TITLE:
The Diagnostic Accuracy of Automated Fetal Heart Echocardiography by Five Dimensional Compared to Two-Dimensional Ultrasound in the Second Trimester of Pregnancy
AUTHORS:
Rehab M. Abdelrahman, Ahmed R. M. Ramy, Amr M. Abdelhady
KEYWORDS:
Fetal Heart Echocardiography, Fetal Intelligent Navigation Echocardiography, 5DUS
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.5,
May
18,
2018
ABSTRACT: Objective: To compare the diagnostic accuracy of Fetal Intelligent
Navigation Echocardiography (FINE) method by Five-Dimensional Ultrasound in automated
fetal heart examination to conventional fetal heart examination by
Two-Dimensional ultrasound in second trimester pregnancy. Methods: 90
normal singleton pregnancies at the second
trimester were enrolled in this
prospective study. Fetal heart was examined by Two-Dimensional Ultrasound (2D
US) and Five-Dimensional Ultrasound (FINE). Paired numerical data were compared
using the paired samples t test. Inter-method agreement for the rating of the quality
of cardiac views by 2D US or 5D US was assessed by calculation of the
prevalence-adjusted and bias-adjusted kappa coefficient (PABAK). Results: There was no statistical significant difference
between fetal heart echocardiography assessment using 2DUS or 5DUS(FINE) (p-value > 0.05). The overall inter-method
agreement between 2D US and 5D US was 0.92. The difference in % of satisfactory views between 2D
and 5D US was 1.73%, (95% CI - 0.5% to 3.33%) (P-value =
0.144). Conclusion: Our
findings indicate the accuracy of 5DUS (FINE) echocardiography in evaluation of
normal heart in the second trimester of pregnancy.