STIC-TUI技术在孕中期胎儿先天性心血管病中的诊断价值

doi:10.3969/j.issn.1671-7171.2023.06.008

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Abstract 【Objective】 To exploring the diagnostic efficacy of four-dimensional ultrasound spatiotemporal correlation imaging and ultrasound tomography (STIC-TUI) technology for fetal congenital heart disease in the second trimester of pregnancy (early-middle pregance). 【Methods】 A total of 80 pregnant women who underwent ultrasound screening in our hospital from January 2020 to January 2022 were selected as the research subjects. All of them received both STIC-TUI and conventional two-dimensional ultrasound imaging examinations.Using the output review results as the gold standard,We used the Kappa to analyze the efficacy of STIC-TUI alone,conventional two-dimensional ultrasound alone,and the combination of the two methods in diagnosing fetal congenital heart disease in the second trimester. Time consumption and image quality scores between STIC-TUI and conventional two-dimensional ultrasound examination were also compared. 【Results】 Among 80 fetuses,7 cases were found to have cardiac abnormalities. Of which,6 cases were detected using STIC-TUI technology,and 1 was missed in the diagnosis of atrial septal defect; Routine two-dimensional ultrasound detected 5 cases,while missed diagnosis in 2 cases of atrial septal defect. Postpartum follow-up confirmed 7 children with heart disease. The postnatal follow-up result showed there was no significant difference between STIC-TUI technology and conventional two-dimensional ultrasound(P>0.05). However,the STIC-TUI examination time was significantly shorter than the conventional two-dimensional ultrasound examination time,and the difference was statistically significant (P<0.05). There was no significant difference in image quality scores between STIC-TUI and conventional two-dimensional ultrasound (P>0.05). After consistency analysis,the sensitivity of STIC-TUI in diagnosing fetal congenital heart disease was 0.714,the specificity was 0.986,the accuracy was 0.962,and the Kappa value was 0.748; The sensitivity,specificity,accuracy,and Kappa value of conventional two-dimensional ultrasound in diagnosing fetal congenital heart disease are 0.571,0.986,0.950,and 0.640,respectively; The sensitivity,specificity,accuracy,and Kappa value of the combination of STIC-TUI and conventional two-dimensional ultrasound in the diagnosis of fetal congenital heart disease are 0.857,0.986,0.975,and 0.843,respectively. 【Conclusion】 STIC-TUI can be used to diagnose fetal congenital heart disease in the second trimester of pregnancy with good diagnostic efficacy. Moreover,the combination of STIC-TUI and conventional two-dimensional ultrasound can improve the sensitivity of diagnosis.

Key words： Echocardiography,Four-Dimensional Heart Defects,Congenital Prenatal Diagnosis

Received: 24 June 2022

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R714.5

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	YANG Bin
	WU Dong
	ZHAO Zhi-zhi

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YANG Bin,WU Dong,ZHAO Zhi-zhi. The Diagnostic Value of STIC-TUI Technology in Fetal Congenital Heart Disease in Early-Middle Pregnancy[J]. JOURNAL OF CLINICAL RESEARCH, 2023, 40(6): 827-829.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2023.06.008 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2023/V40/I6/827

[1] 余婵,王蓓,杨园,等. 超声心动图诊断胎儿先心病及危险因素分析[J].影像科学与光化学,2022,40(1):156-160.
[2] 张俊,邓学东,潘琦,等. 早孕期超声心动图在胎儿严重先心病中的应用[J].中国临床医学影像杂志,2019,30(1):28-31.
[3] 李金燕,王俊青,姜莉,等. 产前超声三步法在胎儿先心病筛查中的应用效果[J].中国计划生育学杂志,2020,28(4):613.
[4] BRAVO-VALENZUELA N J,PEIXOTO A B,CARRILHO M C,et al. Fetal cardiac function by three-dimensional ultrasound using 4D-STIC and VOCAL-an update[J].J Ultrason,2019,19(79):287-294.
[5] 陈晓凤,李志坚,戴茹萍,等. B超实时引导血管穿刺置管在婴幼儿先心病手术中的应用[J].医学临床研究,2021,38(11):1628-1631.
[6] 成谢锋,张友迅. 一种先心病快速筛选仪的设计与实现[J].计算机技术与发展,2020,30(2):148-152.
[7] 曹硕,李江华,闫崇超,等. 超声监测孕早期胎儿心轴角度与先天性心脏病关系[J].中国计划生育学杂志,2020,28(11):1914-1916.
[8] HUANG J,SHI H,CHEN Q,et al. Three-dimensional printed model fabrication and effectiveness evaluation in fetuses with congenital heart disease or with a normal heart[J].J Ultrasound Med,2021,40(1):15-28.
[9] PEPES S,PARTHENAKIS F,MAKRIGIANNAKIS A,et al.Electronic versus conventional spatiotemporal image correlation (STIC) fetal echocardiography:a direct comparison[J].J Matern Fetal Neonatal Med,2022,35(7):1310-1317.
[10] 孙继忠.四维超声时空关联成像技术筛查中孕早期胎儿先天性心脏病的临床价值分析[J].影像研究与医学应用,2018,2(1):108-109.
[11] 陈奕男,秦将均,覃英梅,等.四维超声时间空间相关成像和超声断层显像技术对胎儿先天性心脏病筛查的应用价值[J].海南医学院学报,2019,25(12):948-950.
[12] 李洪娥,潘锐柯,巴双,等.二维联合四维超声对产前胎儿畸形的筛查及诊断[J].贵州医科大学学报,2018,43(3):336-339.

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