A brief history of fetal echocardiography and its impact on the management of congenital heart disease
A brief history of fetal echocardiography and its impact on the management of congenital heart disease
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DOI：
10.1111/echo.13713
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发表时间：
2017-12-01
影响因子：
1.5
通讯作者：
Vilchez, Gustavo
中科院分区：
文献类型：
--
作者：
Maulik, Dev;Nanda, Navin C.;Vilchez, Gustavo
先天性心脏病（CHD）是最常见的先天性畸形，与不良结局相关。胎儿超声心动图的发展使产前诊断冠心病成为现实，并在此过程中彻底改变了其管理。这一历史回顾简要叙述了这几十年来的发展，重点是胎儿超声心动图的主要模式的出现，包括时间运动模式，二维B模式，频谱多普勒，彩色多普勒，三维和四维心脏成像。临床医生和工程师之间的合作是这些进步的核心。还讨论了胎儿超声心动图的准确性和对CHD的管理的影响，特别是它在产前诊断的关键CHD的个性化管理和改善的结果的作用。尽管取得了这些进展，但大多数CHD病例在产前未被发现，这强调了进一步技术和教育创新和改进的持续需求。
Congenital heart disease (CHD), the most common congenital malformation, is associated with adverse outcome. Development of fetal echocardiography has made prenatal diagnosis of CHD a reality, and in the process revolutionized its management. This historical review briefly narrates this development over the decades focusing on the emergence of the primary modalities of fetal echocardiography comprised of the time-motion mode, two-dimensional B-mode, spectral Doppler, color Doppler, and three- and four-dimensional cardiac imaging. Collaboration between clinicians and engineers has been central to these advances. Also discussed are the accuracy and impact of fetal echocardiography on the management of CHD, and especially its role in the prenatal diagnosis of critical CHD in individualizing the management and improving the outcome. Despite these advances, most cases of CHD are not identified prenatally, emphasizing the continuing need for further technological and educational innovation and improvement.