Fetal echocardiography at 11 + 0 to 13 + 6 weeks using four‐dimensional spatiotemporal image correlation telemedicine via an Internet link: a pilot study

Abstract

Objectives To assess whether spatiotemporal image correlation (STIC)

Uso de las tecnologías de información y comunicación para el cuidado del binômio materno-fetal: revisión de tema

“…Ecocardiografía fetal La evaluación de ecocardiografías fetales entre la semana 11 y la 13 ha demostrado ser factible y precisa en el diagnóstico de anomalías cardíacas 35 . Esta evaluación está limitada por la escasez de médicos especialistas cualificados que pueden interpretar estos ultrasonidos.…”

Current Experience and Prospect of Internet Consultation in Fetal Cardiac Ultrasound

“…However, few studies have assessed the diagnostic success rate when the 3D/4D acquisitions of the fetal heart were carried out by non-expert operators [5,6,18] . In my opinion, two different factors must be taken into consideration prior to any critical analysis of the accuracy of the method.…”

“…In my opinion, two different factors must be taken into consideration prior to any critical analysis of the accuracy of the method. Firstly, operators who are motivated and enthusiastic to learn the acquisition method and correct their technique over time based on feedback from a remote reviewer will produce the good-quality volume datasets so essential for any subsequent successful analysis [5,6,16,17] . Almost 2 decades ago, Sharland and Allan [22] already demonstrated that the enthusiasm and attitude of the physicians involved in fetal heart screening was often reflected in the results.…”

“…Internet consultation with volume ultrasound is one of the strategies studied to attempt to improve prenatal detection of CHD [5,6] . We can define this methodology as a form of telemedicine in which a volume block of the fetal heart (either static 3D or STIC volume dataset) is acquired by an operator (non-expert) and transmitted via internet for remote consultation.…”

Three- and Four-Dimensional Fetal Echocardiography

“…The study was repeated in 2008 for 35 fetuses at 11 to 13 + 6 weeks' gestation. The acquisition of adequate volumes was more difficult due to fetal movement but it was possible to obtain and analyze complete volume datasets when the fetuses were beyond 12 weeks' gestation [23] . Our group also standardized the technique for examination at the first trimester using STIC and TUI in combination.…”