A study on left ventricular wall volume using intelligent spatiotemporal image correlation in normal fetuses

WANG Chao; XIE Li-mei

Journal of China Clinic Medical Imaging ›› 2016, Vol. 27 ›› Issue (5) : 363-366.

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Abstract

Objective: To explore the feasibility of iSTIC in evaluation of left ventricular wall volumes in normal fetuses. Methods: Real Time three-dimensional echocardiography were performed in 124 normal fetuses from 20 to 36 weeks gestation with Phillips iU22G4 ultrasonic diagnostic instrument. The images were analyzed by QLAB software with Stacked contours method for measuring left ventricular end-diastolic interior volume and peripheral volume. The different value between interior volume and peripheral volume was the left ventricular wall volume. The correlation between fetal left ventricular wall volume and gestational age was analyzed. The intraclass correlation coefficient(ICC) was used to evaluate the agreement of inter-observer and intra-observer. Results: The iSTIC volumes of 16 fetuses were excluded from the study because of the poor image quality. There was a significant correlation between left ventricular wall volume and gestational age(P<0.05). The reproducibility of intra-observer and inter-observer evaluated by ICC were better(ICC of intraobserver was 0.978, 95% CI: 0.947~0.991, ICC of interobserver was 0.927, 95% CI: 0.825~0.970). Conclusion: The iSTIC technique is a simple and feasible modality to determine the fetal left ventricular wall volumes in normal fetuses. This method may become a new way for evaluating fetal heart development.

Key words

Heart ventricles / Ultrasonography, Doppler, color / Ultrasonography, prenatal

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WANG Chao, XIE Li-mei. A study on left ventricular wall volume using intelligent spatiotemporal image correlation in normal fetuses[J]. Journal of China Clinic Medical Imaging. 2016, 27(5): 363-366

References

[1]Messing B, Cohen SM, Valsky DV, et al. Fetal heart ventricular mass obtained by STIC acquisition combined with inversion mode and VOCAL[J]. Ultrasound Obstet Gynecol, 2011, 38: 191-197.
[2]Zheng XZ, Yang B, Wu J. Fetal left ventricular mass determination on 2-dimensional echocardiography using area-length calculation methods[J]. J Ultrasound Med, 2014, 33(2): 349-354.
[3]Zheng M, Schaal M, Chen Y, et al. Real-time 3-dimensional echocardiographic assessment of ventricular volume, mass, and function in human fetuses[J]. PloS One, 2013, 8(3): 584-594.
[4]Acar P, Battle L, Dulac Y, et al. Real-time three-dimensional fetal echo-cardiography using a new transabdominal xMATRIX array transducer[J]. Arch Cardiovasc Dis, 2014, 107(1): 4-9.
[5]Simioni C, Nardozza LM, Araujo Júnior E, et al. Fetal cardiac function assessed by spatio-temporal image correlation[J]. Arch Gynecol Obstet, 2011, 284(1): 253-260.
[6]Goncalves LF, Lee W, Chaiworapongsa T, et al． Four-dimensional ultrasonography of the fetal heart with spatio temporal image correlation[J]. Obstet Gynecol, 2003, 189(6): 1792-1802．
[7]Hamill N, Yeo L, Romero R, et al. Fetal cardiac ventricular volume, cardiac output, and ejection fraction determined with 4-dimensional ultrasound using spatiotemporal image correlation and virtual organ computer-aided analysis[J]. Am J Obstet Gynecol, 2011, 205(1): 76.e1-e10.
[8]Zielinsky P, Hagemann L, Daudt L, et al. A pre and postnatal analysis of factors associated with fetal myocardial hypertrophy in diabetic pregnancies[J]. J Matern Fetal Invest, 1992, 2: 163-167.
[9]Zielinsky P. Role of prenatal echocardiography in the study of hypertrophic cardiomyopathy in the fetus[J]. Echocardiography, 1991, 8(6): 661-668.
[10]Chu C, Gui YH, Ren YY, et al. The impacts of maternal gestational diabetes mellitus(GDM) on fetal hearts[J]. Biomed Environ Sci, 2012, 25(1): 15-22.
[11]Barros FS, Rolo LC, Rocha LA, et al. Reference ranges for the volumes of fetal cardiac ventricular walls by three-dimensional ultrasound using spatiotemporal image correlation and virtual organ computer-aided analysis and its validation in fetuses with congenital heart diseases[J]. Prenat Diagn, 2015, 35(1): 65-73.
[12]Zhu M, Streiff C, Panosian J, et al. Evaluation of stroke volume and ventricular mass in a fetal heart model: a novel four-dimensional echocardiographic analysis[J]. Echocardiography, 2014, 31(9): 1138-1145.
[13]Zhu M, Ashraf M, Zhang Z, et al. Real Time Three-Dimensional Echocardiographic Evaluations of Fetal Left Ventricular Stroke Volume, Mass, and Myocardial Strain: In Vitro and In Vivo Experimental Study[J]. Echocardiography, 2015, 32(11): 1697-1706.
[14]Bhat AH, Corbett V, Carpenter N, et al. Fetal ventricular mass determination on three-dimensional echocardiography: studies in normal fetuses and validation experiments[J]. Circulation, 2004, 110(9): 1054-1060.