Hata Toshiyuki, Koyanagi Aya, Yamanishi Tomomi, Bouno Saori, Takayoshi Riko, Miyagi Yasunari, Miyake Takahito
Department of Obstetrics and Gynecology, Miyake Clinic, Okayama, Japan.
Department of Perinatology and Gynecology, Kagawa University Graduate School of Medicine, Kagawa, Japan.
J Perinat Med. 2020 Mar 3. doi: 10.1515/jpm-2019-0434.
Objective To assess the success rates of five fetal cardiac views using HDlive Flow (Silhouette) with spatiotemporal image correlation (STIC) in the second and third trimesters of pregnancy, and to verify the feasibility of obtaining five cardiac views by volumes. Methods One hundred and eighteen normal fetuses at 18-21 and 28-31 weeks of gestation were studied using HDlive Flow (Silhouette) with STIC to assess the success rates of five fetal cardiac views (frontal, spatial three-vessel, panoramic, posterior, and right lateral views). Target structures in each cardiac view were evaluated. "Good" was assigned when all structures were noted, "Fair" when only one structure was missed, and "Poor" when two and more structures could not been detected. Results There were no significant differences in success rates of each cardiac view between 18-21 and 28-31 weeks of gestation. The rate of "Good" with a spatial three-vessel view was significantly higher than that with other cardiac views at 18-21 and 28-31 weeks, respectively (P < 0.05). Conclusion Five cardiac views using HDlive Flow (Silhouette) with STIC may become an adjunctive and useful tool in fetal cardiac examination.
目的 评估在妊娠中晚期使用高清血流(轮廓模式)联合时空图像相关技术(STIC)获取五个胎儿心脏切面的成功率,并验证通过容积数据获取五个心脏切面的可行性。方法 对118例孕18 - 21周及28 - 31周的正常胎儿,采用高清血流(轮廓模式)联合STIC技术评估五个胎儿心脏切面(额面、空间三血管、全景、后面及右侧面)的成功率。对每个心脏切面的目标结构进行评估。当所有结构均被观察到时评为“良好”,仅遗漏一个结构时评为“尚可”,无法检测到两个及以上结构时评为“差”。结果 孕18 - 21周与28 - 31周各心脏切面的成功率无显著差异。在孕18 - 21周和28 - 31周时,空间三血管切面的“良好”率分别显著高于其他心脏切面(P < 0.05)。结论 使用高清血流(轮廓模式)联合STIC获取五个心脏切面可能成为胎儿心脏检查的一种辅助且有用的工具。