A preliminary study of Fetal Intelligent Navigation Echocardiography in the prenatal diagnosis of conotruncal defects
10.3760/cma.j.issn.1004-4477.2018.09.010
- VernacularTitle:胎儿心脏超声智能导航技术对产前诊断胎儿圆锥动脉干畸形的初步研究
- Author:
Liming YANG
1
;
Bowen ZHAO
;
Qiang LI
;
Yuan YANG
;
Bei WANG
;
Xiaohui PENG
;
Mei PAN
;
Xiuru LI
;
Ying HAN
Author Information
1. 浙江大学医学院附属邵逸夫医院超声科 浙江省胎儿心脏超声诊断技术指导中心 浙江大学邵逸夫临床医学研究所
- Keywords:
Echocardiography;
Congenital heart disease;
Fetal heart;
Conotruncal anomalies;
Spatiotemporal image correlation;
Fetal intelligent navigation echocardiography
- From:Chinese Journal of Ultrasonography
2018;27(9):777-783
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application of fetal intelligent navigation echocardiography ( FINE ,5D Heart) in the diagnosis of conotruncal anomalies ( CTD ) . Methods For prospective study , volume transducer was used to collect the three-dimensional data of fetal heart at 20th - 30th week of gestation . The STIC volume images were processed by three independent physicians of different hierarchies via 5D Heart software afterwards ,and the quality of the STIC diagnosis as well as the consistence among the physicians were analyzed according to the gold standard of postpartum ultrasonic follow-up or surgery results . Results Twelve out of 16 CTD cases were finally included in the study ,and the volume data were analyzed . Senior physicians A could apply 5D Heart diagnosis to achieve 2D-US diagnosis efficiency and gold standard consistently( P = 0 .157 ,0 .083) ,medium and low seniority physician B and C got roughly equal score using 5D Heart diagnosis( P = 0 .705) ,but the diagnostic performance could not reach 2D-US ( P =0 .000 ,0 .000) and gold standard( P = 0 .000 ,0 .000) . Conclusions Fetal cardiac anomalies of CTD can be diagnosed correctly by an expert using 5D Heart ,which has important application prospects in remote consultation , training and scientific research and teaching of congenital heart disease of fetus .
