comparison of the reproducibility of 2d doppler and 3d stic in the measurement of fetal cardiac output比较二维多普勒的再现性和3 d测量胎儿心输出量的不现实.pdfVIP

Open Journal of Obstetrics and Gynecology, 2011, 1, 163-167 OJOG doi:10.4236/ojog.2011.14031 Published Online December 2011 (http://www.SciRP.org/journal/ojog/). Comparison of the reproducibility of 2D doppler and 3D STIC in the measurement of fetal cardiac output Rajeswari Parasuraman1 2 1 , Clive Osmond , David T. Howe 1Wessex Maternal and Fetal Medicine Unit, Princess Anne Hospital, Southampton, UK; 2MRC Lifecourse Epidemiology unit, Southampton General Hospital, Southampton, UK. Email: rajeraghav@ Received 4 September 2011; revised 25 October 2011; accepted 30 October 2011. ABSTRACT 1. INTRODUCTION Objectives: Two methods have been described to as- Fetal cardiac output has been measured by various tech- sess fetal cardiac output (CO). It has usually been niques using both 2D Doppler [1-3] and 3D ultrasono- calculated by using 2D ultrasound to measure the graphy [3-11]. Cardiac outflow has been estimated by diameter of outflow valves and Doppler ultrasound to using Doppler ultrasound to measure the average flow measure flow velocity through the valves. Recently velocity across the aortic and pulmonary valves and 2D CO has been assessed using 3D spatio-temporal im- ultrasound to measure the valve diameters [3]. age correlation (STIC) to measure stroke volume. We After the advent of 3D ultrasonography, Hamill et al aimed to compare the reproducibility of these tech- suggested it might have advantages over 2D assessment niques. Methods: In 27 women with singleton preg- of cardiac output. Using a sin