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Pires GDV, Nieblas CDO, Bravo-Valenzuela NJ, Araujo Júnior E, Castro PT, Werner H. Ebstein anomaly: 3D virtual and physical models from obstetrical ultrasound data. Echocardiography 2024; 41:e15806. [PMID: 38549419 DOI: 10.1111/echo.15806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2024] [Revised: 03/14/2024] [Accepted: 03/15/2024] [Indexed: 04/02/2024] Open
Abstract
3D virtual and physical models from ultrasound scan data allow a 3D spatial view of congenital heart anomalies, interactive discussion among a multidisciplinary team, and improved parental counseling. To the best of our knowledge, this is the first description of 3D physical and virtual models of a fetal Ebstein anomaly.
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Affiliation(s)
- Graziele do Vale Pires
- Department of Obstetrics, Paulista School of Medicine - Federal University of São Paulo (EPM-UNIFESP), São Paulo, São Paulo, Brazil
| | - Caroline de Oliveira Nieblas
- Discipline of Woman Health, Municipal University of São Caetano do Sul (USCS), São Caetano do Sul, São Paulo, Brazil
| | - Nathalie Jeanne Bravo-Valenzuela
- Department of Pediatrics, Pediatric Cardiology, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Rio de Janeiro, Brazil
| | - Edward Araujo Júnior
- Department of Obstetrics, Paulista School of Medicine - Federal University of São Paulo (EPM-UNIFESP), São Paulo, São Paulo, Brazil
- Discipline of Woman Health, Municipal University of São Caetano do Sul (USCS), São Caetano do Sul, São Paulo, Brazil
| | - Pedro Teixeira Castro
- Department of Fetal Medicine, Biodesign Laboratory DASA/PUC, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Heron Werner
- Department of Fetal Medicine, Biodesign Laboratory DASA/PUC, Rio de Janeiro, Rio de Janeiro, Brazil
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Marella NT, Gil AM, Fan W, Aristizabal CA, Asrani P, Harrington JK, Channing A, Setton M, Shah AM, Levasseur S, Glickstein J, Farooqi KM. 3D-Printed Cardiac Models for Fetal Counseling: A Pilot Study and Novel Approach to Improve Communication. Pediatr Cardiol 2023; 44:1800-1807. [PMID: 37199756 PMCID: PMC10193324 DOI: 10.1007/s00246-023-03177-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Accepted: 05/05/2023] [Indexed: 05/19/2023]
Abstract
A fetal cardiology consultation involves using two-dimensional drawings to explain the cardiac anatomy which can result in inherent variation in how the congenital heart disease (CHD) is conveyed. In this pilot study, we incorporated three-dimensional printed (3DP) models into fetal counseling to demonstrate feasibility and evaluate the impact on parental knowledge, understanding, and anxiety. Parents with a prenatal diagnosis of a muscular ventricular septal defect (VSD) and/or coarctation of aorta were enrolled. Providers were randomized into a Model or Drawing Group and crossed after six months. Parents completed a survey after the consultation which evaluated knowledge of the CHD lesion, expectant surgical management, self-rated understanding, attitude towards the visualization tool, and anxiety. Twenty-nine patients enrolled over a 12 month period. Twelve consultations were done for coarctation of aorta, 13 for VSD, and four for coarctation with a VSD. Both Model and Drawing groups scored similarly in self-reported understanding and confidence, helpfulness of and improvement in communication with the visualization tool. The Model group had higher scores on questions related to the CHD anatomy and surgical intervention [5 [4-5] versus 4 [3.5-5]], p = 0.23 although this didn't reach statistical significance. For the majority (83%) of consultations, the cardiologist agreed that the 3D model improved communication. In this pilot study, we demonstrate the use of 3DP cardiac models during prenatal CHD counseling is feasible and produces results related to parental understanding and knowledge that are equal to and possibly better than the current standard of care.
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Affiliation(s)
- Nicole Toscana Marella
- Division of Pediatric Cardiology, NewYork-Presbyterian/Columbia University Irving Medical Center, 3959 Broadway, CHN-2, New York, NY, 10023, USA
- Division of Pediatric Cardiology, Children's National Hospital, Washington, DC, USA
| | - Adriana Montes Gil
- Division of Pediatric Cardiology, NewYork-Presbyterian/Columbia University Irving Medical Center, 3959 Broadway, CHN-2, New York, NY, 10023, USA
| | - Weijia Fan
- Columbia University Mailman School of Public Health, New York, NY, USA
| | | | - Priyanka Asrani
- Division of Pediatric Cardiology, NewYork-Presbyterian/Columbia University Irving Medical Center, 3959 Broadway, CHN-2, New York, NY, 10023, USA
| | - Jamie K Harrington
- Division of Pediatric Cardiology, University of Southern California, Los Angeles, CA, USA
| | - Alexandra Channing
- Division of Pediatric Cardiology, NewYork-Presbyterian/Columbia University Irving Medical Center, 3959 Broadway, CHN-2, New York, NY, 10023, USA
| | - Matan Setton
- Division of Pediatric Cardiology, NewYork-Presbyterian/Columbia University Irving Medical Center, 3959 Broadway, CHN-2, New York, NY, 10023, USA
| | - Amee M Shah
- Division of Pediatric Cardiology, NewYork-Presbyterian/Columbia University Irving Medical Center, 3959 Broadway, CHN-2, New York, NY, 10023, USA
| | - Stéphanie Levasseur
- Division of Pediatric Cardiology, NewYork-Presbyterian/Columbia University Irving Medical Center, 3959 Broadway, CHN-2, New York, NY, 10023, USA
| | - Julie Glickstein
- Division of Pediatric Cardiology, NewYork-Presbyterian/Columbia University Irving Medical Center, 3959 Broadway, CHN-2, New York, NY, 10023, USA
| | - Kanwal M Farooqi
- Division of Pediatric Cardiology, NewYork-Presbyterian/Columbia University Irving Medical Center, 3959 Broadway, CHN-2, New York, NY, 10023, USA.
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Bertelli F, Guariento A, Gervasi MT, Galliotto F, Sirico D, Blitzer D, Veronese P, Vida VL. Free interactive mobile app with 3D-reconstructed virtual models of congenital heart disease for prenatal parental counseling. ULTRASOUND IN OBSTETRICS & GYNECOLOGY : THE OFFICIAL JOURNAL OF THE INTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY 2023; 62:152-153. [PMID: 36609983 DOI: 10.1002/uog.26154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Revised: 12/09/2022] [Accepted: 12/20/2022] [Indexed: 06/17/2023]
Affiliation(s)
- F Bertelli
- Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Padua, Italy
| | - A Guariento
- Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Padua, Italy
| | - M T Gervasi
- Obstetrics and Gynecology Unit, Department of Woman and Child Health, University of Padua, Padua, Italy
| | - F Galliotto
- Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Padua, Italy
| | - D Sirico
- Pediatric Cardiology Unit, Department of Woman and Child Health, University of Padua, Padua, Italy
| | - D Blitzer
- Department of Surgery, Columbia University Medical Center, New York, NY, USA
| | - P Veronese
- Obstetrics and Gynecology Unit, Department of Woman and Child Health, University of Padua, Padua, Italy
| | - V L Vida
- Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Padua, Italy
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Applications of Advanced Ultrasound Technology in Obstetrics. Diagnostics (Basel) 2021; 11:diagnostics11071217. [PMID: 34359300 PMCID: PMC8306830 DOI: 10.3390/diagnostics11071217] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Revised: 06/28/2021] [Accepted: 07/03/2021] [Indexed: 12/21/2022] Open
Abstract
Over the years, there have been several improvements in ultrasound technologies including high-resolution ultrasonography, linear transducer, radiant flow, three-/four-dimensional (3D/4D) ultrasound, speckle tracking of the fetal heart, and artificial intelligence. The aims of this review are to evaluate the use of these advanced technologies in obstetrics in the midst of new guidelines on and new techniques of obstetric ultrasonography. In particular, whether these technologies can improve the diagnostic capability, functional analysis, workflow, and ergonomics of obstetric ultrasound examinations will be discussed.
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