Prenatal diagnosis of interrupted aortic arch using high-definition flow render mode and spatiotemporal image correlation

Echocardiography. 2024 May;41(5):e15828. doi: 10.1111/echo.15828.

Abstract

Objectives: To evaluate the clinical utility of two dimensional (2D) ultrasound combined with spatiotemporal image correlation (STIC) in diagnosing interrupted aortic arch (IAA) in fetal life.

Methods: A total of 53 cases of fetal IAA were diagnosed using 2D ultrasound combined with STIC, and 53 normal fetuses of the same gestational week were selected. These cases were retrospectively analyzed to assess the utility of employing 2D ultrasound combined with STIC in the diagnosis of IAA.

Results: 2D ultrasound combined with STIC detected 22 cases of type A IAA, 24 cases of type B IAA, and seven cases of type C IAA. Furthermore, combining 2D ultrasound with STIC enabled dynamic visualization of the IAA, aiding in prenatal diagnosis. The diagnostic coincidence rate of IAA was found to be higher in the HD-flow combined with STIC than that in the 2D combined with HD-flow.

Conclusion: HD-flow combined with STIC can assist in diagnosing fetal IAA, and this technique has important clinical value.

Keywords: fetus; interrupted aortic arch; prenatal diagnosis; spatiotemporal image correlation; ultrasonography.

MeSH terms

  • Adult
  • Aorta, Thoracic* / abnormalities
  • Aorta, Thoracic* / diagnostic imaging
  • Aorta, Thoracic* / embryology
  • Female
  • Fetal Heart / diagnostic imaging
  • Humans
  • Pregnancy
  • Reproducibility of Results
  • Retrospective Studies
  • Ultrasonography, Prenatal* / methods