scholarly journals Automated Detection of Congenital Heart Disease in Fetal Ultrasound Screening

2020 ◽  
pp. 243-252
Author(s):  
Jeremy Tan ◽  
Anselm Au ◽  
Qingjie Meng ◽  
Sandy FinesilverSmith ◽  
John Simpson ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Automated Detection ◽  
Ultrasound Screening ◽  
Fetal Ultrasound

Efficacy of Routine Fetal Ultrasound Screening for Congenital Heart Disease in Normal Pregnancy

Circulation ◽  
1996 ◽  
Vol 94 (1) ◽  
pp. 67-72 ◽  
Author(s):  
E. Buskens ◽  
D.E. Grobbee ◽  
I.M.E. Frohn-Mulder ◽  
P.A. Stewart ◽  
R.E. Juttmann ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Normal Pregnancy ◽  
Ultrasound Screening ◽  
Fetal Ultrasound

scholarly journals Sonographer-Identified Barriers and Facilitators to Prenatal Screening for Congenital Heart Disease

2016 ◽  
Vol 33 (1) ◽  
pp. 3-12 ◽  
Author(s):  
Nelangi Pinto ◽  
Xiaoming Sheng ◽  
Heather T. Keenan ◽  
Janice L. B. Byrne ◽  
Belva Stanton ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Self Efficacy ◽  
Congenital Heart ◽  
Fetal Heart ◽  
Random Effect ◽  
Image Interpretation ◽  
Ultrasound Screening ◽  
Fetal Ultrasound ◽  
Detection Rates

Background: Fetal ultrasound screening for congenital heart disease has high detection rates in efficacy studies but not in practice. We investigated sonographers’ perspectives on barriers to screening and their association with intermediate measures of cardiac imaging. Methods: Barriers to fetal heart screening were identified in focus groups with obstetric sonographers. A web-based survey measured reported barriers and sonographers’ ability to interpret fetal heart screening images. Generalized linear random effect models assessed associations between barriers and image interpretation. Results: Four themes were identified: intrinsic barriers (self-efficacy), external barriers (time), informational needs, and provider and patient expectations. Among 224 sonographers surveyed, an average of 77.6% of fetal heart images were interpreted correctly. Perceptions about self-efficacy ( P = .03) and ease of performing imaging ( P = .01) were associated with accuracy of image interpretation. Conclusions: Several sonographer-identified barriers associated with image interpretation may be novel targets for improving prenatal detection of congenital heart disease.

Ultrasound screening for congenital heart disease: A case of aortic stenosis

2016 ◽  
Vol 76 (05) ◽  
Author(s):  
F Mraihi ◽  
A Gharsa ◽  
S Schlomann ◽  
A Achour ◽  
D Chelly
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Aortic Stenosis ◽  
Congenital Heart ◽  
Ultrasound Screening

scholarly journals Ectopia cordis: a case report

2014 ◽  
Vol 14 (3) ◽  
pp. 287-290 ◽  
Author(s):  
Gonçalo Filipe Infante Mesquita Dias ◽  
Ana Vanessa dos Reis Santos ◽  
Cátia Filipa Cabrita Paixão Martins ◽  
Ana Paula Duarte Ferreira ◽  
Joaquim Marques Dinis da Fonseca
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Fetal Echocardiography ◽  
Anterior Chest Wall ◽  
Personal History ◽  
Pathological Examination ◽  
Fetal Ultrasound ◽  
Ectopia Cordis ◽  
Severe Congenital Heart Disease

Introduction: ectopia cordis is a rare congenital malformation, with an estimated incidence of 5 to 8 per million live births. It is defined as a malformation in which the heart is located in an extra-thoracic position. Ectopia cordis may occur as an isolated malformation or associated with other anomalies such as omphalocele, congenital heart disease or integrating Cantrell syndrome. The size and location of the defect influence the prognosis. Description: we report a case of a 24-year-old nulliparous woman, with no relevant family or personal history, in which the prenatal fetal ultrasound, performed at 21 weeks of gestation, revealed adefect of the anterior chest wall with exteriorization of the heart. Discussion: fetal echocardiography revealed a severe congenital heart disease. The parents decided to continue the pregnancy, after being duly informed by a multidisciplinary team. Delivery occurred at 37 weeks of gestation but the female newborn died one hour afterwards. Pathological examination confirmed the sonographic findings.

scholarly journals Evaluating the Performance of Ultrasound Screening for Congenital Heart Disease: A Descriptive Cohort Study

2017 ◽  
Vol 34 (09) ◽  
pp. 905-910 ◽  
Author(s):  
Lindsay Maggio ◽  
Phinnara Has ◽  
Erika Werner ◽  
Dwight Rouse ◽  
Rosemary Froehlich
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Fetal Echocardiography ◽  
Cost Effective ◽  
Cardiac Anomaly ◽  
Cardiac Anatomy ◽  
Ultrasound Screening ◽  
Maternal Fetal Medicine ◽  
Fetal Medicine

Objective The objective of this study was to evaluate the rate of abnormal fetal echocardiogram after normal detailed anatomy ultrasound when both are performed by maternal–fetal medicine specialists. Study Design Retrospective review of women who underwent detailed anatomy ultrasound and fetal echocardiography between 16 and 26 weeks' gestation at a single center. Women included had at least one indication for fetal echocardiography as recommended by the American Institute of Ultrasound in Medicine and normal cardiac anatomy on initial detailed anatomy ultrasound. Women with previous abnormal ultrasound, extracardiac anomalies, and abnormal or incomplete cardiac anatomy on initial examinations were excluded. The primary outcome was abnormal fetal echocardiogram, defined as a structural cardiac anomaly. Results A total of 1,000 women (1,052 fetuses) were included. The most common indication for echocardiography was family history of congenital heart disease. Five fetuses had an abnormal echocardiogram (0.5%, 95% confidence interval: 0.2–1.1%), only one of which altered care. The other four were suspected ventricular septal defects; of these, three were not seen on postnatal cardiac imaging. Conclusion The rate of abnormal fetal echocardiogram after a normal detailed anatomy ultrasound interpreted by maternal–fetal medicine specialists is low. Fetal echocardiography as a second screening test is of low clinical utility and unlikely to be cost-effective in this setting.

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