Premium
OP11.06: Semi‐automatic assessment of the fetal cardiac axis in fetuses affected by congenital heart disease using fetal intelligent navigation echocardiography (FINE)
Author(s) -
Weichert A.,
Gembicki M.A.,
Hartge D.R.,
Weichert J.
Publication year - 2019
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.20757
Subject(s) - medicine , fetal echocardiography , heart disease , fetus , ultrasound , population , cardiology , obstetrics and gynaecology , obstetric ultrasound , cardiac ultrasound , pregnancy , radiology , prenatal diagnosis , genetics , biology , environmental health
Objectives Congenital heart disease (CHD) is the most prevalent organ-specific birth defect and a major cause of infant morbidity and mortality. Depending on the studied population the reported incidence varies from about 4/1,000 to 50/1,000 live births. Despite ultrasound screening guidelines and almost general access to ultrasound screening the majority of cardiac defects are missed prenatally. Fetal Intelligent Navigation Echocardiography (FINE) has been introduced to support operators to extract reference planes and cardiac axis from a cardiac spatiotemporal image correlation (STIC) volume. Methods In our retrospective study patients with fetuses affected by congenital cardiac defects/thoracic masses and stored STIC volumes have been identified (n=542) and were compared with 1543 volumes of normal fetal hearts. The CHD include HLHS, AVSD, DORV as well as other major cardiac defects. After marking seven anatomical structures the FINE software generated semiautomatically nine echocardiography standard planes according to the guidelines issued by the International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) and the American Institute of Ultrasound in Medicine (AIUM) and calculated the cardiac axis. affected by DORV**, HLHS****, Pulmonary Atresia****, RAA***, Situs ambiguus***, TOF**** and thoracic masses**. Conclusion This study confirms and expands on previous studies suggesting that FINE is a valuable tool to identify cardiac defects. Beyond that our data show that combining the results with semi-automatic assessment of the cardiac axis might improve the detection rate of fetuses with CHD. Alexander Weichert, Michael A. Gembicki, David R. Hartge, Jan Weichert 1Department of Obstetrics, Charité Universitätsmedizin Berlin, Germany; 2Center for Prenatal Diagnosis Bergmannstrasse 102, Berlin, Germany 3University of Schleswig-Holstein, Departments of Obstetrics and Gynecology, Campus Lübeck, Germany OP 11.06