Fetal Left Ventricular Mass Determination on 2‐Dimensional Echocardiography Using Area‐Length Calculation Methods

Objectives Fetal cardiac examination is an important part of fetal malformation screening. The purposes of this study were to describe the left ventricular (LV) mass in the second and third trimesters by 2‐dimensional echocardiography using area‐length calculation methods and to examine the clinical...

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Veröffentlicht in:Journal of ultrasound in medicine 2014-02, Vol.33 (2), p.349-354
Hauptverfasser: Zheng, Xiao-Zhi, Yang, Bin, Wu, Jing
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description Objectives Fetal cardiac examination is an important part of fetal malformation screening. The purposes of this study were to describe the left ventricular (LV) mass in the second and third trimesters by 2‐dimensional echocardiography using area‐length calculation methods and to examine the clinical usefulness of this procedure in evaluation of gestational age (GA)‐ and fetal weight‐related LV mass changes. Methods Five hundred healthy fetuses were divided into 2 groups (250 participants per group): second‐ and third‐trimester groups. The estimated fetal weight (EFW) was computed according to the Hadlock formula (Radiology 1984; 150:535–540). The LV mass at end diastole (LVd mass) and LV mass at end systole (LVs mass) were measured, and the difference between the LVd mass and LVs mass [LV(d‐s) mass], LVd mass/EFW ratio, and LVs mass/EFW ratio were calculated. Results The EFW, LVd mass, LVs mass, and LV(d‐s) mass were all significantly greater in the third‐trimester group than the second‐trimester group (P < .05), whereas the LVd mass/EFW and LVs mass/EFW ratios did not differ between the groups (P > .05). The LVd mass, LVs mass, and LV(d‐s) mass all significantly correlated with GA and weight (P< .001), but the LVd mass/EFW and LVs mass/EFW ratios did not (P > .05). Conclusions Two‐dimensional echocardiography using area‐length calculation methods can effectively provide measurements for LV mass and can sensitively indicate fetal weight‐ and GA ‐related changes in LV mass. Fetal cardiac mass measurement is a useful parameter for evaluation of fetal heart development.
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The purposes of this study were to describe the left ventricular (LV) mass in the second and third trimesters by 2‐dimensional echocardiography using area‐length calculation methods and to examine the clinical usefulness of this procedure in evaluation of gestational age (GA)‐ and fetal weight‐related LV mass changes. Methods Five hundred healthy fetuses were divided into 2 groups (250 participants per group): second‐ and third‐trimester groups. The estimated fetal weight (EFW) was computed according to the Hadlock formula (Radiology 1984; 150:535–540). The LV mass at end diastole (LVd mass) and LV mass at end systole (LVs mass) were measured, and the difference between the LVd mass and LVs mass [LV(d‐s) mass], LVd mass/EFW ratio, and LVs mass/EFW ratio were calculated. Results The EFW, LVd mass, LVs mass, and LV(d‐s) mass were all significantly greater in the third‐trimester group than the second‐trimester group (P &lt; .05), whereas the LVd mass/EFW and LVs mass/EFW ratios did not differ between the groups (P &gt; .05). The LVd mass, LVs mass, and LV(d‐s) mass all significantly correlated with GA and weight (P&lt; .001), but the LVd mass/EFW and LVs mass/EFW ratios did not (P &gt; .05). Conclusions Two‐dimensional echocardiography using area‐length calculation methods can effectively provide measurements for LV mass and can sensitively indicate fetal weight‐ and GA ‐related changes in LV mass. Fetal cardiac mass measurement is a useful parameter for evaluation of fetal heart development.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.7863/ultra.33.2.349</identifier><identifier>PMID: 24449740</identifier><language>eng</language><publisher>England: American Institute of Ultrasound in Medicine</publisher><subject>2-dimensional echocardiography ; Algorithms ; area-length ; Echocardiography - methods ; Female ; Fetal Heart - diagnostic imaging ; fetal weight ; gestational age ; Heart Ventricles - diagnostic imaging ; Heart Ventricles - embryology ; Humans ; Image Enhancement - methods ; Image Interpretation, Computer-Assisted - methods ; left ventricular mass ; left ventricular mass-to-fetal weight ratio ; Male ; obstetric ultrasound ; Organ Size ; Reproducibility of Results ; Sensitivity and Specificity ; Ultrasonography, Prenatal - methods</subject><ispartof>Journal of ultrasound in medicine, 2014-02, Vol.33 (2), p.349-354</ispartof><rights>2016 by the American Institute of Ultrasound in Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3859-2f70b9e8025af623770d08db2fc25c8a2878eb3973fa28e0626d04ca715718783</citedby><cites>FETCH-LOGICAL-c3859-2f70b9e8025af623770d08db2fc25c8a2878eb3973fa28e0626d04ca715718783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.7863%2Fultra.33.2.349$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.7863%2Fultra.33.2.349$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24449740$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zheng, Xiao-Zhi</creatorcontrib><creatorcontrib>Yang, Bin</creatorcontrib><creatorcontrib>Wu, Jing</creatorcontrib><title>Fetal Left Ventricular Mass Determination on 2‐Dimensional Echocardiography Using Area‐Length Calculation Methods</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>Objectives Fetal cardiac examination is an important part of fetal malformation screening. The purposes of this study were to describe the left ventricular (LV) mass in the second and third trimesters by 2‐dimensional echocardiography using area‐length calculation methods and to examine the clinical usefulness of this procedure in evaluation of gestational age (GA)‐ and fetal weight‐related LV mass changes. Methods Five hundred healthy fetuses were divided into 2 groups (250 participants per group): second‐ and third‐trimester groups. The estimated fetal weight (EFW) was computed according to the Hadlock formula (Radiology 1984; 150:535–540). The LV mass at end diastole (LVd mass) and LV mass at end systole (LVs mass) were measured, and the difference between the LVd mass and LVs mass [LV(d‐s) mass], LVd mass/EFW ratio, and LVs mass/EFW ratio were calculated. Results The EFW, LVd mass, LVs mass, and LV(d‐s) mass were all significantly greater in the third‐trimester group than the second‐trimester group (P &lt; .05), whereas the LVd mass/EFW and LVs mass/EFW ratios did not differ between the groups (P &gt; .05). The LVd mass, LVs mass, and LV(d‐s) mass all significantly correlated with GA and weight (P&lt; .001), but the LVd mass/EFW and LVs mass/EFW ratios did not (P &gt; .05). Conclusions Two‐dimensional echocardiography using area‐length calculation methods can effectively provide measurements for LV mass and can sensitively indicate fetal weight‐ and GA ‐related changes in LV mass. Fetal cardiac mass measurement is a useful parameter for evaluation of fetal heart development.</description><subject>2-dimensional echocardiography</subject><subject>Algorithms</subject><subject>area-length</subject><subject>Echocardiography - methods</subject><subject>Female</subject><subject>Fetal Heart - diagnostic imaging</subject><subject>fetal weight</subject><subject>gestational age</subject><subject>Heart Ventricles - diagnostic imaging</subject><subject>Heart Ventricles - embryology</subject><subject>Humans</subject><subject>Image Enhancement - methods</subject><subject>Image Interpretation, Computer-Assisted - methods</subject><subject>left ventricular mass</subject><subject>left ventricular mass-to-fetal weight ratio</subject><subject>Male</subject><subject>obstetric ultrasound</subject><subject>Organ Size</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Ultrasonography, Prenatal - methods</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkbtOwzAUhi0EglJYGVFGlgTHduJ4RL1wUSsWymq5zklrlEuxHaFuPALPyJPgUmBFsnSOzvnON_xG6CLFCS9yet3X3qqE0oQklIkDNEizDMciT-khGmDCi5gRwU_QqXMvGBOccnaMTghjTHCGB6ifgld1NIPKR8_Qemt0XysbzZVz0Rg82Ma0ypuujcIjn-8fY9NA68IgnE30utPKlqZbWbVZb6OFM-0qurGgAjmDduXX0UjVO-e3Yw5-3ZXuDB1VqnZw_lOHaDGdPI3u4tnj7f3oZhZrWmQiJhXHSwEFJpmqckI5xyUuyiWpNMl0oUjBC1hSwWkVesA5yUvMtOJpxtOwo0N0tfdubPfag_OyMU5DXasWut7JlAmScyFYFtBkj2rbOWehkhtrGmW3MsVyF7X8jlpSKokMUYeDyx93v2yg_MN_sw2A2ANvpobtPzr5sJiH32GUkp38C0khj0o</recordid><startdate>201402</startdate><enddate>201402</enddate><creator>Zheng, Xiao-Zhi</creator><creator>Yang, Bin</creator><creator>Wu, Jing</creator><general>American Institute of Ultrasound in Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201402</creationdate><title>Fetal Left Ventricular Mass Determination on 2‐Dimensional Echocardiography Using Area‐Length Calculation Methods</title><author>Zheng, Xiao-Zhi ; Yang, Bin ; Wu, Jing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3859-2f70b9e8025af623770d08db2fc25c8a2878eb3973fa28e0626d04ca715718783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>2-dimensional echocardiography</topic><topic>Algorithms</topic><topic>area-length</topic><topic>Echocardiography - methods</topic><topic>Female</topic><topic>Fetal Heart - diagnostic imaging</topic><topic>fetal weight</topic><topic>gestational age</topic><topic>Heart Ventricles - diagnostic imaging</topic><topic>Heart Ventricles - embryology</topic><topic>Humans</topic><topic>Image Enhancement - methods</topic><topic>Image Interpretation, Computer-Assisted - methods</topic><topic>left ventricular mass</topic><topic>left ventricular mass-to-fetal weight ratio</topic><topic>Male</topic><topic>obstetric ultrasound</topic><topic>Organ Size</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Ultrasonography, Prenatal - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zheng, Xiao-Zhi</creatorcontrib><creatorcontrib>Yang, Bin</creatorcontrib><creatorcontrib>Wu, Jing</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zheng, Xiao-Zhi</au><au>Yang, Bin</au><au>Wu, Jing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fetal Left Ventricular Mass Determination on 2‐Dimensional Echocardiography Using Area‐Length Calculation Methods</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>2014-02</date><risdate>2014</risdate><volume>33</volume><issue>2</issue><spage>349</spage><epage>354</epage><pages>349-354</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><abstract>Objectives Fetal cardiac examination is an important part of fetal malformation screening. The purposes of this study were to describe the left ventricular (LV) mass in the second and third trimesters by 2‐dimensional echocardiography using area‐length calculation methods and to examine the clinical usefulness of this procedure in evaluation of gestational age (GA)‐ and fetal weight‐related LV mass changes. Methods Five hundred healthy fetuses were divided into 2 groups (250 participants per group): second‐ and third‐trimester groups. The estimated fetal weight (EFW) was computed according to the Hadlock formula (Radiology 1984; 150:535–540). The LV mass at end diastole (LVd mass) and LV mass at end systole (LVs mass) were measured, and the difference between the LVd mass and LVs mass [LV(d‐s) mass], LVd mass/EFW ratio, and LVs mass/EFW ratio were calculated. Results The EFW, LVd mass, LVs mass, and LV(d‐s) mass were all significantly greater in the third‐trimester group than the second‐trimester group (P &lt; .05), whereas the LVd mass/EFW and LVs mass/EFW ratios did not differ between the groups (P &gt; .05). The LVd mass, LVs mass, and LV(d‐s) mass all significantly correlated with GA and weight (P&lt; .001), but the LVd mass/EFW and LVs mass/EFW ratios did not (P &gt; .05). Conclusions Two‐dimensional echocardiography using area‐length calculation methods can effectively provide measurements for LV mass and can sensitively indicate fetal weight‐ and GA ‐related changes in LV mass. Fetal cardiac mass measurement is a useful parameter for evaluation of fetal heart development.</abstract><cop>England</cop><pub>American Institute of Ultrasound in Medicine</pub><pmid>24449740</pmid><doi>10.7863/ultra.33.2.349</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects 2-dimensional echocardiography
Algorithms
area-length
Echocardiography - methods
Female
Fetal Heart - diagnostic imaging
fetal weight
gestational age
Heart Ventricles - diagnostic imaging
Heart Ventricles - embryology
Humans
Image Enhancement - methods
Image Interpretation, Computer-Assisted - methods
left ventricular mass
left ventricular mass-to-fetal weight ratio
Male
obstetric ultrasound
Organ Size
Reproducibility of Results
Sensitivity and Specificity
Ultrasonography, Prenatal - methods
title Fetal Left Ventricular Mass Determination on 2‐Dimensional Echocardiography Using Area‐Length Calculation Methods
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