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Prenatal screening of fetal ventriculoarterial connections: benefits of 4D technique in fetal heart imaging
BACKGROUND: Identification of prenatal ventriculoarterial connections in fetuses with conotruncal anomalies (CTA) remains one of the greatest challenges for sonographers performing screening examinations. Herein, we propose a novel protocol of 4D volume analysis that identifies ventriculoarterial co...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5481875/ https://www.ncbi.nlm.nih.gov/pubmed/28645293 http://dx.doi.org/10.1186/s12947-017-0108-5 |
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author | Wang, Yu Fan, Miao Siddiqui, Faiza Amber Wang, Meilian Sun, Wei Sun, Xue Lei, Wenjia Zhang, Ying |
author_facet | Wang, Yu Fan, Miao Siddiqui, Faiza Amber Wang, Meilian Sun, Wei Sun, Xue Lei, Wenjia Zhang, Ying |
author_sort | Wang, Yu |
collection | PubMed |
description | BACKGROUND: Identification of prenatal ventriculoarterial connections in fetuses with conotruncal anomalies (CTA) remains one of the greatest challenges for sonographers performing screening examinations. Herein, we propose a novel protocol of 4D volume analysis that identifies ventriculoarterial connections and evaluate its clinical utility in routine screenings. METHODS: Twenty-nine cases of transposition of the great arteries (TGA), 22 cases of double-outlet right ventricle (DORV), 36 cases of tetralogy of Fallot (TOF), 14 cases of truncus arteriosus (TCA), and randomly selected 70 normal fetuses were reviewed in this study. All cases were evaluated using 2D data alone (2D method), post-processing volumes with no exact algorithm (4D-1 method), or with the proposed algorithm (4D-2 method), or using the 2D and 4D data together (combined method). Comparisons were made to evaluate the detection rate of ventriculoarterial connections for these different methods. RESULTS: During 18–28 gestational weeks, the detection rate of 4D-2 modality was satisfactory. The detection rate of the combined method was significantly higher than 2D method in the identification of TGA, TOF, and TCA. The detection rate of 4D-1 method was significantly lower than 4D −2 modality for CTA fetuses. During late pregnancy, the detection rate for both 4D modalities was very low due to the poor quality of the 4D volumes. CONCLUSIONS: We proposed a detailed protocol, which allowed the examiner to identify fetal ventriculoarterial connections by 4D volumes. Inclusion of blood information into the volumes improved diagnosis. Our findings suggest that the incorporation of 4D STIC into routine screenings could improve the detection for TGA, TOF, and TCA. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12947-017-0108-5) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5481875 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-54818752017-06-23 Prenatal screening of fetal ventriculoarterial connections: benefits of 4D technique in fetal heart imaging Wang, Yu Fan, Miao Siddiqui, Faiza Amber Wang, Meilian Sun, Wei Sun, Xue Lei, Wenjia Zhang, Ying Cardiovasc Ultrasound Research BACKGROUND: Identification of prenatal ventriculoarterial connections in fetuses with conotruncal anomalies (CTA) remains one of the greatest challenges for sonographers performing screening examinations. Herein, we propose a novel protocol of 4D volume analysis that identifies ventriculoarterial connections and evaluate its clinical utility in routine screenings. METHODS: Twenty-nine cases of transposition of the great arteries (TGA), 22 cases of double-outlet right ventricle (DORV), 36 cases of tetralogy of Fallot (TOF), 14 cases of truncus arteriosus (TCA), and randomly selected 70 normal fetuses were reviewed in this study. All cases were evaluated using 2D data alone (2D method), post-processing volumes with no exact algorithm (4D-1 method), or with the proposed algorithm (4D-2 method), or using the 2D and 4D data together (combined method). Comparisons were made to evaluate the detection rate of ventriculoarterial connections for these different methods. RESULTS: During 18–28 gestational weeks, the detection rate of 4D-2 modality was satisfactory. The detection rate of the combined method was significantly higher than 2D method in the identification of TGA, TOF, and TCA. The detection rate of 4D-1 method was significantly lower than 4D −2 modality for CTA fetuses. During late pregnancy, the detection rate for both 4D modalities was very low due to the poor quality of the 4D volumes. CONCLUSIONS: We proposed a detailed protocol, which allowed the examiner to identify fetal ventriculoarterial connections by 4D volumes. Inclusion of blood information into the volumes improved diagnosis. Our findings suggest that the incorporation of 4D STIC into routine screenings could improve the detection for TGA, TOF, and TCA. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12947-017-0108-5) contains supplementary material, which is available to authorized users. BioMed Central 2017-06-23 /pmc/articles/PMC5481875/ /pubmed/28645293 http://dx.doi.org/10.1186/s12947-017-0108-5 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Wang, Yu Fan, Miao Siddiqui, Faiza Amber Wang, Meilian Sun, Wei Sun, Xue Lei, Wenjia Zhang, Ying Prenatal screening of fetal ventriculoarterial connections: benefits of 4D technique in fetal heart imaging |
title | Prenatal screening of fetal ventriculoarterial connections: benefits of 4D technique in fetal heart imaging |
title_full | Prenatal screening of fetal ventriculoarterial connections: benefits of 4D technique in fetal heart imaging |
title_fullStr | Prenatal screening of fetal ventriculoarterial connections: benefits of 4D technique in fetal heart imaging |
title_full_unstemmed | Prenatal screening of fetal ventriculoarterial connections: benefits of 4D technique in fetal heart imaging |
title_short | Prenatal screening of fetal ventriculoarterial connections: benefits of 4D technique in fetal heart imaging |
title_sort | prenatal screening of fetal ventriculoarterial connections: benefits of 4d technique in fetal heart imaging |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5481875/ https://www.ncbi.nlm.nih.gov/pubmed/28645293 http://dx.doi.org/10.1186/s12947-017-0108-5 |
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