Abstract
First-trimester fetal cardiac screening examinations in low-risk populations should not have to meet the specifications required for high-risk populations. Our aim was to evaluate a simplified fetal echocardiographic ('basic heart') examination for early detection of severe congenital heart defects in a low-risk population. This was a first-trimester national 'flash study', performed over a 2-week period. Each observer was requested to perform simplified echocardiography without modifying the time and methods deemed necessary for the routine first-trimester ultrasound examination, in fetuses with crown-rump length between 45 and 84 mm. This basic heart assessment used targeted cross-sections of the four-chamber view (4CV) and of the three vessels and trachea (3VT) view, using color and/or directional power Doppler. All examinations were then reviewed offline and scored for quality by a qualified expert. Sixty observers performed a total of 597 first-trimester ultrasound examinations, each performing an average of 10 (range, 1-26) procedures. Examinations were conducted transabdominally (79%; 472/597), transvaginally (3%; 17/597) or both (18%; 108/597). In 8% (45/597) of cases, the fetal back was anterior, in 18% (108/597) it wa...Continue Reading
References
Mar 1, 1997·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S J YooA Kim
Apr 18, 1998·Lancet·J S CarvalhoY Ville
Jun 10, 1998·Lancet·G Sharland
Jan 26, 1999·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A HermanZ Weinraub
Feb 5, 2000·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A HermanZ Weinraub
Apr 16, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M Bronshtein, E Z Zimmer
Jul 9, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M C HaakJ M G Van Vugt
Oct 18, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S YagelR Achiron
Jul 16, 2004·Heart·J S CarvalhoE A Shinebourne
Dec 23, 2004·Prenatal Diagnosis·Julene S Carvalho
Dec 23, 2004·Prenatal Diagnosis·Gurleen Sharland
Jan 28, 2006·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Jan Michael SmrcekUlrich Gembruch
May 3, 2006·Prenatal Diagnosis·Tommi VimpelliGanesh Acharya
Jun 24, 2006·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S V RasiahJ Zamora
May 17, 2008·The British Journal of Mathematical and Statistical Psychology·Kilem Li Gwet
Jan 3, 2013·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·L J SalomonG Yeo
Mar 6, 2013·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology· International Society of Ultrasound in Obstetrics and GynecologyS Yagel
Apr 23, 2013·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A SotiriadisG Makrydimas
May 25, 2013·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·V ZidereL D Allan
Jun 12, 2013·Seminars in Fetal & Neonatal Medicine·Asma Khalil, Kypros H Nicolaides
Mar 4, 2014·Prenatal Diagnosis·Emanuela OrlandiFrancesco Orlandi
Mar 4, 2015·Journal of Pregnancy·Viltė DaugirdaitėSatvinder Purewal
Mar 21, 2015·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Marcin WiechecAgnieszka Nocun
Citations
May 16, 2017·Prenatal Diagnosis·Valentina De RobertisPaolo Volpe
Jul 26, 2017·Clinical Obstetrics and Gynecology·Elena Sinkovskaya
Dec 28, 2017·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Marcin PasternokMarcin Wiechec
Sep 27, 2018·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Mehmet Resit AsogluSifa Turan
Nov 16, 2018·Birth Defects Research·Angela McBrien, Lisa K Hornberger
Oct 2, 2019·Congenital Heart Disease·Natasa Karadzov OrlicZeljko Mikovic
Jul 10, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Simona DutaGheorghe Peltecu
Aug 28, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
Jan 21, 2021·Journal of Perinatal Medicine·Assaad KesrouaniBernard Nasr
Mar 15, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Martin MetzenbauerErich Hafner
Dec 15, 2020·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S Turan, K R Goetzinger
Aug 8, 2021·Journal of Clinical Medicine·Catalin G HerghelegiuAlina Veduta
Sep 9, 2021·Journal of Perinatal Medicine·Toshiyuki HataTakahito Miyake