Value of smart-planes fetal heart in quantitative analysis of aortic and pulmonary artery diameters
10.3760/cma.j.issn.1004-4477.2019.02.013
- VernacularTitle:胎儿心脏自动容积导航技术在定量分析主动脉、肺动脉内径中的价值
- Author:
Shuyi LYU
1
;
Bowen ZHAO
;
Qiaoqiao GUO
;
Mei PAN
;
Bei WANG
;
Xiaohui PENG
;
Ran CHEN
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;
Fetus;
Left ventricular outflow view;
Right ventricular outflow view;
Fetal intelligent navigation echocardiography
- From:
Chinese Journal of Ultrasonography
2019;28(2):156-161
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility of smart-planes fetal heart ( S-planes FH ) in the display of the fetal ventricular outflow views ,and to compare diameters of fetal aorta ( AO) and pulmonary artery (PA) measured using two-dimensional echocardiography(2DE) and S-planes FH . Methods One hundred and eighty-five fetuses with gestational age of 17 - 36 weeks were enrolled . Each fetus had undergone conventional 2DE examination and the three-dimensional fetal cardiac volume datasets were obtained . The volume datasets were analyzed offline using S-planes FH . The diameters of AO and PA were measured by 2DE and S-planes FH ,respectively . Pearson correlation analysis was used to evaluate the correlation between the two methods for measuring the diameters of AO and PA . The consistency of the two methods was verified by Bland-Altman analysis . Results Fetal ventricular outflow views were successfully obtained using S-planes FH in 173 ( 93 .5% ) cases of 185 fetuses whose ventricular outflow views were satisfactorily obtained by fetal 2DE . There were close correlations between the two methods in measuring the diameters of AO and PA ( r = 0 .84 , P = 0 .04; r = 0 .81 , P = 0 .00 ) . Bland-Altman analysis showed a close consistency between the two methods ,and their 95% confidence intervals were ( -1 .17 ,1 .00) and ( -1 .79 ,1 .02) ,respectively . Conclusions There is a close consistency between S-planes FH and 2DE in measuring fetal AO and PA . S-planes FH may have potential for the evaluation of fetal ventricular outflow .