PMID- 18335509
OWN - NLM
STAT- MEDLINE
DCOM- 20080805
LR  - 20161124
IS  - 0091-2751 (Print)
IS  - 0091-2751 (Linking)
VI  - 36
IP  - 4
DP  - 2008 May
TI  - Four-dimensional sonography with B-flow imaging and spatiotemporal image 
      correlation for visualization of the fetal heart.
PG  - 204-7
LID - 10.1002/jcu.20478 [doi]
AB  - PURPOSE: To use B-flow imaging with 4-dimensional (4D) sonography and 
      spatiotemporal image correlation (STIC) in the evaluation of normal fetal heart 
      and congenital heart disease during pregnancy. METHOD: Volume data sets of the 
      fetal heart were acquired with automated transverse and longitudinal sweeps of 
      the anterior chest wall. We studied 13 normal fetuses and 2 fetuses with 
      congenital heart disease (1 double-outlet right ventricle and 1 hypoplastic left 
      heart syndrome) at gestation ages ranging from 13 to 39 weeks using 
      transabdominal 4D B-flow sonography with STIC (4D BF-STIC). RESULTS: 4D BF-STIC 
      demonstrated dynamic angiographic features in both normal and abnormal fetal 
      hearts. 4D BF-STIC images could not be obtained in 2 normal fetuses at 18.1 and 
      33.1 weeks because of the high fetal heart rate and inappropriate fetal position. 
      In normal fetal heart, characteristic hemodynamic changes in both atria and 
      ventricles were clearly demonstrated in systole and diastole. 4D BF-STIC also 
      allowed visualization of the relationship, size, and course of the outflow 
      tracts, thus helping the examiner to better understand the relationships between 
      the vessels. In a case of hypoplastic left heart syndrome, dramatic hemodynamic 
      changes including the right atrium, right ventricle, and pulmonary artery were 
      evident. In a case of double-outlet right ventricle with ventricular septal 
      defect, left-to-right shunt flow through a ventricular septal defect was clearly 
      shown, as were great arteries originating in parallel from the right ventricle. 
      CONCLUSION: 4D BF-STIC provides a means of real-time 3-dimensional evaluation of 
      fetal intracardiac and extracardiac hemodynamics in the second and third 
      trimesters. This novel technique assists in the evaluation of fetal cardiac 
      hemodynamics and may play an important role in future fetal cardiac research and 
      in the evaluation of congenital heart disease in the fetus.
CI  - (c) 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2008.
FAU - Hata, Toshiyuki
AU  - Hata T
AD  - Department of Perinatology and Gynecology, Kagawa University School of Medicine, 
      1750-1 Ikenobe, Miki, Kagawa 761-0793, Japan.
FAU - Dai, Shu-Yan
AU  - Dai SY
FAU - Inubashiri, Eisuke
AU  - Inubashiri E
FAU - Kanenishi, Kenji
AU  - Kanenishi K
FAU - Tanaka, Hirokazu
AU  - Tanaka H
FAU - Yanagihara, Toshihiro
AU  - Yanagihara T
FAU - Araki, Seiko
AU  - Araki S
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Clin Ultrasound
JT  - Journal of clinical ultrasound : JCU
JID - 0401663
SB  - IM
MH  - *Coronary Circulation
MH  - *Echocardiography, Four-Dimensional
MH  - Female
MH  - Fetal Heart/*diagnostic imaging/*embryology
MH  - Gestational Age
MH  - Heart Defects, Congenital/diagnostic imaging
MH  - Humans
MH  - Image Processing, Computer-Assisted
MH  - Pregnancy
MH  - Pregnancy Trimester, Second
MH  - Pregnancy Trimester, Third
EDAT- 2008/03/13 09:00
MHDA- 2008/08/06 09:00
CRDT- 2008/03/13 09:00
PHST- 2008/03/13 09:00 [pubmed]
PHST- 2008/08/06 09:00 [medline]
PHST- 2008/03/13 09:00 [entrez]
AID - 10.1002/jcu.20478 [doi]
PST - ppublish
SO  - J Clin Ultrasound. 2008 May;36(4):204-7. doi: 10.1002/jcu.20478.