Document Detail

Test characteristics of a level I or II fetal ultrasound in detecting structural heart disease.
MedLine Citation:
PMID:  12530490     Owner:  NLM     Status:  MEDLINE    
At the University of California Davis Medical Center, a screening fetal ultrasound examination (level I or II) incorporates a comprehensive segmental evaluation of the fetal heart. This study evaluated the reliability of the fetal ultrasound exam in the detection of abnormal heart anatomy. Our retrospective study reviewed results of 614 antenatal patients that had a screening fetal ultrasound exam. All patients subsequently underwent a detailed targeted fetal cardiac ultrasound exam performed by a pediatric cardiac sonographer and reviewed by a board-certified pediatric cardiologist. Of these 614 patients, 60 fetuses had structural heart disease by the targeted fetal exam. The screening fetal ultrasound exam correctly identified 55 of the 60, with 5 false negatives (8.3% false-negative rate) and 1 false positive (1.7% false-positive rate). Our study suggests that if a screening fetal ultrasound exam incorporates a segmental evaluation of the fetal heart it can reliably detect abnormal heart anatomy. At our institution a targeted fetal cardiac exam is now used to confirm and provide detailed assessment of the heart anatomy when a screening fetal exam is positive for heart disease.
M Skeels; D Taylor; J Park; M Parrish; M Choy
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric cardiology     Volume:  23     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:    2002 Nov-Dec
Date Detail:
Created Date:  2003-01-17     Completed Date:  2003-02-21     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  594-7     Citation Subset:  IM    
Division of Pediatric Cardiology, University of California Davis Medical Center, 2516 Stockton Boulevard, Sacramento, CA 95817, USA.
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MeSH Terms
False Negative Reactions
Fetal Monitoring*
Heart Defects, Congenital / diagnosis*
Maternal Welfare
Observer Variation
Sensitivity and Specificity
Ultrasonography, Prenatal*

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