title: Three-dimensional HDlive rendering images of the fetal heart.
abstract: Our objective is to describe our experience with reconstruction of normal fetal cardiac structures and congenital heart anomalies using the 3-D HDlive rendering mode with spatiotemporal image correlation (STIC). Four normal fetuses and three fetuses with congenital heart anomalies (Ebstein's anomaly, hypoplastic left heart syndrome and tetralogy of Fallot) at 25-35 wk of gestation were studied using the 3-D HDlive rendering mode with STIC. In normal fetuses, the natural appearance of the dynamic motion of the foramen ovale flap and both atrioventricular valves was clearly visualized in real time in the four-chamber view. Moreover, new, realistic sensations of each leaflet of atrioventricular valves and semilunar valves of the pulmonary artery were obtained in the en face view of both atrioventricular valves and great vessels. In the case of Ebstein's anomaly, the procedure rendered the natural and anatomically realistic appearance of significantly low attachment of the tricuspid valve and atrialized portion of the right ventricle. In hypoplastic left heart syndrome, thickened tricuspid and dysplastic pulmonary valves were clearly revealed. In tetralogy of Fallot, an overriding aorta and ventricular septal defect were realistically depicted. The 3-D HDlive rendering mode with STIC provides entirely new visual experiences for obstetricians and pediatric cardiologists owing to the anatomically realistic depiction of normal and abnormal fetal cardiac structures of the beating heart.
authors.affiliation: Department of Perinatology and Gynecology, Kagawa University School of Medicine, Miki, Kagawa, Japan. toshi28@med.kagawa-u.ac.jp
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Hata
authors.forename: Masato
authors.initials: M
authors.lastname: Mashima
authors.forename: Megumi
authors.initials: M
authors.lastname: Ito
authors.forename: Emiko
authors.initials: E
authors.lastname: Uketa
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Mori
authors.forename: Mari
authors.initials: M
authors.lastname: Ishimura
mesh_terms: D000465:Algorithms; D005260:Female; D005318:Fetal Heart / Q000000981:diagnostic imaging*; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging* / Q000196:embryology*; D006801:Humans; D007089:Image Enhancement / Q000379:methods; D007090:Image Interpretation, Computer-Assisted / Q000379:methods*; D021621:Imaging, Three-Dimensional / Q000379:methods*; D008297:Male; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D016216:Ultrasonography, Prenatal / Q000379:methods*
keywords: 3-D ultrasound; Congenital heart anomaly; Ebstein’s anomaly, Hypoplastic left heart syndrome; Fetal heart; HDlive; Spatiotemporal image correlation; Tetralogy of Fallot