Novel foetal echocardiographic image processing software (5D Heart) improves the display of key diagnostic elements in foetal echocardiography
Tóm tắt
To evaluate the clinical value of foetal intelligent navigation echocardiography (5D Heart) for the display of key diagnostic elements in basic sections. 3D volume datasets of 182 normal singleton foetuses were acquired with a four chamber view by using a volume probe. After processing the datasets by using 5D Heart, eight cardiac diagnostic planes were demonstrated, and the image qualities of the key diagnostic elements were graded by 3 doctors with different experiences in performing foetal echocardiography. A total of 231 volume datasets acquired from the 182 normal foetuses were used for 5D Heart analysis and display. The success rate of 8 standard diagnostic views was 88.2%, and the success rate of each diagnostic view was 55.8–99.2% and 70.7–99.0% for the random four chamber view as the initial section and for the apical four chamber view as the initial section, respectively. The success rate of each diagnostic element in the 8 diagnostic sections obtained by 5D Heart was 58.9%~ 100%. Excellent agreement was found between experienced sonographers and less-experienced sonographers (kappa> 0.769). Inter- and intra-observer agreement were substantial to near-perfect, kappa values ranging from 0.612 to 1.000 (Cohen’s kappa). 5D Heart can significantly improve the image quality of key diagnostic elements in foetal echocardiography with low operator dependency and good reproducibility.
Tài liệu tham khảo
Donofrio MT, Moon-Grady AJ, Hornberger LK, Copel JA, Sklansky MS, Abuhamad A, et al. Diagnosis and treatment of fetal cardiac disease: a scientific statement from the American Heart Association. Circulation. 2014;129(21):2183–242.
Improved national prevalence estimates for 18 selected major birth defects--United States, 1999–2001. MMWR Morb Mortal Wkly Rep. 2006;54(51):1301–5.
Friedberg MK, Silverman NH, Moon-Grady AJ, Tong E, Nourse J, Sorenson B, et al. Prenatal detection of congenital heart disease. J Pediatr. 2009;155(1):26–31 e1.
DeVore GR, Falkensammer P, Sklansky MS, Platt LD. Spatio-temporal image correlation (STIC): new technology for evaluation of the fetal heart. Ultrasound Obstetrics Gynecol. 2003;22(4):380–7.
Rychik J, Ayres N, Cuneo B, Gotteiner N, Hornberger L, Spevak PJ, et al. American Society of Echocardiography guidelines and standards for performance of the fetal echocardiogram. J Am Soc Echocardiography. 2004;17(7):803–10.
McBrien A, Sands A, Craig B, Dornan J, Casey F. Impact of a regional training program in fetal echocardiography for sonographers on the antenatal detection of major congenital heart disease. Ultrasound Obstetrics Gynecol. 2010;36(3):279–84.
DeVore GR, Medearis AL, Bear MB, Horenstein J, Platt LD. Fetal echocardiography: factors that influence imaging of the fetal heart during the second trimester of pregnancy. J Ultrasound Med. 1993;12(11):659–63.
AIUM practice guideline for the performance of fetal echocardiography. J Ultrasound Med. 2013;32(6):1067–82.
Tegnander E, Eik-Nes SH. The examiner's ultrasound experience has a significant impact on the detection rate of congenital heart defects at the second-trimester fetal examination. Ultrasound Obstetrics Gynecol. 2006;28(1):8–14.
International Society of Ultrasound in Obstetrics and Gynecology Guidelines. Cardiac screening examination of the fetus: guidelines for performing the 'basic' and 'extended basic' cardiac scan. Ultrasound Obstet Gynecol. 2006;27(1):107–13.
Asplin N, Dellgren A, Conner P. Education in obstetrical ultrasound--an important factor for increasing the prenatal detection of congenital heart disease. Acta Obstet Gynecol Scand. 2013;92(7):804–8.
Rocha LA, Rolo LC, Barros FS, Nardozza LM, Moron AF, Araujo Junior E. Assessment of quality of fetal heart views by 3D/4D ultrasonography using Spatio-temporal image correlation in the second and third trimesters of pregnancy. Echocardiography. 2015;32(6):1015–21.
Herberg U, Goldberg H, Breuer J. Three- and four-dimensional freehand fetal echocardiography: a feasibility study using a hand-held Doppler probe for cardiac gating. Ultrasound Obstetrics Gynecol. 2005;25(4):362–71.
Espinoza J, Goncalves LF, Lee W, Chaiworapongsa T, Treadwell MC, Stites S, et al. The use of the minimum projection mode in 4-dimensional examination of the fetal heart with spatiotemporal image correlation. J Ultrasound Med. 2004;23(10):1337–48.
Bennasar M, Martinez JM, Gomez O, Figueras F, Olivella A, Puerto B, et al. Intra- and interobserver repeatability of fetal cardiac examination using four-dimensional spatiotemporal image correlation in each trimester of pregnancy. Ultrasound Obstetrics Gynecol. 2010;35(3):318–23.
Rizzo G, Capponi A, Pietrolucci ME, Arduini D. Role of sonographic automatic volume calculation in measuring fetal cardiac ventricular volumes using 4-dimensional sonography: comparison with virtual organ computer-aided analysis. J Ultrasound Med. 2010;29(2):261–70.
Barros FS, Rolo LC, Rocha LA, Martins WP, Nardozza LM, Moron AF, et al. Reference ranges for the volumes of fetal cardiac ventricular walls by three-dimensional ultrasound using spatiotemporal image correlation and virtual organ computer-aided analysis and its validation in fetuses with congenital heart diseases. Prenat Diagn. 2015;35(1):65–73.
Ahmed BI. The new 3D/4D based spatio-temporal imaging correlation (STIC) in fetal echocardiography: a promising tool for the future. J Matern Fetal Neonatal Med. 2014;27(11):1163–8.
Paladini D, Sglavo G, Greco E, Nappi C. Cardiac screening by STIC: can sonologists performing the 20-week anomaly scan pick up outflow tract abnormalities by scrolling the A-plane of STIC volumes? Ultrasound Obstetrics Gynecol. 2008;32(7):865–70.
Espinoza J, Romero R, Kusanovic JP, Gotsch F, Lee W, Goncalves LF, et al. Standardized views of the fetal heart using four-dimensional sonographic and tomographic imaging. Ultrasound Obstetrics Gynecol. 2008;31(2):233–42.
Garcia M, Yeo L, Romero R, Haggerty D, Giardina I, Hassan SS, et al. Prospective evaluation of the fetal heart using fetal intelligent navigation echocardiography (FINE). Ultrasound Obstetrics Gynecol. 2016;47(4):450–9.
Veronese P, Bogana G, Cerutti A, Yeo L, Romero R, Gervasi MT. A prospective study of the use of fetal intelligent navigation echocardiography (FINE) to obtain standard fetal echocardiography views. Fetal Diagn Ther. 2017;41(2):89–99.
Yeo L, Romero R. Fetal intelligent navigation echocardiography (FINE): a novel method for rapid, simple, and automatic examination of the fetal heart. Ultrasound Obstetrics Gynecol. 2013;42(3):268–84.
Hadlock FP, Deter RL, Harrist RB, Park SK. Fetal biparietal diameter: a critical re-evaluation of the relation to menstrual age by means of real-time ultrasound. J Ultrasound Med. 1982;1(3):97–104.
Warda AH, Deter RL, Rossavik IK, Carpenter RJ, Hadlock FP. Fetal femur length: a critical reevaluation of the relationship to menstrual age. Obstet Gynecol. 1985;66(1):69–75.
International Society of Ultrasound in O, Gynecology, Carvalho JS, Allan LD, Chaoui R, Copel JA, et al. ISUOG Practice Guidelines (updated): sonographic screening examination of the fetal heart. Ultrasound Obstetrics Gynecol. 2013;41(3):348–59.
Tripodi E, Tripodi A, Sturlese E. Fetal echocardiography: a comparison of different techniques. Clin Exp Obstetrics Gynecol. 2000;27(3–4):225–6.
Carvalho JS, Mavrides E, Shinebourne EA, Campbell S, Thilaganathan B. Improving the effectiveness of routine prenatal screening for major congenital heart defects. Heart. 2002;88(4):387–91.
Itsukaichi M, Serikawa T, Yoshihara K, Suzuki H, Haino K, Yamaguchi M, et al. Effectiveness of fetal cardiac screening for congenital heart disease using a combination of the four-chamber view and three-vessel view during the second trimester scan. J Obstet Gynaecol Res. 2018;44(1):49–53.
Yoo SJ, Lee YH, Kim ES, Ryu HM, Kim MY, Choi HK, et al. Three-vessel view of the fetal upper mediastinum: an easy means of detecting abnormalities of the ventricular outflow tracts and great arteries during obstetric screening. Ultrasound Obstetrics Gynecol. 1997;9(3):173–82.
Kirk JS, Riggs TW, Comstock CH, Lee W, Yang SS, Weinhouse E. Prenatal screening for cardiac anomalies: the value of routine addition of the aortic root to the four-chamber view. Obstet Gynecol. 1994;84(3):427–31.
Ogge G, Gaglioti P, Maccanti S, Faggiano F, Todros T. Prenatal screening for congenital heart disease with four-chamber and outflow-tract views: a multicenter study. Ultrasound Obstetrics Gynecol. 2006;28(6):779–84.
Del Bianco A, Russo S, Lacerenza N, Rinaldi M, Rinaldi G, Nappi L, et al. Four chamber view plus three-vessel and trachea view for a complete evaluation of the fetal heart during the second trimester. J Perinat Med. 2006;34(4):309–12.