Novel application of 4D sonography with B‐flow imaging and spatio‐temporal image correlation (STIC) in the assessment of the anatomy of pulmonary arteries in fetuses with pulmonary atresia and ventricular septal defect

Volpe, P.; Campobasso, G.; Stanziano, A.; Robertis, V. De; Paolo, Salvatore Di; Caruso, G.; Volpe, N.; Gentile, Mattia

doi:10.1002/uog.2818

Cited by 58 publications

(55 citation statements)

References 28 publications

(36 reference statements)

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“…Our overall diagnostic accuracy was 81%, which is inside the range of 77-96% previously reported [1,2,3,4,18,19], although the GA at diagnosis was lower in our series. The accuracy in the CAT group was 80%, with the most common form corresponding to subtype 1 (fig.…”

Section: Discussionsupporting

confidence: 57%

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Accuracy of Fetal Echocardiography in the Differential Diagnosis between Truncus Arteriosus and Pulmonary Atresia with Ventricular Septal Defect

et al. 2015

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Objectives: To report on the accuracy of fetal echocardiography in the distinction between truncus arteriosus communis (CAT) and pulmonary atresia with ventricular septal defect (PA-VSD) and to describe the association with extracardiac and chromosomal anomalies. Methods: This was a retrospective study on 31 fetuses with a single arterial trunk overriding a VSD with a nonidentifiable right ventricle outflow tract with anterograde flow. Data on the type of cardiac defect, gestational age, characteristics of the arterial trunk valve, presence of additional vascular, chromosomal and extracardiac abnormalities and postnatal outcome were obtained. Misdiagnosed cases were reevaluated by four-dimensional spatiotemporal image correlation (4D-STIC) echocardiography. Results: The overall diagnostic accuracy was 81% and increased to 93.5% with 4D-STIC. Chromosomal and extracardiac anomalies were detected in 40 and 27%, respectively. In the PA-VSD group, patent ductus arteriosus and major aortopulmonary collateral arteries (MAPCAs) were present in 70 and 50% of the cases, respectively, coexisting in 1 of 5 cases. MAPCAs were significantly associated with a right aortic arch and with a 22q11 microdeletion in 50% of cases. Conclusions: A prenatal distinction between CAT and PA-VSD can currently be achieved in most cases. MAPCAs should be actively searched for when PA-VSD is suspected, as they are associated with a higher risk of 22q11 microdeletion and potentially complicate postnatal treatment.

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Section: Discussionsupporting

confidence: 57%

“…Previous studies have suggested that both sequential echocardiography [3,18] and 4D-STIC echocardiography [19,28] can be used to improve the differential diagnosis. In our series, 80% of the parents decided not to continue with the pregnancy, but we retrospectively analyzed 5 of the 6 misdiagnosed cases by 4D-STIC echocardiography.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of Fetal Echocardiography in the Differential Diagnosis between Truncus Arteriosus and Pulmonary Atresia with Ventricular Septal Defect

et al. 2015

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“…There have been few reports on B-flow imaging of the umbilical cord and fetal cardiac imaging. [4][5][6][7][8] However, for potential users of this technique, the question is whether the images alone add new information.9 …”

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confidence: 99%

Four‐dimensional sonography with B‐flow imaging and spatiotemporal image correlation for visualization of the fetal heart

Hata

Dai

Inubashiri

et al. 2008

J of Clinical Ultrasound

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“…For example, power Doppler reconstructions of 3D and 4D volume data sets have been used to visualize the spatial configuration of abnormal vasculature in the fetal liver, 1,2 other vascular territories, 1,3 and abnormal arterial connections to the fetal heart. 4,5 Recently, 3D and 4D rendering algorithms, including the minimum projection mode, 6 the inversion mode, [7][8][9] and B-flow, [10][11][12][13][14] have been used to visualize normal and abnormal vascular connections to the fetal heart. However, these rendering algorithms frequently require image optimization, increasing the time needed for offline volume analysis.…”

mentioning

confidence: 99%

A Systematic Approach to the Use of the Multiplanar Display in Evaluation of Abnormal Vascular Connections to the Fetal Heart Using 4-Dimensional Ultrasonography

Espinoza

Hassan

Gotsch

et al. 2007

Journal of Ultrasound in Medicine

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Objective. The multiplanar display is a modality that allows the simultaneous visualization of 3 orthogonal planes from volume data sets obtained with 3-and 4-dimensional ultrasonography. Simultaneous display of standard views used in fetal echocardiography and their orthogonal planes may provide novel ultrasonographic views for examination of the fetal heart and its vascular connections. This study was designed to determine the clinical utility of the multiplanar display in the examination of abnormal vascular connections to the fetal heart. Methods. We reviewed 4-dimensional volume data sets, acquired with the spatiotemporal image correlation technique, from patients with abnormal vascular connections to the fetal heart. Multiplanar views of the fetal heart were used to simultaneously display standard planes used in fetal echocardiography and their corresponding orthogonal planes. Results. This study included 4 volume data sets from fetuses with confirmed abnormal vascular connections to the heart, including: (1) an interrupted inferior vena cava with azygos or hemiazygos vein continuation; (2) a persistent left superior vena cava draining into a dilated coronary sinus; and (3) a dilated superior vena cava associated with a thoracic lymphangioma. Simultaneous visualization of orthogonal planes displaying abnormal vascular connections to the fetal heart facilitated identification of the abnormal vessels and their spatial relationships with other vascular structures. Conclusions. Multiplanar imaging can be used to assess abnormal vascular connections to the fetal heart and may provide novel ultrasonographic planes for fetal echocardiography using 3-and 4-dimensional ultrasonography. Key words: congenital heart disease; fetal echocardiography; prenatal diagnosis; spatiotemporal; spatiotemporal image correlation; vascular connections. renatal visualization of abnormal venous connections to the fetal heart with 2-dimensional ultrasonography requires the examiner to continuously scan these vascular structures in multiple ultrasonographic planes. This process also involves simultaneous analysis of anatomic structures through mental reconstruction of their spatial relationships. This process can be facilitated using 3-dimensional (3D) and

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Novel application of 4D sonography with B‐flow imaging and spatio‐temporal image correlation (STIC) in the assessment of the anatomy of pulmonary arteries in fetuses with pulmonary atresia and ventricular septal defect

Abstract: Objectives To assess the reliability of two-dimensional gray-scale (2D) and color

Cited by 58 publications

References 28 publications

Accuracy of Fetal Echocardiography in the Differential Diagnosis between Truncus Arteriosus and Pulmonary Atresia with Ventricular Septal Defect

Accuracy of Fetal Echocardiography in the Differential Diagnosis between Truncus Arteriosus and Pulmonary Atresia with Ventricular Septal Defect

Four‐dimensional sonography with B‐flow imaging and spatiotemporal image correlation for visualization of the fetal heart

A Systematic Approach to the Use of the Multiplanar Display in Evaluation of Abnormal Vascular Connections to the Fetal Heart Using 4-Dimensional Ultrasonography

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