胎儿心脏超声智能导航技术在常见胎儿圆锥动脉干畸形关键诊断切面获得与显示中的应用价值
Application value of fetal intelligent navigation echocardiography in acquisition and display of critical section of common fetal conotruncal defects
查看参考文献17篇
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文摘
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目的评价胎儿心脏超声智能导航技术(FINE)在常见胎儿圆锥动脉干畸形关键诊断切面获得与显示中的应用价值。方法选取2018年1月至9月期间在浙江大学医学院附属邵逸夫医院超声科行胎儿超声心动图检查后明确诊断为圆锥动脉干畸形(CTD)的65例胎儿,其中法洛四联症(TOF)胎儿31例,完全型大动脉转位(TGA)胎儿24例,右心室双出口(DORV)胎儿10例,采用时间-空间成像技术(STIC)采集以四腔心切面为初始切面的胎儿心脏三维容积数据,然后通过FINE分析软件对每个容积数据进行分析,比较起始心尖不同位置时容积获取与分析成功率;分别对TOF、TGA、DORV胎儿的切面1周前后获取成功率和诊断符合率及所有CTD胎儿整体结果进行比较;并采用χ~2检验对FINE技术的重复性进行分析。结果心尖任意位置的65例胎儿共采集容积数据337个,可分析245个,成功分析226个,成功率92.24%,TOF、TGA、DORV、CTD胎儿1周前后2次诊断符合率分别为77.42%、80.65%;87.50%、87.50%;60.00%、70.00%;78.46%、 81.54%。心尖位于A组(11~1点)的39例胎儿共采集容积数据207个,可分析192个,成功分析182个,成功率94.79%,TOF、TGA、DORV、CTD胎儿1周前后2次诊断符合率分别为94.12%、 88.24%;93.75%、87.50%;66.67%、66.67%;89.74%、84.61%。1周前后2次诊断符合率比较,差异均无统计学意义(P均> 0.05)。结论FINE对胎儿CTD的诊断有一定的价值,且重复性高,在CTD的胎儿图像规范化采集与分析、远程会诊、培训及教学方面具有重要的应用前景。 |
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其他语种文摘
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Objective To evaluate the application value of fetal intelligent navigation echocardiography in the acquisition and display of the critical section of common fetal conotruncal defects (CTD). Methods From January to September 2018, 65 fetuses with fetal CTD were diagnosed by fetal echocardiography at Department of Ultrasound, Sir Run Run Shaw Hospital, Zhejiang University College of Medicine, including 31 fetuses with tetralogy of Fallot (TOF), 24 with complete transposition of great arteries (TGA), and 10 with double-outlet right ventricle (DORV). Fetal cardiac spatio-temporal image correlation (STIC) volume datasets were acquired with four-chamber cardiac section as the initial section. Then, the three-dimensional STIC volume data were analyzed with fetal intelligent navigation echocardiography (FINE) analysis software, and the success rates of volume acquisition at different locations of the initial apex were compared. The success rates of fetal section acquisition and diagnostic coincidence rates for TOF, DORV, and TGA, and the overall results for all CTD fetuses were compared by rate or percentage, and the repeatability of FINE technique was analyzed by the chi-square test. Results A total of 337 volumetric data were acquired at any position of the apex in 65 fetuses, of which 245 could be analyzed and 226 were successfully analyzed. The success rate was 92.24%. The coincidence rates for diagnoses of TOF, TGA, DORV, and CTD were 77.42%, 80.65%, 87.50%, and 87.50%, and 60.00%, 70.00%, 78.46%, and 81.54%, respectively, in the first time and one week later. A total of 207 volumetric data were acquired from group A (fetal apex located between the 11- and 1-o'clock positions), of which 192 could be analyzed and 182 were successfully analyzed, with a success rate of 94.79%. The diagnosis coincidence rates for TOF, TGA, DORV, and CTD in the first time and one week later were 94.12%, 88.24%, 93.75%, and 87.50%, and 66.67%, 66.67%, 89.74%, and 84.61%, respectively. There was no statistical difference between the diagnosis coincidence rates in the first time and one week later (P > 0.05). Conclusion FINE could be useful in the diagnosis of fetal CTD with high repeatability. It has important potentials in standardized fetal image acquisition and analysis, remote consultation, and training and teaching of fetal echocardiography. |
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来源
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中华医学超声杂志（电子版）
,2020,17(11):1076-1083 【核心库】
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DOI
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10.3877/cma.j.issn.1672-6448.2020.11.004
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关键词
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超声心动描记术
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胎儿
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先天性心脏病
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圆锥动脉干畸形
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胎儿智能导航技术
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地址
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1.
浙江大学医学院附属邵逸夫医院超声科浙江省胎儿心脏超声诊断技术指导中心浙江大学邵逸夫临床医学研究所, 杭州, 310016
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东阳市人民医院超声科, 浙江, 东阳, 322100
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语种
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中文 |
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文献类型
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研究性论文 |
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ISSN
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1672-6448 |
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学科
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临床医学;妇产科学 |
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基金
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浙江省基础公益研究计划项目
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文献收藏号
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CSCD:6895997
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