Chapter 5

Assessment of Fetal Heart by Three- and Four- Dimensional Ultrasound

Giuseppe Rizzo and Domenico Arduini

Abstract

The aim of this review was to determine whether three-dimensional (3D) and four-dimensional (4D) ultrasonography adds diagnostic information to what is currently provided by two-dimensional (2D) ultrasound (US) in the diagnosis of the most common congenital structural defects, namely congenital heart disease. Recent studies suggested that 3D/4D US allows to decrease operator dependency in the visualization of standard diagnostic planes, thus reducing the examination time required for the ultrasound screening examination, with minimal consequences on the imaging quality of the anatomical structures. Furthermore, sonographers with lack of experience may acquire cardiac volumes that can be successfully reviewed offline locally or sent by internet to referral centers for remote review by an observer with more experience. As a consequence 3D/4D US promises to become the method of choice for the diagnosis of congenital structural defects.

Total Pages: 63-72 (10)

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