Current applications of fetal cardiac imaging technology

Current Opinion in Obstetrics and Gynecology

Volumn 18, Issue 2, 2006, Pages 177-184

  Deng, Jing ^a   Rodeck, Charles H ^a  

^a UNIVERSITY COLLEGE LONDON   (United Kingdom)

Author keywords

B flow ultrasonography; Doppler tissue imaging; Dynamic three dimensional (four dimensional) imaging; Fetal heart; Magnetic resonance imaging; Transoesophageal echocardiography

Indexed keywords

ARTIFACT REDUCTION; B SCAN; CONGENITAL HEART MALFORMATION; DOPPLER ECHOGRAPHY; FETUS; FETUS HEART; FETUS MONITORING; HEART FUNCTION; HEART MUSCLE CONTRACTILITY; HEART VENTRICLE WALL; HUMAN; IMAGE ANALYSIS; NUCLEAR MAGNETIC RESONANCE IMAGING; PRENATAL DIAGNOSIS; PRIORITY JOURNAL; REVIEW; THREE DIMENSIONAL ECHOCARDIOGRAPHY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; VOLUMETRY;

ECHOCARDIOGRAPHY, FOUR-DIMENSIONAL; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; FEMALE; HEART DEFECTS, CONGENITAL; HUMANS; IMAGE PROCESSING, COMPUTER-ASSISTED; PREGNANCY; ULTRASONOGRAPHY, PRENATAL;

EID: 33646536100     PISSN: 1040872X     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.gco.0000192987.99847.a4     Document Type: Review

References (83)

1. Wells PN. Advances in ultrasound: from microscanning to telerobotics. Br J Radiol 2000; 73:1138-1147.
2. Foster FS, Pavlin CJ, Harasiewicz KA, et al. Advances in ultrasound biomicroscopy. Ultrasound Med Biol 2000; 26:1-27.
3. Deng J, Rodeck CH. New fetal cardiac imaging techniques (invited review). Prenat Diagn 2004; 24:1092-1103.
4. Shen Y, Leatherbury L, Rosenthal J, et al. Cardiovascular phenotyping of fetal mice by noninvasive high frequency ultrasound facilitates recovery of ENU induced mutations causing congenital cardiac and extracardiac defects. Physiol Genomics 2005; 24:23-36.
5. Le Floc'h J, Cherin E, Zhang MY, et al. Developmental changes in integrated ultrasound backscatter from embryonic blood in vivo in mice at high US frequency. Ultrasound Med Biol 2004; 30:1307-1319.
6. Mai W, Le Floc'h J, Vray D, et al. Evaluation of cardiovascular flow characteristics in the 129Sv mouse fetus using color-Doppler-guided spectral Doppler ultrasound. Vet Radiol Ultrasound 2004; 45:568-573.
7. Allan L. Technique of fetal echocardiography. Pediatr Cardiol 2004; 25:223-233.
8. Kovalchin JP, Silverman NH. The impact of fetal echocardiography. Pediatr Cardiol 2004; 25:299-306.
9. Raupach K, Zimmermann R. False diagnosis in prenatal sonography - analysis of causes and formulation of conclusions for the quality management of prenatal sonographic diagnostics. Ultraschall Med 2004; 25:438-443.
10. Stoll C, Alembik Y, Dott B, et al. Evaluation of prenatal diagnosis of congenital heart disease. Prenat Diagn 1998; 18:801-807.
11. Simpson J. Echocardiographic evaluation of cardiac function in the fetus. Prenat Diagn 2004; 24:1081-1091.
12. Deng J, Gardener JE, Rodeck CH, Lees WR. Fetal echocardiography in three and four dimensions. Ultrasound Med Biol 1996; 22:979-986.
13. Nelson TR, Pretorius DH, Sklansky M, Hagen-Ansert S. Three-dimensional echocardiographic evaluation of fetal heart anatomy and function: acquisition, analysis, and display. J Ultrasound Med 1996; 15:1-9.
14. Kwon J, Shaffer E, Shandas R, et al. Acquisition of three-dimensional fetal echocardiograms using external trigger source. Am J Soc Echocardiogr 1996; 9:389.
15. Acar P, Dulac Y, Taktak A, Abadir S. Real-time three-dimensional fetal echocardiography using matrix probe. Prenat Diagn 2005; 25:370-375. A study demonstrating the feasibility of matrix-array transducer based Live 3D ultrasonography in prenatal detection of various cardiac malformations.
16. Arzt W, Tulzer G, Aigner M. Real time 3D sonography of the normal fetal heart - clinical evaluation. Ultraschall Med 2002; 23:388-391.
17. Bhat AH, Corbett VN, Liu R, et al. Validation of volume and mass assessments for human fetal heart imaging by 4-dimensional spatiotemporal image correlation echocardiography: in vitro balloon model experiments. J Ultrasound Med 2004; 23:1151-1159.
18. Bhat AH, Corbett V, Carpenter N, et al. Fetal ventricular mass determination on three-dimensional echocardiography: studies in normal fetuses and validation experiments. Circulation 2004; 110:1054-1060.
19. Brekke S, Tegnander E, Torp HG, Eik-Nes SH. Tissue Doppler gated (TDOG) dynamic three-dimensional ultrasound imaging of the fetal heart. Ultrasound Obstet Gynecol 2004; 24:192-198.
20. Chaoui R, Hoffmann J, Heling KS. Three-dimensional (3D) and 4D color Doppler fetal echocardiography using spatio-temporal image correlation (STIC). Ultrasound Obstet Gynecol 2004; 23:535-545. An early study illustrating the screening and diagnostic value of color Doppler 4D datasets obtained by STIC approach, in particular, the value of reformating cross-sectional colour flow images.
21. Deng J. Terminology of three-dimensional and four-dimensional ultrasound imaging of the fetal heart and other moving body parts. Ultrasound Obstet Gynecol 2003; 22:336-344.
22. Deng J, Yates R, Sullivan ID, et al. Clinical application of real-time three-dimensional ultrasound to the fetal heart. Ultrasound Obstet Gynecol 2003; 22 (Suppl 1):50.
23. Deng J. 3D and 4D fetal echocardiography. Euroson School on Three-Dimensional Ultrasound Imaging. London: Hammersmith Hospital; 2005 (pp. 50-62).
24. DeVore GR, Falkensammer P, Sklansky MS, Platt LD. Spatio-temporal image correlation (STIC): new technology for evaluation of the fetal heart. Ultrasound Obstet Gynecol 2003; 22:380-387.
25. DeVore GR, Polanco B, Sklansky MS, Platt LD. The 'spin' technique: a new method for examination of the fetal outflow tracts using three-dimensional ultrasound. Ultrasound Obstet Gynecol 2004; 24:72-82.
26. Dindoyal I, Lambroua T, Deng J, et al. An active contour model to segment fetal cardiac ultrasound data. In: Proceedings of the 7th Conference on Medical Image Understanding and Analysis; Sheffield, UK; 2003, pp. 77-80.
27. Dindoyal I, Lambroua T, Deng J, et al. Level set segmentation of the fetal heart. In: Frangi AF, editor. Proceedings of the 3rd International Workshop on Functional Imaging and Modeling of the Heart. Lecture Notes in Computer Science; 2005, pp. 123-132.
28. Esh-Broder E, Ushakov FB, Imbar T, Yagel S. Application of free-hand three-dimensional echocardiography in the evaluation of fetal cardiac ejection fraction: a preliminary study. Ultrasound Obstet Gynecol 2004; 23:546-551.
29. Espinoza J, Goncalves LF, Lee W, et al. A novel method to improve prenatal diagnosis of abnormal systemic venous connections using three- and four-dimensional ultrasonography and 'inversion mode'. Ultrasound Obstet Gynecol 2005; 25:428-434. The research uses echogenicity-inverted datasets to produce impressive 3D images of the great vessels in normal fetuses and in the fetuses with abnormal venous drainage.
30. Ghi T, Cera E, Segata M, et al. Inversion mode spatio-temporal image correlation (STIC) echocardiography in three-dimensional rendering of fetal ventricular septal defects. Ultrasound Obstet Gynecol 2005; 26:679-680.
31. Goncalves LF, Lee W, Chaiworapongsa T, et al. Four-dimensional ultrasonography of the fetal heart with spatiotemporal image correlation. Am J Obstet Gynecol 2003; 189:1792-1802.
32. Goncalves LF, Espinoza J, Lee W, et al. Three- and four-dimensional reconstruction of the aortic and ductal arches using inversion mode: a new rendering algorithm for visualization of fluid-filled anatomical structures. Ultrasound Obstet Gynecol 2004; 24:696-698.
33. Goncalves LF, Romero R, Espinoza J, et al. Four-dimensional ultrasonography of the fetal heart using color Doppler spatiotemporal image correlation. J Ultrasound Med 2004; 23:473-481.
34. Goncalves LF, Espinoza J, Romero R, et al. Four-dimensional fetal echocardiography with spatiotemporal image correlation (STIC): a systematic study of standard cardiac views assessed by different observers. J Matern Fetal Neonatal Med 2005; 17:323-331. This study examines the agreement between observers and reproducibility of a technique to display standard cardiac views of the left and right ventricular outflow tracts from quality STIC 4D datasets, establishes the clinical usefulness of the new approach and addresses the necessity for appropriate training.
35. Goncalves LF, Espinoza J, Lee W, et al. A new approach to fetal echocardiography: digital casts of the fetal cardiac chambers and great vessels for detection of congenital heart disease. J Ultrasound Med 2005; 24:415-424. A study using STIC 4D datasets in B-flow mode and inversion mode for delineation of normal and cardiovascular morphology.
36. Herberg U, Goldberg H, Breuer J. Dynamic free-hand three-dimensional fetal echocardiography gated by cardiotocography. Ultrasound Obstet Gynecol 2003; 22:493-502.
37. Herberg U, Goldberg H, Breuer J. Three- and four-dimensional freehand fetal echocardiography: a feasibility study using a hand-held Doppler probe for cardiac gating. Ultrasound Obstet Gynecol 2005; 25:362-371.
38. Jurgens J, Chaoui R. Three-dimensional multiplanar time-motion ultrasound or anatomical M-mode of the fetal heart: a new technique in fetal echocardiography. Ultrasound Obstet Gynecol 2003; 21:119-123.
39. Marx G. New imaging methods - cases by 3D Echo and MRI. In: Kisslo J, editor. Aortic valve disease: new dimensions in evaluation and management. Durham, NC, USA: Duke University School of Medicine; 2003. pp. 83-86.
40. Maulik D, Nanda NC, Singh V, et al. Live three-dimensional echocardiography of the human fetus. Echocardiography 2003; 20:715-721.
41. Meyer-Wittkopf M, Hofbeck M. Two- and three-dimensional echocardiographic analysis of congenital heart disease in the fetus. Herz 2003; 28:240-249.
42. Paladini D, Vassallo M, Sglavo G, Martinelli P. Assessment of cardiac function impairment by four-dimensional echocardiography with inversion mode rendering in fetal congenital heart disease. Ultrasound Obstet Gynecol 2005; 26:346.
43. Pooh RK, Korai A. B-flow and B-flow spatio-temporal image correlation in visualizing fetal cardiac blood flow. Croat Med J 2005; 46:808-811.
44. Shih JC, Chen CP. Spatio-temporal image correlation (STIC): innovative 3D/ 4D technique for illustrating unique and independent information and diagnosing complex congenital heart diseases. Croat Med J 2005; 46:812-820.
45. Sklansky M, Miller D, Devore G, et al. Prenatal screening for congenital heart disease using real-time three-dimensional echocardiography and a novel 'sweep volume' acquisition technique. Ultrasound Obstet Gynecol 2005; 25:435-443. This study establishes the practicality of real-time 3D ultrasound through blind and independent tests on four reviewers' capability of screening fetal congenital heart malformations using a single volume scan. The finding emphasizes the technique's potential and shortcomings using the system in its current status of development, as well as the importance of a new type of training.
46. Sklansky MS, DeVore GR, Wong PC. Real-time 3-dimensional fetal echocardiography with an instantaneous volume-rendered display: early description and pictorial essay. J Ultrasound Med 2004; 23:283-289.
47. Vinals F, Poblete P, Giuliano A. Spatio-temporal image correlation (STIC): a new tool for the prenatal screening of congenital heart defects. Ultrasound Obstet Gynecol 2003; 22:388-394.
48. Vinals F, Mandujano L, Vargas G, Giuliano A. Prenatal diagnosis of congenital heart disease using four-dimensional spatio-temporal image correlation (STIC) telemedicine via an Internet link: a pilot study. Ultrasound Obstet Gynecol 2005; 25:25-31. This study demonstrates the unique value of 4D echocardiography for prenatal screening and diagnosis of congenital heart defects through telemedicine collaboration between two general obstetricians in remote areas and a specialist echocardiographer in a referral centre.
49. Yagel S, Valsky DV, Messing B. Detailed assessment of fetal ventricular septal defect with 4D color Doppler ultrasound using spatio-temporal image correlation technology. Ultrasound Obstet Gynecol 2005; 25:97-98.
50. Merz E, Welter C. 2D and 3D Ultrasound in the evaluation of normal and abnormal fetal anatomy in the second and third trimesters in a level III center. Ultraschall Med 2005; 26:9-16.
51. Sklansky MS, Nelson T, Strachan M, Pretorius D. Real-time three-dimensional fetal echocardiography: initial feasibility study. J Ultrasound Med 1999; 18:745-752.
52. Deng J, Sullivan ID, Yates R, et al. Real-time three-dimensional fetal echocardiography-optimal imaging windows. Ultrasound Med Biol 2002; 28:1099-1105.
53. Deng J, Ruff CF, Linney AD, et al. Simultaneous use of two ultrasound scanners for motion-gated three-dimensional fetal echocardiography. Ultrasound Med Biol 2000; 26:1021-1032.
54. Deng J, Yates R, Sullivan ID, et al. Dynamic three-dimensional colour Doppler ultrasound of human fetal intracardiac flow. Ultrasound Obstet Gynecol 2002; 20:131-136.
55. Meyer-Wittkopf M, Cooper S, Vaughan J, Sholler G. Three-dimensional (3D) echocardiographic analysis of congenital heart disease in the fetus: comparison with cross-sectional (2D) fetal echocardiography. Ultrasound Obstet Gynecol 2001; 17:485-492.
56. Nelson TR, Pretorius DH, Hull A, et al. Sources and impact of artifacts on clinical three-dimensional ultrasound imaging. Ultrasound Obstet Gynecol 2000; 16:374-383.
57. Deng J, Yates R, Birkett AG, et al. Online motion-gated dynamic three-dimensional echocardiography in the fetus - preliminary results. Ultrasound Med Biol 2001; 27:43-50.
58. McDonald D, Deng J, Linney AD, et al. Virtual casting of the fetal heart using Live 3D ultrasound data processed by semi-automated internal surface detection. Ultrasound Obstet Gynecol 2005; 26:413.
59. Ultrasound GE. Technical tutorials: B-Flow. GE Ultrasound website, 2000 http://www.gehealthcare.com/inen/rad/us/products/log_700expert/msudeu.html last accessed on 16 January 2006.
60. Paladini D, Lamberti A, Teodoro A, et al. Tissue Doppler imaging of the fetal heart. Ultrasound Obstet Gynecol 2000; 16:530-535.
61. Jamjureeruk V. Evaluation of ventricular myocardial velocities and heart motion of the fetal heart by tissue Doppler image. J Med Assoc Thai 2001; 84:1158-1163.
62. Twining P. Myocardial motion imaging: a new application of power color flow and frequency-based color flow Doppler in fetal echocardiography. Ultrasound Obstet Gynecol 1999; 13:255-259.
63. Pacileo G, Paladini D, Russo MG, et al. Echocardiographic assessment of ventricular filling pressure during the second and third trimesters of gestation. Ultrasound Obstet Gynecol 2000; 16:128-132.
64. Rein AJ, O'Donnell C, Geva T, et al. Use of tissue velocity imaging in the diagnosis of fetal cardiac arrhythmias. Circulation 2002; 106:1827-1833.
65. Cotton JL. Identification of fetal atrial flutter by Doppler tissue imaging. Circulation 2001; 104:1206-1207.
66. Harada K, Ogawa M, Tanaka T. Right ventricular pre-ejection myocardial velocity and myocardial acceleration in normal fetuses assessed by Doppler tissue imaging. J Am Soc Echocardiogr 2005; 18:370-374. A study examining the possibility of deriving new cardiac indices to the intrinsic contractility of the right ventricle using Doppler tissue imaging.
67. Aoki M, Harada K, Ogawa M, Tanaka T. Quantitative assessment of right ventricular function using Doppler tissue imaging in fetuses with and without heart failure. J Am Soc Echocardiogr 2004; 17:28-35.
68. Di Salvo G, Russo MG, Paladini D, et al. Quantification of regional left and right ventricular longitudinal function in 75 normal fetuses using ultrasound-based strain rate and strain imaging. Ultrasound Med Biol 2005; 31:1159-1162. An initial study attempting to establish the norms of longitudinal myocardial strain rate using information extracted by colour Doppler tissue imaging.
69. Gardiner HM. Progression of fetal heart disease and rationale for fetal intracardiac interventions. Semin Fetal Neonatal Med 2005; 10:578-585.
70. Marshall AC, Tworetzky W, Bergersen L, et al. Aortic valvuloplasty in the fetus: technical characteristics of successful balloon dilation. J Pediatr 2005; 147:535-539.
71. Marshall AC, van der Velde ME, Tworetzky W, et al. Creation of an atrial septal defect in utero for fetuses with hypoplastic left heart syndrome and intact or highly restrictive atrial septum. Circulation 2004; 110:253-258.
72. Tworetzky W, Wilkins-Haug L, Jennings RW, et al. Balloon dilation of severe aortic stenosis in the fetus: potential for prevention of hypoplastic left heart syndrome: candidate selection, technique, and results of successful intervention. Circulation 2004; 110:2125-2131.
73. Jouannic JM, Boudjemline Y, Benifla JL, Bonnet D. Transhepatic ultrasound-guided cardiac catheterization in the fetal lamb: a new approach for cardiac interventions in fetuses. Circulation 2005; 111:736-741.
74. Kohl T, Szabo Z, VanderWall KJ, et al. Experimental fetal transesophageal and intracardiac echocardiography utilizing intravascular ultrasound technology. Am J Cardiol 1996; 77:899-903.
75. Kohl T. Fetal echocardiography: new grounds to explore during fetal cardiac intervention. Pediatr Cardiol 2002; 23:334-346.
76. Smith SW, Light ED, Idriss SF, Wolf PD. Feasibility study of real-time three-dimensional intracardiac echocardiography for guidance of interventional electrophysiology. Pacing Clin Electrophysiol 2002; 25:351-357.
77. Kohl T, Suda K, Reckers J, et al. Fetal transesophageal echocardiography utilizing a 10-F, 10-MHz intravascular ultrasound catheter - comparison with conventional maternal transabdominal fetal echocardiography in sheep. Ultrasound Med Biol 1999; 25:939-946.
78. Kohl T, Hartlage MG, Westphal M, et al. Intra-amniotic multimodal fetal echocardiography in sheep: a novel imaging approach during fetoscopic interventions and for assessment of high-risk pregnancies in which conventional imaging methods fail. Ultrasound Med Biol 2002; 28:731-736.
79. Kohl T, Muller A, Tchatcheva K, et al. Fetal transesophageal echocardiography: clinical introduction as a monitoring tool during cardiac intervention in a human fetus. Ultrasound Obstet Gynecol 2005; 26:780-785. Probably the first human case of percutaneous fetoscopic intraesophageal deployment of the ultrasound catheter for guiding intracardiac intervention (atrial septoplasty). The procedure was achieved without any maternal or fetal complications, although the fetus died from progressive cardiac failure 3 days after the intervention.
80. Deng J, Brookes JA, Gardener JE, et al. Three-dimensional magnetic resonance imaging of the postmortem fetal heart. Fetal Diagn Ther 1996; 11:417-421.
81. Meyer-Wittkopf M, Cook A, McLennan A, et al. Evaluation of three-dimensional ultrasonography and magnetic resonance imaging in assessment of congenital heart anomalies in fetal cardiac specimens. Ultrasound Obstet Gynecol 1996; 8:303-308.
82. Muhler MR, Rake A, Schwabe M, et al. Truncus arteriosus communis in a midtrimester fetus: comparison of prenatal ultrasound and MRI with post-mortem MRI and autopsy. Eur Radiol 2004; 14:2120-2124.
83. Fogel MA, Wilson RD, Flake A, et al. Preliminary investigations into a new method of functional assessment of the fetal heart using a novel application of 'real-time' cardiac magnetic resonance imaging. Fetal Diagn Ther 2005; 20:475-480. A prenatal study of two fetuses with congenital heart defects demonstrating the feasibility of using true fast magnetic resonance imaging for more realistic visualization of the fetal heart than echocardiography and for more accurate volumetric measurements of the ventricular chambers and walls.