Guidance for fetal cardiac imaging in patients with degraded acoustic windows

Sklansky, Mark; Afshar, Yalda; Anton, Tracy; DeVore, Greggory R.; Platt, Lawrence D.; Satou, Gary

doi:10.1002/uog.24872

Cited by 4 publications

(5 citation statements)

References 20 publications

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“…The complexity and significant morbidity and mortality associated with CHD, combined with the frequent need for urgent postnatal management and interventions, render accurate prenatal diagnostic imaging critical. Particularly for cardiac lesions with low detection rates with conventional fetal cardiac imaging, 34 fetal CMR has a vital role as a complementary diagnostic tool to echocardiography.…”

Section: Discussionmentioning

confidence: 99%

Integration of Prenatal Cardiovascular Magnetic Resonance Imaging in Congenital Heart Disease

Desmond,

Nguyen,

Watterson

et al. 2023

JAHA

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Standard of care echocardiography can have limited diagnostic accuracy in certain cases of fetal congenital heart disease. Prenatal cardiovascular magnetic resonance (CMR) imaging has potential to provide additional anatomic imaging information, including excellent soft tissue images in multiple planes, improving prenatal diagnostics and in utero hemodynamic assessment. We conducted a literature review of fetal CMR, including its development and implementation into clinical practice, and compiled and analyzed the results. Our findings included the fact that technological and innovative approaches are required to overcome some of the challenges in fetal CMR, in part due to the dynamic nature of the fetal heart. A number of reconstruction algorithms and cardiac gating strategies have been developed over time to improve fetal CMR image quality, allowing unique investigations into fetal hemodynamics, oxygenation, and growth. Studies demonstrate that incorporating CMR in the prenatal arena influences postnatal clinical management. With further refinement and experience, fetal CMR in congenital heart disease continues to evolve and demonstrate ongoing potential as a complementary imaging modality to fetal echocardiography in the care of these patients.

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Section: Discussionmentioning

confidence: 99%

Integration of Prenatal Cardiovascular Magnetic Resonance Imaging in Congenital Heart Disease

Desmond,

Nguyen,

Watterson

et al. 2023

JAHA

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“…Например, визуализация кровотока в дуге аорты и артериальном протоке помогает получить "знак V", а также выявить патологические типы кровотока, такие как регургитация на уровне атриовентрикулярного клапана и реверсный кровоток в артериальном протоке и дуге аорты. Режим ЦДК также может представлять собой ценный метод визуализации в оценке анатомии сердца у пациенток с высоким индексом массы тела [104,105] и может улучшить диагностику основных ВПС в группе беременных низкого риска [47,106]. Оптимальные настройки ЦДК включают в себя: использование узкого цветового окна, расположенного только над зоной интереса для оценки, а не охватывающего все двухмерное изображение сердца.…”

Section: цветовое допплеровское картирование кровотокаunclassified

ISUOG Practice Guidelines (updated): fetal cardiac screening

Carvalho,

Axt-Fliedner,

Chaoui

et al. 2024

jour

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These guidelines may have been translated, from the originals published by ISUOG, by recognized experts in the field and have been independently verified by reviewers with a relevant first language. Although all reasonable endeavors have been made to ensure that no fundamental meaning has been changed the process of translation may naturally result in small variations in words or terminology and so ISUOG makes no claim that translated guidelines can be considered to be an exact copy of the original and accepts no liability for the consequence of any variations. The guidelines are only officially approved by the ISUOG in their English published form.

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“…For example, flow visualization in the aorta and ductal arches helps in identifying the 'V-sign' as well as highlighting abnormal blood-flow patterns, such as atrioventricular valve regurgitation and flow reversal in the ductus arteriosus and aortic arch. It may also constitute a valuable tool in the evaluation of cardiac anatomy in obese patients 104,105 and may further improve detection rates of major CHD in low-risk pregnancies 47,106 .…”

Section: Color Flow Doppler Ultrasoundmentioning

confidence: 99%