Fetal echocardiography at 11-13 weeks by transabdominal high-frequency ultrasound

N. Persico, J. Moratalla, C. M. Lombardi, V. Zidere, L. Allan, K. H. Nicolaides

Research output: Contribution to journalArticle

59 Citations (Scopus)

Abstract

Objectives: To assess the accuracy of fetal echocardiography at 11-13 weeks performed by well-trained obstetricians using a high-frequency linear ultrasound transducer. Methods: Fetal echocardiography was performed by obstetricians immediately before chorionic villus sampling for fetal karyotyping at 11-13 weeks. Digital videoclips of the examination stored by the obstetrician were reviewed offline by a specialist fetal cardiologist. Results: The obstetrician suspected 95 (95%) of the 100 cardiac defects identified by the fetal cardiologist and made the correct diagnosis in 84 (84%) of these cases. In 54 fetuses, the defect was classified as major and in 46 it was minor. In 767 (86.6%) cases, the heart was normal and in 19 (2.1%) the views were inadequate for assessment of normality or abnormality. A subsequent second-trimester scan in the normal group identifiedmajor cardiac defects in four cases. Therefore, the first-trimester scan by the obstetricians and cardiologists identified 54 (93.1%) of the 58 major cardiac defects. Conclusions: A well-trained obstetrician using high-resolution ultrasound equipment can assess the fetal heart at 11-13 weeks with a high degree of accuracy.

Original languageEnglish
Pages (from-to)296-301
Number of pages6
JournalUltrasound in Obstetrics and Gynecology
Volume37
Issue number3
DOIs
Publication statusPublished - Mar 2011

Fingerprint

Echocardiography
Chorionic Villi Sampling
Fetal Heart
Karyotyping
Second Pregnancy Trimester
First Pregnancy Trimester
Transducers
Fetus
Equipment and Supplies
Cardiologists

Keywords

  • Cardiac defects
  • Doppler ultrasound
  • Linear transducer
  • Nuchal translucency

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Reproductive Medicine
  • Medicine(all)

Cite this

Fetal echocardiography at 11-13 weeks by transabdominal high-frequency ultrasound. / Persico, N.; Moratalla, J.; Lombardi, C. M.; Zidere, V.; Allan, L.; Nicolaides, K. H.

In: Ultrasound in Obstetrics and Gynecology, Vol. 37, No. 3, 03.2011, p. 296-301.

Research output: Contribution to journalArticle

Persico, N, Moratalla, J, Lombardi, CM, Zidere, V, Allan, L & Nicolaides, KH 2011, 'Fetal echocardiography at 11-13 weeks by transabdominal high-frequency ultrasound', Ultrasound in Obstetrics and Gynecology, vol. 37, no. 3, pp. 296-301. https://doi.org/10.1002/uog.8934
Persico, N. ; Moratalla, J. ; Lombardi, C. M. ; Zidere, V. ; Allan, L. ; Nicolaides, K. H. / Fetal echocardiography at 11-13 weeks by transabdominal high-frequency ultrasound. In: Ultrasound in Obstetrics and Gynecology. 2011 ; Vol. 37, No. 3. pp. 296-301.
@article{7b746b9d83424f3d8849e00b9ea4c81f,
title = "Fetal echocardiography at 11-13 weeks by transabdominal high-frequency ultrasound",
abstract = "Objectives: To assess the accuracy of fetal echocardiography at 11-13 weeks performed by well-trained obstetricians using a high-frequency linear ultrasound transducer. Methods: Fetal echocardiography was performed by obstetricians immediately before chorionic villus sampling for fetal karyotyping at 11-13 weeks. Digital videoclips of the examination stored by the obstetrician were reviewed offline by a specialist fetal cardiologist. Results: The obstetrician suspected 95 (95{\%}) of the 100 cardiac defects identified by the fetal cardiologist and made the correct diagnosis in 84 (84{\%}) of these cases. In 54 fetuses, the defect was classified as major and in 46 it was minor. In 767 (86.6{\%}) cases, the heart was normal and in 19 (2.1{\%}) the views were inadequate for assessment of normality or abnormality. A subsequent second-trimester scan in the normal group identifiedmajor cardiac defects in four cases. Therefore, the first-trimester scan by the obstetricians and cardiologists identified 54 (93.1{\%}) of the 58 major cardiac defects. Conclusions: A well-trained obstetrician using high-resolution ultrasound equipment can assess the fetal heart at 11-13 weeks with a high degree of accuracy.",
keywords = "Cardiac defects, Doppler ultrasound, Linear transducer, Nuchal translucency",
author = "N. Persico and J. Moratalla and Lombardi, {C. M.} and V. Zidere and L. Allan and Nicolaides, {K. H.}",
year = "2011",
month = "3",
doi = "10.1002/uog.8934",
language = "English",
volume = "37",
pages = "296--301",
journal = "Ultrasound in Obstetrics and Gynecology",
issn = "0960-7692",
publisher = "John Wiley and Sons Ltd",
number = "3",

}

TY - JOUR

T1 - Fetal echocardiography at 11-13 weeks by transabdominal high-frequency ultrasound

AU - Persico, N.

AU - Moratalla, J.

AU - Lombardi, C. M.

AU - Zidere, V.

AU - Allan, L.

AU - Nicolaides, K. H.

PY - 2011/3

Y1 - 2011/3

N2 - Objectives: To assess the accuracy of fetal echocardiography at 11-13 weeks performed by well-trained obstetricians using a high-frequency linear ultrasound transducer. Methods: Fetal echocardiography was performed by obstetricians immediately before chorionic villus sampling for fetal karyotyping at 11-13 weeks. Digital videoclips of the examination stored by the obstetrician were reviewed offline by a specialist fetal cardiologist. Results: The obstetrician suspected 95 (95%) of the 100 cardiac defects identified by the fetal cardiologist and made the correct diagnosis in 84 (84%) of these cases. In 54 fetuses, the defect was classified as major and in 46 it was minor. In 767 (86.6%) cases, the heart was normal and in 19 (2.1%) the views were inadequate for assessment of normality or abnormality. A subsequent second-trimester scan in the normal group identifiedmajor cardiac defects in four cases. Therefore, the first-trimester scan by the obstetricians and cardiologists identified 54 (93.1%) of the 58 major cardiac defects. Conclusions: A well-trained obstetrician using high-resolution ultrasound equipment can assess the fetal heart at 11-13 weeks with a high degree of accuracy.

AB - Objectives: To assess the accuracy of fetal echocardiography at 11-13 weeks performed by well-trained obstetricians using a high-frequency linear ultrasound transducer. Methods: Fetal echocardiography was performed by obstetricians immediately before chorionic villus sampling for fetal karyotyping at 11-13 weeks. Digital videoclips of the examination stored by the obstetrician were reviewed offline by a specialist fetal cardiologist. Results: The obstetrician suspected 95 (95%) of the 100 cardiac defects identified by the fetal cardiologist and made the correct diagnosis in 84 (84%) of these cases. In 54 fetuses, the defect was classified as major and in 46 it was minor. In 767 (86.6%) cases, the heart was normal and in 19 (2.1%) the views were inadequate for assessment of normality or abnormality. A subsequent second-trimester scan in the normal group identifiedmajor cardiac defects in four cases. Therefore, the first-trimester scan by the obstetricians and cardiologists identified 54 (93.1%) of the 58 major cardiac defects. Conclusions: A well-trained obstetrician using high-resolution ultrasound equipment can assess the fetal heart at 11-13 weeks with a high degree of accuracy.

KW - Cardiac defects

KW - Doppler ultrasound

KW - Linear transducer

KW - Nuchal translucency

UR - http://www.scopus.com/inward/record.url?scp=79951920392&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79951920392&partnerID=8YFLogxK

U2 - 10.1002/uog.8934

DO - 10.1002/uog.8934

M3 - Article

C2 - 21229572

AN - SCOPUS:79951920392

VL - 37

SP - 296

EP - 301

JO - Ultrasound in Obstetrics and Gynecology

JF - Ultrasound in Obstetrics and Gynecology

SN - 0960-7692

IS - 3

ER -