Four-dimensional echocardiography with spatiotemporal image correlation and inversion mode for detection of congenital heart disease

Yue Qin; Ying Zhang; Xiaohang Zhou; Yu Wang; Wei Sun; Lizhu Chen; Dan Zhao; Ying Zhan; Ailu Cai

doi:10.1016/j.ultrasmedbio.2014.02.008

Four-dimensional echocardiography with spatiotemporal image correlation and inversion mode for detection of congenital heart disease

Ultrasound Med Biol. 2014 Jul;40(7):1434-41. doi: 10.1016/j.ultrasmedbio.2014.02.008. Epub 2014 Apr 27.

Authors

Yue Qin¹, Ying Zhang¹, Xiaohang Zhou², Yu Wang¹, Wei Sun¹, Lizhu Chen¹, Dan Zhao¹, Ying Zhan¹, Ailu Cai³

Affiliations

¹ Department of Sonography, Shengjing Hospital of China Medical University, Heping District, Shenyang, People's Republic of China.
² College of Basic Medical Science of China Medical University, Heping District, Shenyang, People's Republic of China.
³ Department of Sonography, Shengjing Hospital of China Medical University, Heping District, Shenyang, People's Republic of China. Electronic address: [email protected].

PMID: 24785438
DOI: 10.1016/j.ultrasmedbio.2014.02.008

Abstract

The aim of this study was to evaluate the use of 4-D echocardiography with inversion mode and spatiotemporal image correlation (IM-STIC) in the detection of normal and abnormal fetal hearts. We retrospectively studied 112 normal fetuses and 16 fetuses with a confirmed diagnosis of congenital heart disease. Two volumes were acquired from each of the fetuses using transverse and sagittal sweeps. Volumes were reconstructed with IM-STIC. In normal fetuses, IM-STIC facilitated visualization of the interior structures of the fetal heart and great vessels. The visualization rates of intended planes obtained from IM-STIC 4D data ranged from 55% to 100%. In 16 fetuses with congenital heart disease, IM-STIC was able to display the cardiac malformations using digital casting. Some of the malformations were suspected during pre-natal 2-D echocardiography, and their pre-natal IM-STIC diagnoses were confirmed by post-natal echocardiography, surgery and/or autopsy. Hence, 4-D IM-STIC allows better visualization of complex congenital heart disease and should be considered a very useful addition to 2-D echocardiography.

Keywords: 3-D and 4-D; Fetal heart; Inversion mode; Pre-natal diagnosis; Spatiotemporal image correlation; Ultrasound.

Publication types

Comparative Study
Research Support, Non-U.S. Gov't

MeSH terms

Algorithms
Echocardiography, Four-Dimensional / methods*
Female
Heart Defects, Congenital / diagnostic imaging*
Heart Defects, Congenital / embryology*
Humans
Image Enhancement / methods
Image Interpretation, Computer-Assisted / methods*
Male
Pattern Recognition, Automated / methods*
Reproducibility of Results
Sensitivity and Specificity
Spatio-Temporal Analysis
Statistics as Topic
Ultrasonography, Prenatal / methods*