Sumito Nagasaki1,2, Masahiko Nakata3,4, Mayumi Takano1,2, Kento Usui2, Junya Sakuma1,2, Eijiro Hayata2, Mineto Morita1,2. 1. Department of Obstetrics and Gynecology, Toho University Graduate School of Medicine, 5-21-16 Omori-nishi, Ota City, Tokyo, 143-8541, Japan. 2. Department of Obstetrics and Gynecology, Toho University Omori Medical Center, Tokyo, Japan. 3. Department of Obstetrics and Gynecology, Toho University Graduate School of Medicine, 5-21-16 Omori-nishi, Ota City, Tokyo, 143-8541, Japan. masahiko.nakata@med.toho-u.ac.jp. 4. Department of Obstetrics and Gynecology, Toho University Omori Medical Center, Tokyo, Japan. masahiko.nakata@med.toho-u.ac.jp.
Abstract
PURPOSE: To assess the feasibility of an automated fractional shortening (Auto FS) measurement method using two-dimensional tracking and to construct a reference range for normal fetuses. METHODS: This study was conducted from May 2017 to March 2018. First, cardiac motion in the four-chamber view was recorded in the B-mode. Subsequently, the region of interest was set on the edge of the ventricular septum or ventricular muscle at a point one-third away from the atrioventricular valve toward the cardiac apex. Tracking was automatically performed. Values measured between the ventricular septum and right ventricle were defined as R-Auto FS, whereas those measured between the ventricular septum and left ventricle were defined as L-Auto FS. Those on each ventricular muscle were defined as Combined-Auto FS. RESULTS: Data were obtained from 131 singleton fetuses. R-Auto FS significantly decreased with an increase in the number of gestational weeks, and L-Auto FS and Combined-Auto FS showed the same tendency (Spearman's correlation analysis: p = - .528, p = - .351, and p = - .636, respectively). CONCLUSION: We succeeded in defining a reference Auto FS value for normal singleton pregnancies. Auto FS was negatively correlated with gestational age. This novel technique can assess fetal heart contractility.
PURPOSE: To assess the feasibility of an automated fractional shortening (Auto FS) measurement method using two-dimensional tracking and to construct a reference range for normal fetuses. METHODS: This study was conducted from May 2017 to March 2018. First, cardiac motion in the four-chamber view was recorded in the B-mode. Subsequently, the region of interest was set on the edge of the ventricular septum or ventricular muscle at a point one-third away from the atrioventricular valve toward the cardiac apex. Tracking was automatically performed. Values measured between the ventricular septum and right ventricle were defined as R-Auto FS, whereas those measured between the ventricular septum and left ventricle were defined as L-Auto FS. Those on each ventricular muscle were defined as Combined-Auto FS. RESULTS: Data were obtained from 131 singleton fetuses. R-Auto FS significantly decreased with an increase in the number of gestational weeks, and L-Auto FS and Combined-Auto FS showed the same tendency (Spearman's correlation analysis: p = - .528, p = - .351, and p = - .636, respectively). CONCLUSION: We succeeded in defining a reference Auto FS value for normal singleton pregnancies. Auto FS was negatively correlated with gestational age. This novel technique can assess fetal heart contractility.