摘要
目的探讨胎儿心脏超声智能导航技术（5DHeart）在诊断胎儿圆锥动脉干畸形中的价值。方法前瞻性通过容积探头采集20~30周胎儿圆锥动脉干畸形（CTD）心脏三维数据，三位不同胎儿心脏检查技能医师应用5DHeart软件对时间-空间相关成像（STIC）容积图像后处理，得到诊断信息，以产后超声随访或手术为金标准，对各医师的STIC诊断及常规超声诊断行观察者间一致性分析。结果纳入研究的16例CTD病例，剔除4例，对12例容积数据进行分析。同时对各个不同诊断技能医师诊断、常规超声及金标准行一致性分析，高年资医师A应用5DHeart诊断与常规超声诊断及金标准一致（P=0．157，0．083），中低年资医师B和C应用5DHeart诊断获得大致相等的分数（P=0．705），但诊断效能不及常规超声（P=0．000，0．000）和金标准（P=0．000，0．000）。结论应用5DHeart诊断CTD，高年资医师诊断能够获得与常规超声相仿的诊断效能，该技术在先天性心脏病胎儿的远程会诊、培训及科研教学方面具有重要的应用前景。
Objective To investigate the application of fetal intelligent navigation echocardiography （FINE, 5D Heart） in the diagnosis of conotruncal anomalies （CTD）. Methods For prospective study, volume transducer was used to collect the three-dimensional data of fetal heart at 20th - 30th week of gestation. The STIC volume images were processed by three independent physicians of different hierarchies via 5D Heart software afterwards, and the quality of the STIC diagnosis as well as the consistence among the physicians were analyzed according to the gold standard of postpartum ultrasonic follow-up or surgery results. Results Twelve out of 16 CTD cases were finally included in the study, and the volume data were analyzed. Senior physicians A could apply 5D Heart diagnosis to achieve 2D-US diagnosis efficiency and gold standard consistently（ P = 0. 157,0. 083）, medium and low seniority physician B and C got roughly equal score using 5D Heart diagnosis（ P = 0. 705）, but the diagnostic performance could not reach 2D-US （ P = 0. 000,0. 000） and gold standard（ P = 0. 000,0. 000）. Conclusions Fetal cardiac anomalies of CTD can be diagnosed correctly by an expert using 5D Heart, which has important application prospects in remote consultation, training and scientific research and teaching of congenital heart disease of fetus.
作者
杨黎明
赵博文
李强
杨园
王蓓
彭晓慧
潘美
李秀茹
韩英
Yang Liming;Zhao Bowen;Li Qiang;Yang Yuan;Wang Bei;Peng Xiaohui;Pan Mei;Li Xiuru;Han Ying(Department of Diagnostic Ultrasound ＆ Echocardiography,Sir Run Run Shaw Hospital,Zhejiang University College of Medicin;Technical Guidance Center for Fetal Echocardiography of Zhejiang Provinc;Sir Run Run Shaw Institute of Clinical Medicine of Zhejiang University,Hangzhou 310016,China)
出处
《中华超声影像学杂志》
CSCD
北大核心
2018年第9期777-783,共7页
Chinese Journal of Ultrasonography
基金
浙江省公益技术应用社会发展项目（LGF18H180004）
浙江省教育厅项目（Y201737897）
