胎儿心脏超声智能导航技术测量胎儿主动脉、肺动脉内径的可行性分析  

Feasibility analysis of fetal intelligent navigation echocardiography in measuring the diameters of the fetal aorta and pulmonary artery

作　　者：毛玲玲 戴丽雅 金彬 黄岩花[2] 陈方红[2] MAO Lingling;DAI Liya;JIN Bin;HUANG Yanhua;CHEN Fanghong(Department of Ultrasound,Quzhou People's Hospital,Quzhou 323400,China;不详)

机构地区：[1]衢州市人民医院超声科,323400 [2]丽水市中心医院超声科

出　　处：《心电与循环》2025年第2期154-158,F0003,共6页Journal of Electrocardiology and Circulation

摘　　要：目的探讨胎儿心脏超声智能导航(FINE)在测量胎儿主动脉(AO)、肺动脉(PA)内径的可行性。方法回顾性选择2022年5至8月在丽水市中心医院行胎儿超声心动图检查的单胎正常妊娠孕妇121例,采集容积超声图像,比较二维超声心动图(2DE)和FINE测量的胎儿AO、PA内径。由3位经验不同的医师再进行FINE测值的重复性检验,比较2DE和FINE的测量时间。结果121例胎儿中,使用FINE软件获取图像质量清晰的心室流出道切面有103例(85.12%)。线性Pearson相关分析显示,主任医师使用2DE和FINE测得的AO、PA内径有很好的相关性(r=0.93、0.93,均P<0.01)。Bland-Altman分析表明,主任医师测量的AO和PA直径的2DE和FINE测量值具有很高的一致性,95%一致性界限分别为(-1.08,0.91)、(-1.06,1.07),组内相关系数分析显示FINE测量AO、PA内径在观察者间及观察者内重复性良好。主任医师使用FINE获取胎儿心室流出道切面及测量AO、PA内径所需使用时间明显短于使用2DE,差异有统计学意义(P<0.05)。结论FINE适用于AO、PA内径测量,具有高重复性及可靠性。Objective To explore the feasibility of fetal intelligent navigation echocardiography(FINE)in measuring the diameters of the fetal aorta(AO)and pulmonary artery(PA).Methods A total of 121 women with a normal singleton fetus who underwent fetal echocardiography in Lishui Central Hospital from May to August 2022 were selected retrospectively.Sonographic volume data sets were acquired.The diameters of fetal AO and PA measured by two-dimensional echocardiography(2DE)and FINE were compared.Repeatability test of FINE measurement values was conducted by three physicians with different experience.Time required for measurement using 2DE and FINE were compared.Results Among 121 cases,ventricular outflow tract view with adequate image quality was obtained in 103 cases(85.1%)using FINE software.Linear Pearson correlation analysis showed that there was a good correlation between 2DE and FINE measurement values of AO and PA diameter measured by chief physician(r=0.93,0.93,both P<0.01).Bland-Altman analysis showed that there was high consistency of 2DE and FINE measurement values of AO and PA diameter measured by chief physician,with 95%limits of agreement being(-1.08,0.91)and(-1.06,1.07),respectively.Intra-class correlation coefficient analysis showed good repeatability of FINE measurement of AO and PA diameters between and within observers.The time required for chief physician to obtain ventricular outflow tract view and measure AO and PA diameter using FINE was significantly shorter than using 2DE,with a statistically significant difference(P<0.05).Conclusion FINE is suitable for measurement of AO and PA diameter,with high repeatability and reliability.

关 键 词：主动脉 肺动脉 胎儿心脏智能导航 超声心动图 

分 类 号：R714.5[医药卫生—妇产科学]