared with TTE. As a complementary modality, CCT can regard as an accepted method in the evaluation of LA function in pediatric patients with CHD

show abstract

Diagnostic Accuracy of Fetal Echocardiography in Congenital Heart Disease

Cited by 26 publications

References 19 publications

Usefulness of Postnatal Echocardiograms in Patients with Omphaloceles Who Previously Had a Normal Fetal Echocardiogram

Usefulness of Postnatal Echocardiograms in Patients with Omphaloceles Who Previously Had a Normal Fetal Echocardiogram

Diagnostic quality of 3Tesla postmortem magnetic resonance imaging in fetuses with and without congenital heart disease

Cardiac Computed Tomography-Derived Left Atrial Strain and Volume in Pediatric Patients With Congenital Heart Disease: A Comparative Analysis With Transthoracic Echocardiography

Contact Info

Product

Resources

About