Two-dimensional strain to assess regional left and right ventricular longitudinal function in 100 normal foetuses

Salvo, Giovanni Di; Russo, Maria Giovanna; Paladini, D.; Felicetti, Maria; Castaldi, Biagio; Tartaglione, Antonio; Pietto, L. Di; Ricci, Concetta; Morelli, Carmela; Pacileo, Giuseppe; Calabrò, Raffaele

doi:10.1093/ejechocard/jen134

Cited by 93 publications

(72 citation statements)

References 10 publications

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“…233,[308][309][310][311][312][313][314][315][316][317][318][319] Several of these studies have applied 2D speckle tracking echocardiography to the normal midgestation to late-gestation fetus for the assessment of longitudinal mechanics, although only 1 study to date has also addressed circumferential strain. 318 In general, feasibility is reasonable, although some studies have reported up to 20% to 30% interobserver variability.…”

Section: Strain and Strain Rate Imagingmentioning

confidence: 99%

Diagnosis and Treatment of Fetal Cardiac Disease

Donofrio¹,

Moon-Grady²,

Hornberger³

et al. 2014

Circulation

973

543

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Background— The goal of this statement is to review available literature and to put forth a scientific statement on the current practice of fetal cardiac medicine, including the diagnosis and management of fetal cardiovascular disease. Methods and Results— A writing group appointed by the American Heart Association reviewed the available literature pertaining to topics relevant to fetal cardiac medicine, including the diagnosis of congenital heart disease and arrhythmias, assessment of cardiac function and the cardiovascular system, and available treatment options. The American College of Cardiology/American Heart Association classification of recommendations and level of evidence for practice guidelines were applied to the current practice of fetal cardiac medicine. Recommendations relating to the specifics of fetal diagnosis, including the timing of referral for study, indications for referral, and experience suggested for performance and interpretation of studies, are presented. The components of a fetal echocardiogram are described in detail, including descriptions of the assessment of cardiac anatomy, cardiac function, and rhythm. Complementary modalities for fetal cardiac assessment are reviewed, including the use of advanced ultrasound techniques, fetal magnetic resonance imaging, and fetal magnetocardiography and electrocardiography for rhythm assessment. Models for parental counseling and a discussion of parental stress and depression assessments are reviewed. Available fetal therapies, including medical management for arrhythmias or heart failure and closed or open intervention for diseases affecting the cardiovascular system such as twin–twin transfusion syndrome, lung masses, and vascular tumors, are highlighted. Catheter-based intervention strategies to prevent the progression of disease in utero are also discussed. Recommendations for delivery planning strategies for fetuses with congenital heart disease including models based on classification of disease severity and delivery room treatment will be highlighted. Outcome assessment is reviewed to show the benefit of prenatal diagnosis and management as they affect outcome for babies with congenital heart disease. Conclusions— Fetal cardiac medicine has evolved considerably over the past 2 decades, predominantly in response to advances in imaging technology and innovations in therapies. The diagnosis of cardiac disease in the fetus is mostly made with ultrasound; however, new technologies, including 3- and 4-dimensional echocardiography, magnetic resonance imaging, and fetal electrocardiography and magnetocardiography, are available. Medical and interventional treatments for select diseases and strategies for delivery room care enable stabilization of high-risk fetuses and contribute to improved outcomes. This statement highlights what is currently known and recommended on the basis of evidence and experience in the rapidly advancing and highly specialized field of fetal cardiac care.

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Section: Strain and Strain Rate Imagingmentioning

confidence: 99%

Diagnosis and Treatment of Fetal Cardiac Disease

Donofrio¹,

Moon-Grady²,

Hornberger³

et al. 2014

Circulation

973

543

View full text Add to dashboard Cite

show abstract

“…24 At the present time, fetal studies using 2D CPA have focused on the 4-chamber view, analyzing either the left or right ventricular chambers. [26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43] Therefore, the nomenclature for segmental analysis has to be reconsidered to include the ventricular basal lateral wall and septum, the mid lateral wall and septum, and the apical lateral wall and septum for both right and left ventricles (Figure 8). When the heart is oriented with the apex in the oblique or perpendicular positions, the full thickness of the walls and septum may be imaged and the endocardium clearly delineated.…”

Section: Increasing the Size Of The Imagementioning

confidence: 99%

“…25 Two-dimensional speckle-tracking analysis of the fetal heart has been of interest to investigators since 2005. [26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43] Although there have been differences in equipment and findings, this technology has the potential for broad application in fetal medicine. Deformation analysis has been evaluated in fetuses with twin-twin transfusion syndrome, intrauterine growth restriction, maternal diabetes, as well as other fetal conditions.…”

mentioning

confidence: 99%

Two‐Dimensional Speckle Tracking of the Fetal Heart

DeVore

Polanco²,

Satou

et al. 2016

J of Ultrasound Medicine

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Various approaches to 2‐dimensional speckle tracking have been used to evaluate left ventricular function and deformation in the fetus, child, and adult. In 2015, because of differences in imaging devices and analytical programs, the cardiology community published a consensus document proposing standards for pediatric/adult deformation imaging using 2‐dimensional speckle tracking. The understanding and application of deformation imaging in the fetus have been limited by a lack of uniform software, terminology, techniques, and display. This article provides a practical, step‐by‐step approach for deformation analysis of the fetal heart using offline software that is independent of specific ultrasound vendors.

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“…Many other works [2,[14][15][16][17][18][19] have related to tracking quality indices that have been employed in order to decide whether to include or exclude strain measurements. The commercial vendors usually provide tracking quality indices that state a scoring of "acceptable" or "non-acceptable" segmental strain measurements, with the option of manual corrections.…”

Section: Introductionmentioning

confidence: 99%

Supervised learning approach for tracking quality determination of transmural and segmental time strain curves: A feasibility study

Khamis¹,

Yahav²,

Friedman³

et al. 2017

JBEI

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Quantitative assessment of global and regional left ventricle function by means of myocardial strain estimation has been widely discussed as promising clinical diagnostic markers of left ventricular malfunction. These markers are provided to the clinicians without much feedback regarding their reliability, which may lead to erroneous diagnosis. Therefore, this study aims to classify the calculated strain curves into reliable or artefactual ones, before their clinical adaptation.A supervised machine learning approach is utilized for the classification process. A total of 6,552 strain curves were used, for which a visual labeling protocol was defined and utilized by two experts.An inter-observer labeling concordance of 93% was obtained, and a classification accuracy of 90% was achieved with a specificity of 92% and sensitivity of 78%.This classification tool may enhance the reliability of the estimations of global, transmural and regional strain curves, by automatically classifying them into physiological or artefactual curves.

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Two-dimensional strain to assess regional left and right ventricular longitudinal function in 100 normal foetuses

Abstract: This study demonstrated that 2D-S is a feasible and reproducible approach to assess regional ventricular function in the foetal heart, ready for the clinical application.

Cited by 93 publications

References 10 publications

Diagnosis and Treatment of Fetal Cardiac Disease

Diagnosis and Treatment of Fetal Cardiac Disease

Two‐Dimensional Speckle Tracking of the Fetal Heart

Supervised learning approach for tracking quality determination of transmural and segmental time strain curves: A feasibility study

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