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4D fetal echocardiography—An update
Authors:Greggory R DeVore MD  Gary Satou MD  Mark Sklansky MD
Institution:1. Division of Maternal‐Fetal Medicine, Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA;2. Fetal Diagnostic Centers, Pasadena, Tarzana, and Lancaster, CA, USA;3. Division of Pediatric Cardiology, Department of Pediatrics, UCLA Mattel Children's Hospital, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
Abstract:With the introduction of the electronic 4‐dimensional and spatial‐temporal image Correlation (e‐STIC), it is now possible to obtain large volume datasets of the fetal heart that are virtually free of artifact. This allows the examiner to use a number of imaging modalities when recording the volumes that include two‐dimensional real time, power and color Doppler, and B‐flow images. Once the volumes are obtained, manipulation of the volume dataset allows the examiner to recreate views of the fetal heart that enable examination of cardiac anatomy. The value of this technology is that a volume of the fetal heart can be obtained, irrespective of the position of the fetus in utero, and manipulated to render images for interpretation and diagnosis. This article presents a summary of the various imaging techniques and provides clinical examples of its application used for prenatal diagnosis of congenital heart defects and abnormal cardiac function.
Keywords:echocardiography  fetal echocardiography
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