Evolution of Fetal Cardiac Ultrasound Assessments
Fetal cardiac ultrasound assessments have advanced significantly since the publication of Sup78 in 2010. Current practices involve a wide range of measurements beyond visual inspection, including ventricular, atrial, septal, and valvular measurements, as well as assessments of fetal arrhythmias and hemodynamics. The inclusion of the fetal cardiovascular profile score (CVPS) and the application of pediatric echo measurements to late-stage fetal development further enhance the diagnostic capabilities in this field. The extension of TID 5220 and the addition of TID 5302 for fully post-coordinated echo measurements have expanded the scope of fetal echo assessments, providing valuable insights into fetal cardiac health. This draft report introduces new measurements, properties, anatomical locations, and guidance for encoding fetal measurements using TID 5302. Additionally, a dedicated section for the Fetal Cardiovascular Profile Score (CVPS) and a CID for Fetal Echocardiography Image Views have been included to offer a comprehensive approach to fetal cardiac assessments using ultrasound.
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Presentation Transcript
Ultrasound Fetal Cardiac Structured Report Extensions Letter Ballot Draft WG-1/12 11 June 2024
BACKGROUND Fetal Cardiac Assessment using Ultrasound has evolved since Sup78 was published in 2010 Practice now includes many more measurements beyond visual assessment, such as: measurements of the ventricles, atria, septa and valves, measurements of fetal arrhythmia and hemodynamics, assessment of the fetal cardiovascular profile score (CVPS) Many measurements initially specified for pediatric echo are also potentially applicable to late stage fetal development and should be available in the TID.
OVERVIEW Scope: TID 5220 and its sub-templates are extended for fetal echo Many new requested measurements (and many similar measurements) are supported by the addition of TID 5302 for fully post-coordinated echo measurements Several new Properties, Anatomical Locations, and Measurements are added to existing CIDs. Guidance on how to use TID 5302 to encode many new fetal measurement examples is provided A CID for Fetal Echocardiography Image Views is added A new report section for Fetal Cardiovascular Profile Score (CVPS) is added
FETAL ARRHYTHMIA ASSESSMENTS Fetal Echo Guideline Japan (Second edition) 2021 Figure showing the atrioventricular (AV) and ventriculoatrial (VA) intervals used in assessment of fetal arrhythmia
