Evolution of fetal cardiac imaging in 30 years of <scp>ISUOG</scp>

Chaoui, Rabih

doi:10.1002/uog.23551

Cited by 3 publications

(3 citation statements)

References 23 publications

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“…Over the following years many publications on the detection of fetal malformations followed [66][67][68][69][70][71][72]. As a result of developments in US technology over the last 30 years, with development of high-resolution probes and high image quality many fetal malformations and genetic abnormalities can now be diagnosed not only in the second [73][74][75][76][77][78] but also in the first trimester [79][80][81][82][83][84][85]. Currently there are more than 54,000 publications on the sonographic diagnosis of fetal malformations listed in PubMed.…”

Section: Detection Of Fetal Malformationsmentioning

confidence: 99%

“…Thirty-three years after the introduction of 3D US in obstetrics and gynaecology, 3D/4D US has become globally available and many papers have been published showing the benefits of routine 3D and 4D US in prenatal examinations [78,[191][192][193][194][195][196][197][198][199][200][201][202][203][204][205] and gynaecologic diagnosis [206][207][208] and also in networking of US volumes [209].…”

Section: D/4d Ultrasound In Obstetrics and Gynaecologymentioning

confidence: 99%

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History of ultrasound in obstetrics and gynaecology from 1971 to 2021 on occasion of the 50 years anniversary of EFSUMB

Merz¹,

Evans

Dong

et al. 2023

Med Ultrason

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Diagnostic ultrasound in obstetrics and gynaecology has experienced a fantastic evolution during the past seven decades. Initial steps with A-mode technology were followed by B-mode and B-mode real-time imaging, then by Doppler and colour Doppler ultrasound, and finally by 3D/4D ultrasound. Other evolutionary steps were the development of high-resolution transabdominal and transvaginal transducers providing high quality images in the first, second and third trimesters of pregancy, as well as in gynaecology and breast imaging.The progression from two-dimensional (2D) to three-dimensional ultrasound (3D) and 3D real-time imaging (4D) has brought new options in displaying anatomical structures. In comparison with CT or MRI, it is not a static but functional technique, cheap and safe, and applicable at any time.

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Section: Detection Of Fetal Malformationsmentioning

confidence: 99%

Section: D/4d Ultrasound In Obstetrics and Gynaecologymentioning

confidence: 99%

History of ultrasound in obstetrics and gynaecology from 1971 to 2021 on occasion of the 50 years anniversary of EFSUMB

Merz¹,

Evans

Dong

et al. 2023

Med Ultrason

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“…The knowledge of fetal cardiac function assessment as well as fetal echocardiography itself has advanced dramatically in recent decades [1][2][3][4][5]. With its different modalities, fetal echocardiography has become indispensable for cardiac function assessment [3,6].…”

Section: Introductionmentioning

confidence: 99%

How automated techniques ease functional assessment of the fetal heart: applicability of two-dimensional speckle-tracking echocardiography for comprehensive analysis of global and segmental cardiac deformation using fetalHQ®

Scharf,

Dracopoulos,

Gembicki

et al. 2024

Preprint

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Background Prenatal echocardiographic assessment of fetal cardiac function has become increasingly important. Fetal two-dimensional speckle-tracking echocardiography (2D-STE) allows the determination of global and segmental functional cardiac parameters. Prenatal diagnostics is relying increasingly on artificial intelligence, whose algorithms transform the way clinicians use ultrasound in their daily workflow. The purpose of this study was to demonstrate the feasibility of whether less experienced operators can handle and might benefit from an automated tool of 2D-STE in the clinical routine. Methods A total of 136 unselected, normal, singleton, second- and third-trimester fetuses with normofrequent heart rates were examined by targeted ultrasound. 2D-STE was performed separately by beginner and expert semiautomatically using a GE Voluson E10 (FetalHQ®, GE Healthcare, Chicago, IL, USA). Several fetal cardiac parameters were calculated (end-diastolic diameter (ED), sphericity index (SI), global longitudinal strain (EndoGLS), fractional shortening (FS)) and assigned to gestational age (GA). Bland-Altman plots were used to test agreement between both operators. Results The mean maternal age was 33 years, and the mean maternal body mass index prior to pregnancy was 24.78 kg/m . The GA ranged from 16.4 to 32.0 weeks (average 22.9 weeks). Averaged endoGLS value of the beginner was -18.57 % ± 6.59 percentage points (pp) for the right and -19.58 % ± 5.63 pp for the left ventricle, that of the expert -14.33 % ± 4.88 pp and -16.37 % ± 5.42 pp. With increasing GA, right ventricular endoGLS decreased slightly while the left ventricular were almost constant. The statistical analysis for endoGLS showed a Bland-Altman-Bias of -4.24 pp ± 8.06 pp for the right and -3.21 pp ± 7.11 pp for the left ventricle. The Bland-Altman-Bias of the ED in both ventricles in all analyzed segments ranged from -0.49 mm ± 1.54 mm to -0.10 mm ± 1.28 mm, that for FS from -0.33 pp ± 11.82 pp to 3.91 pp ± 15.56 pp and that for SI from -0.38 ± 0.68 to -0.15 ± 0.45. Conclusions Between both operators, our data indicated that 2D-STE analysis showed excellent agreement for cardiac morphometry parameters (ED and SI), and good agreement for cardiac function parameters (EndoGLS and FS). Due to its complexity, the application of fetal 2D-STE remains the domain of scientific-academic perinatal ultrasound and should be placed preferably in the hands of skilled operators. At present, from our perspective, an implementation into clinical practice ‘on-the-fly’ cannot be recommended.

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