Foetal Echocardiography vs. Neonatal Echocardiography for Diagnosis of Congenital Heart Diseases
Keywords:
Heart Disease, Fetal Echocardiography, Prenatal Echocardiography And Neonatal EchocardiographyAbstract
Congenital heart disease (CHD) is a structural abnormality in the heart or major intrathoracic blood vessels that has been present since birth. The antenatal detection of congenital cardiac disease has been greatly enhanced by the advent of fetal echocardiography as a crucial component of prenatal ultrasound evaluation. Nevertheless, antenatal CHD diagnosis rates are still lower than those for the majority of other significant structural defects. Aim : Assess the effectiveness of fetal in comparison to neonatal echocardiography. This study is conductedin accordance to the PRISMA statement. Studies were identified from several open-access electronic databases (PubMed Central, ScienceDirect, Google Scholar). Risk of bias of each study was evaluated using Cochrane Risk of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool. Data were descriptively examined and narratively reported. Twelve studies were included in the review. All included studies were considered low-risk. From 12 studies that were included in our study, all recommend fetal echocardiography for prenatal assessment. Lowest reported sensitivity was 64.5%, highest value was 100%. Lowest repoted specificity was 88.9%, highest value was 99.96%. Diagnostic accuracy was reported in 4 studies, with a value of 93 – 99.82% Factors that might be associated with the accuracy of fetal echocardiography are high anatomic complexity, maternal comorbidities, and fellow as initial imager. Fetal echocardiography was found to have a high specificity but limited sensitivity. Low sensitivity suggests that fetal echocardiography results could be inaccurate whereas high specificity means that a negative echocardiography result is often sufficient to predict the absence of CHD. There are some factors that may affect the accuracy of fetal echocardiography, mostly resulting from fetal or maternal factors, such as high complexity of the anomaly, fetal position, late gestation, maternal obesity, and less-esperienced sonographer.
Downloads
References
L. Yeo, S. Luewan, and R. Romero, “Fetal Intelligent Navigation Echocardiography (FINE) Detects 98% of Congenital Heart Disease,” J. Ultrasound Med., vol. 37, no. 11, pp. 2577–2593, Nov. 2018, doi: 10.1002/jum.14616.
H. Y. Sun, “Prenatal diagnosis of congenital heart defects: echocardiography,” Transl. Pediatr., vol. 10, no. 8, pp. 2210–2224, Aug. 2021, doi: 10.21037/tp-20-164.
N. Mozumdar et al., “Diagnostic Accuracy of Fetal Echocardiography in Congenital Heart Disease,” J. Am. Soc. Echocardiogr., vol. 33, no. 11, pp. 1384–1390, Nov. 2020, doi: 10.1016/j.echo.2020.06.017.
S. Gao et al., “Comparison of fetal echocardiogram with fetal cardiac autopsy findings in fetuses with congenital heart disease,” J. Matern. Neonatal Med., vol. 34, no. 23, pp. 3844–3850, Dec. 2021, doi: 10.1080/14767058.2019.1700498.
S. Rakha and H. El Marsafawy, “Sensitivity, specificity, and accuracy of fetal echocardiography for high-risk pregnancies in a tertiary center in Egypt,” Arch. Pédiatrie, vol. 26, no. 6, pp. 337–341, Sep. 2019, doi: 10.1016/j.arcped.2019.08.001.
S. Gao et al., “Comparison of fetal echocardiogram with fetal cardiac autopsy findings in fetuses with congenital heart disease,” J. Matern. Neonatal Med., vol. 34, no. 23, pp. 3844–3850, 2021.
M. Donofrio, “Predicting the Future: Delivery Room Planning of Congenital Heart Disease Diagnosed by Fetal Echocardiography,” Am. J. Perinatol., vol. 35, no. 06, pp. 549–552, May 2018, doi: 10.1055/s-0038-1637764.
A. H. Khorshid, M. I. A. E.-K. Aldeftar, A. Al-Habbaa, H. A. E. Gaber, A. A. E.-S. Elhewala, and M. H. H. Ezzt, “Comparison between Fetal Echocardiography and Neonatal Echocardiography in Diagnosing Congenital Heart Diseases,” Egypt. J. Hosp. Med., vol. 76, no. 2, pp. 3600–3606, Jul. 2019, doi: 10.21608/ejhm.2019.39167.
M. O. Nurmi, O. Pitkänen‐Argillander, J. Räsänen, and T. Sarkola, “Accuracy of fetal echocardiography diagnosis and anticipated perinatal and early postnatal care in congenital heart disease in mid‐gestation,” Acta Obstet. Gynecol. Scand., vol. 101, no. 10, pp. 1112–1119, Oct. 2022, doi: 10.1111/aogs.14423.
V. T. Truong et al., “Application of machine learning in screening for congenital heart diseases using fetal echocardiography,” Int. J. Cardiovasc. Imaging, vol. 38, no. 5, pp. 1007–1015, May 2022, doi: 10.1007/s10554-022-02566-3.
J. Wong, K. Kohari, M. O. Bahtiyar, and J. Copel, “Impact of prenatally diagnosed congenital heart defects on outcomes and management,” J. Clin. Ultrasound, vol. 50, no. 5, pp. 646–654, Jun. 2022, doi: 10.1002/jcu.23219.
A. Chakraborty, S. R. Gorla, and S. Swaminathan, “Impact of prenatal diagnosis of complex congenital heart disease on neonatal and infant morbidity and mortality,” Prenat. Diagn., vol. 38, no. 12, pp. 958–963, Nov. 2018, doi: 10.1002/pd.5351.
M. Aguilera and K. Dummer, “Concordance of fetal echocardiography in the diagnosis of congenital cardiac disease utilizing updated guidelines,” J. Matern. Neonatal Med., vol. 31, no. 7, pp. 940–945, Apr. 2018, doi: 10.1080/14767058.2017.1297791.
H. Mottaghi, E. Heidari, and S. S. Ghiasi, “A review study on the prenatal diagnosis of congenital heart disease using fetal echocardiography.,” Rev. Clin. Med., vol. 5, no. 1, 2018.
C. S. Haxel et al., “Care of the fetus with congenital cardiovascular disease: from diagnosis to delivery,” Pediatrics, vol. 150, no. Supplement 2, 2022.
P. T. Levy et al., “Application of neonatologist performed echocardiography in the assessment and management of neonatal heart failure unrelated to congenital heart disease,” Pediatr. Res., vol. 84, no. Suppl 1, pp. 78–88, 2018.
M. Aguilera and K. Dummer, “Concordance of fetal echocardiography in the diagnosis of congenital cardiac disease utilizing updated guidelines,” J. Matern. Neonatal Med., vol. 31, no. 7, pp. 940–945, Apr. 2018, doi: 10.1080/14767058.2017.1297791.
M. Kondo, A. Ohishi, T. Baba, T. Fujita, and S. Iijima, “Can echocardiographic screening in the early days of life detect critical congenital heart disease among apparently healthy newborns?,” BMC Pediatr., vol. 18, no. 1, p. 359, Dec. 2018, doi: 10.1186/s12887-018-1344-z.
M. Cruz-Lemini et al., “Prenatal diagnosis of congenital heart defects: experience of the first Fetal Cardiology Unit in Mexico,” J. Matern. Neonatal Med., vol. 34, no. 10, pp. 1529–1534, May 2021, doi: 10.1080/14767058.2019.1638905.
M. Z. Adışen and M. Aydoğdu, “Comparison of mastoid air cell volume in patients with or without a pneumatized articular tubercle,” Imaging Sci. Dent., vol. 52, no. 1, p. 27, 2022, doi: 10.5624/isd.20210153.
J. J. Crivelli et al., “Clinical and radiographic outcomes following salvage intervention for ureteropelvic junction obstruction,” Int. braz j urol, vol. 47, pp. 1209–1218, 2021.
F. P. Machado, J. E. F. Dornelles, S. Rausch, R. J. Oliveira, P. R. Portela, and A. L. S. Valente, “Osteology of the pelvic limb of nine-banded-armadillo, dasypus novemcinctus linnaeus, 1758 applied to radiographic interpretation,” Brazilian J. Dev., vol. 9, no. 05, pp. 14686–14709, 2023.
L. Munhoz, C. HIROSHI IIDA, R. Abdala Junior, R. Abdala, and E. S. Arita, “Mastoid Air Cell System: Hounsfield Density by Multislice Computed Tomography.,” J. Clin. Diagnostic Res., vol. 12, no. 4, 2018.
R. Krishnan, L. Deal, C. Chisholm, B. Cortez, and A. Boyle, “Concordance Between Obstetric Anatomic Ultrasound and Fetal Echocardiography in Detecting Congenital Heart Disease in High‐risk Pregnancies,” J. Ultrasound Med., vol. 40, no. 10, pp. 2105–2112, 2021, doi: https://doi.org/10.1002/jum.15592.
S. Menahem, A. Sehgal, and S. Meagher, “Early detection of significant congenital heart disease: The contribution of fetal cardiac ultrasound and newborn pulse oximetry screening,” J. Paediatr. Child Health, vol. 57, no. 3, pp. 323–327, Mar. 2021, doi: 10.1111/jpc.15355.
N. R. Sayal, S. Boyd, G. Zach White, and M. Farrugia, “Incidental mastoid effusion diagnosed on imaging: are we doing right by our patients?,” Laryngoscope, vol. 129, no. 4, pp. 852–857, 2019.
D. d’Ovidio, F. Pirrone, T. M. Donnelly, A. Greco, and L. Meomartino, “Ultrasound-guided percutaneous antegrade pyelography for suspected ureteral obstruction in 6 pet guinea pigs ( Cavia porcellus ),” Vet. Q., vol. 40, no. 1, pp. 198–204, Jan. 2020, doi: 10.1080/01652176.2020.1803512.
M. A. Wasserman et al., “Recommendations for the adult cardiac sonographer performing echocardiography to screen for critical congenital heart disease in the newborn: from the American Society of Echocardiography,” J. Am. Soc. Echocardiogr., vol. 34, no. 3, pp. 207–222, 2021.
E. P. Lestari, D. D. Cahyadi, S. Novelina, and H. Setijanto, “PF-30 Anatomical Characteristic of Hindlimb Skeleton of Sumatran Rhino (Dicerorhinus sumatrensis),” Hemera Zoa, 2018.
L. Meomartino, A. Greco, M. Di Giancamillo, A. Brunetti, and G. Gnudi, “Imaging techniques in Veterinary Medicine. Part I: Radiography and Ultrasonography,” Eur. J. Radiol. Open, vol. 8, p. 100382, 2021, doi: 10.1016/j.ejro.2021.100382.
Published
How to Cite
Issue
Section
Copyright (c) 2023 Kevina Liora, Tiffanie Almas Santoso, Siti Alya Fahira, Theresia Aquila Yuliana, Oriza Malta Damayant
This work is licensed under a Creative Commons Attribution 4.0 International License.
