Objectives. The aim of this study was to establish nomograms for fetal stroke volume (SV), cardiac output (CO), and ejection fraction (EF) using four-dimensional ultrasound with spatio-temporal image correlation (STIC) modality.Methods. heart scanned STIC modality, starting classic four-chamber view plane, during quiescence abdomen uppermost, at an angle 20–30°, without color Doppler flow mapping. In post-processing virtual organ, computer-aided analysis technique used obtain a sequence six...

To evaluate the feasibility of use spatiotemporal image correlation (STIC) as a screening program for congenital heart disease and influence professional experience in those examinations.This prospective cross-sectional study included 64 pregnant women at gestational age between 20 34 weeks, 12 physician participants who were divided into two groups: group 1-"STIC specialist"; 2-"STIC nonspecialist." Volumes analyzed to obtain five axial views optimal fetal screening: abdominal situs,...

OBJETIVO: Avaliar a acurácia da medida translucência nucal (TN) entre onze e treze semanas seis dias como marcador ultra-sonográfico para rastreamento de cardiopatias congênitas (CC). MÉTODOS: Estudo multicêntrico retrospectivo, no qual foram analisadas gestações únicas fetos euplóides. A TN foi realizada exame primeiro trimestre quando os tinham 45 84 mm comprimento cabeça-nádega (CCN), segundo critérios estabelecidos pela Fetal Medicine Foundation. Os casos seguidos até um mês após o parto...

Early detection of septal changes such as hypertrophy commonly present in fetuses diabetic mothers would help reduce the high rates infant mortality.Determine reference ranges for fetal ventricular area through three-dimensional ultrasound (US3D) using STIC method (Spatio-Temporal Image Correlation).We conducted a cross-sectional study with 69 pregnant women between 18th and 33rd weeks pregnancy. We used four-chamber plane ROI (Region Interest) positioned from ventricles; septum were...

To evaluate the modified myocardial performance index (Mod-MPI) in foetuses with growth restriction and compare this appropriate for gestational age foetuses.A prospective cross-sectional case-control study was conducted involving 76 singleton between 24 34 weeks of gestation divided into three groups (24 foetuses, 30 estimated weight 3rd 10th percentiles 22 < percentile, according to Hadlock table). The Mod-MPI obtained plane four chamber view, spectral Doppler sample volume placed lateral...

to evaluate the areas of atrioventricular valves (tricuspid and mitral) normal fetuses by use three-dimensional ultrasound (3DUS) spatiotemporal image correlation (STIC) method.a cross-sectional study was conducted on 141 women between 18th 33rd week pregnancy. Cardiac volumes were measured with a volumetric transabdominal transducer attached Voluson 730 Expert equipment. The four chamber plane used as reference, region interest (ROI) positioned from ventricles, area obtained manually. To...

FUNDAMENTO: A detecção precoce de alterações septais, tais como a hipertrofia septal comumente presente em fetos mães diabéticas, contribuiria para redução das altas taxas mortalidade infantil. OBJETIVO: Determinar intervalos referência área do septo interventricular fetal por meio da ultrassonografia tridimensional (US3D) utilizando o método STIC (Spatio-Temporal Image Correlation). MÉTODOS: Realizou-se um estudo corte transversal com 69 gestantes normais entre 18ª e 33ª semanas gestação....

Functional echocardiography is a valuable tool in the neonatal intensive care unit, but training programs are not standardized. The aim was to report an functional program for neonatologists and describe agreement of their measurements with pediatric cardiologist.Functional lasted 32h. After program, performed unit were required measure left cardiac chambers dimensions, ventricle systolic function, right ventricular output, ductus arteriosus diameter, flow pattern. Images recorded by...

The objectives of this open, prospective, randomized and comparative study were to evaluate compare the efficacy safety intravenous ceftriaxone (active ingredient RocephinTM) cefotaxime in treatment bacterial pneumoniae. Forty-three patients enrolled 40 (21 group 19 group) we able make an evaluation. Bacteriological results essentially based on a positive culture obtained with transtracheal aspirate (TTA) – 34 out cases; remaining patients, at least initial sputum was obtained. Most lower...

Hypoplastic left heart syndrome remains a challenge for worldwide surgeons. Initial palliation employing bilateral pulmonary artery banding along with ductal stent implantation and atrial septostomy has been proposed as an alternative approach. However, the surgically placed bands are fixed may become inadequate after sternum closure or somatic growth of patient. We describe first case in which neonate hypoplastic was initially managed using mini system that allows fine percutaneous...

To evaluate the feasibility of use STIC technology during routine obstetric scans as a screening program for congenital heart disease (CHD) and influence professional experience in those exams. 64 pregnant women with normal fetus at gestational age between 20 34 weeks 12 physicians, who would scan patients were included two groups: Group1- ‘STIC specialist’ Group 2- non- specialist’. volume acquisition was performed prenatal scans, all booked sequentially, to mimetize routine. Volumes...

Prenatal diagnosis of isolated coronary artery fistulae is extremely rare. Most the previously reported cases prenatal have been associated with additional complex congenital cardiac anomalies. We report a case very large fistula connecting left to right ventricle, diagnosed at 28 weeks' gestation, as sole lesion. Bidimensional fetal echocardiography image four chamber view and outflow tracts were normal well ductal aortic arch ventricular size contractility. A ventriculocoronary was...

Objectives:The ductus arteriosus (DA) emerged from the pulmonary trunk and connects with descending aorta.The normal Doppler evaluation depends on gestational age pulsatility index (PI) must be greater than 1.9.Anatomical functional problems can occur as aneurysm of DA restrictive flow.DA anatomical changes caused by in blood flow / or morphology especially last trimester.Methods: Description cases: 10 cases fetuses (GA) ranging 28 to 37 weeks: 2 aneurysms (diameters 5 8 mm) morphological...

The ductus arteriosus (DA) emerged from the pulmonary trunk and connects with descending aorta. normal Doppler evaluation depends on gestational age pulsatility index (PI) must be greater than 1.9. Anatomical functional problems can occur as aneurysm of DA restrictive flow. anatomical changes caused by in blood flow / or morphology especially last trimester. Description cases: 10 cases fetuses (GA) ranging 28 to 37 weeks: 2 aneurysms (diameters 5 8 mm) morphological alteration elongated,...

The aim of this study was to obtain left ejection fraction (LEF) from fetal heart using four-dimensional ultrasound (4DUS) and spatio-temporal image correlation (STIC) in late middle pregnancy. 4D volumes the were acquired by sonography a convex transabdominal transducer (RAB 4–8-MHz probe, Voluson 730 Expert, GE Medical Systems, Milwaukee, WI, USA) offline analysis performed 4DView software. Ventricular measured STIC 265 normal singleton pregnancies at 20 34 + 6 weeks' gestation. By Virtual...

mediastinal linfangioma is a rare congenital malformation. We present case diagnosed through antenatal sonography (US) and magnetic resonance imaging (MRI). An 18 year old primipara was referred at 37 weeks due to fetal thoracic mass. A septated cystic mass identified in the right cavity, displacing mediastinum left; MRI confirmed US findings allowed clearer visualization. Delivery occurred 38 weeks; 3535 g newborn had no respiratory distress received Apgar 9 10. Mother child were discharged...