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The Evaluation of Fetal Cardiac Remote Screening in the Second Trimester of Pregnancy Using the Spatio-Temporal Image Correlation Method

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Abstract

We prospectively performed remote fetal cardiac screening using the spatio-temporal image correlation (STIC), and examined the usefulness and problems of remote screening. We performed heart screening for all pregnant women at four obstetrics clinics over the three years from 2009 to 2014. The STIC data from 15,404 examinations in normal pregnancies (16–27 weeks, median 25 weeks) were analyzed. Obstetricians and sonographer collected STIC data from four-chamber view images. Eight pediatric cardiologists analyzed the images offline. A normal heart was diagnosed in 14,002 cases (90.9%), an abnormal heart was diagnosed in 457 cases (3.0%), and poor images were obtained in 945 cases (6.1%). 138 cases had congenital heart disease (CHD) after birth, and severe CHD necessitating hospitalization occurred in 36 cases. We were not able to detect CHD by screening in 12 cases. The sensitivity and specificity of STIC in CHD screening was 50% and 99.5%, respectively. The sensitivity and specificity of STIC in screening for severe CHD was 82% and 99.9%, respectively. The STIC method was useful in fetal remote screening for CHD. However, the fact that > 10% of images that could not be analyzed by this method was a problem.

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The authors have no funding sources relevant to this article to disclose.

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Authors and Affiliations

  1. Department of Pediatrics, Faculty of Medicine, Kindai University, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan

    Noboru Inamura

  2. Department of Obstetrics and Gynecology, Taniguchi Hospital, Izumisano, Japan

    Takeshi Taniguchi

  3. Department of Laboratory Medicine, Osaka Habikino Medical Center, Habikino, Japan

    Tatsumi Yamada

  4. Department of Pediatrics, Osaka University Hospital, Suita, Japan

    Tomohiko Tanaka

  5. Department of Pediatrics, Kitano Hospital, The Tazuke Foshikai Medical Institute, Osaka, Japan

    Ken Watanabe

  6. Department of Pediatrics, Wakayama Medical University, Wakayama, Japan

    Ken Kumagaya

  7. Department of Pediatric Cardiology, Osaka Medical Center and Research Institute for Maternal and Child Health, Izumi, Japan

    Yoichiro Ishii

  8. Department of Pediatrics, Ishii Kids Clinic, Kobe, Japan

    Tsubura Ishii

  9. Department of Pediatrics, Hayasi Kids Clinic, Sakai, Japan

    George Hayashi

  10. Department of Pediatrics, Sapporo City General Hospital, Sapporo, Japan

    Nobuko Shiono

  11. Department of Obstetrics and Gynecology, Mie University Graduate School of Medicine, Tsu, Japan

    Tomoaki Ikeda

Authors
  1. Noboru Inamura
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  2. Takeshi Taniguchi
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  3. Tatsumi Yamada
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  4. Tomohiko Tanaka
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  5. Ken Watanabe
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  6. Ken Kumagaya
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  7. Yoichiro Ishii
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  8. Tsubura Ishii
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  9. George Hayashi
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  10. Nobuko Shiono
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  11. Tomoaki Ikeda
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Osaka Fetal Cardiology Group

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Correspondence to Noboru Inamura.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Inamura, N., Taniguchi, T., Yamada, T. et al. The Evaluation of Fetal Cardiac Remote Screening in the Second Trimester of Pregnancy Using the Spatio-Temporal Image Correlation Method. Pediatr Cardiol 41, 979–984 (2020). https://doi.org/10.1007/s00246-020-02346-7

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  • DOI: https://doi.org/10.1007/s00246-020-02346-7

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