Embryonic and Fetal Heart Development Before 12 Weeks of Gestation.

cardiac growth early first trimester embryo and fetus heart development nomogram transvaginal ultrasound

Journal

Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
ISSN: 1550-9613
Titre abrégé: J Ultrasound Med
Pays: England
ID NLM: 8211547

Informations de publication

Date de publication:
21 Oct 2024
Historique:
revised: 25 09 2024
received: 02 07 2024
accepted: 05 10 2024
medline: 21 10 2024
pubmed: 21 10 2024
entrez: 21 10 2024
Statut: aheadofprint

Résumé

To assess embryonic and fetal cardiac growth and development using transvaginal 2-dimensional sonography before 12 weeks of gestation. Transvaginal scans for first-trimester dating were performed for 131 normal fetuses at 8-11 + 6 weeks of gestation. The basal-apical length (BAL), transverse length (TL), cardiac circumference (ECC), embryonic cardiac area (ECA), global sphericity index (GSI), and cardio-thoracic area ratio (CTAR) were able to be obtained in 105 normal embryos and fetuses. Nomograms for several cardiac parameters including BAL, TL, ECC, ECA, GSI, and CTAR were constructed. BAL, TL, ECC, and ECA increased curvilinearly with advancing gestation (R Our results provide nomograms for several cardiac parameters which may improve the understanding of embryonic and fetal cardiac growth and development prior to 12 weeks of gestation.

Identifiants

pubmed: 39431605
doi: 10.1002/jum.16605
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 American Institute of Ultrasound in Medicine.

Références

Gittenberger‐de Groot AC, Bartelings MM, Poelmann RE. Normal and abnormal cardiac development. In: Allan LD, Hornberger LK, Sharland G (eds). Textbook of Fetal Cardiology. London: Greenwich Medical Media; 2000:15‐28.
Moore KL, Persaud TVN. The cardiovascular system. In: Moore KL, Persaud TVN, Torchia MG (eds). The Developing Human. Clinically Oriented Embryology. 8th ed. Philadelphia, PA: Saunders Elsevier; 2008:285‐337.
Dhanantwari P, Lee E, Krishnan A, et al. Human cardiac development in the first trimester: a high‐resolution magnetic resonance imaging and episcopic fluorescence image capture atlas. Circulation 2009; 120:343–351.
Johnson P, Sharland G, Maxwell D, Allan L. The role of transvaginal sonography in the early detection of congenital heart disease. Ultrasound Obstet Gynecol 1992; 2:248–251.
Gembruch U, Shi C, Smrcek JM. Biometry of the fetal heart between 10 and 17 weeks of gestation. Fetal Diagn Ther 2000; 15:20–31.
Hutchinson D, McBrien A, Howley L, et al. First‐trimester fetal echocardiography: identification of cardiac structures for screening from 6 to 13 weeks' gestational age. J Am Soc Echocardiogr 2017; 30:763–772.
Blaas HG, Eik‐Nes SH, Kiserud T, Hellevik LR. Early development of the abdominal wall, stomach and heart from 7 to 12 weeks of gestation: a longitudinal ultrasound study. Ultrasound Obstet Gynecol 1995; 6:240–249.
Hata T, Senoh D, Hata K, Miyazaki K. Intrauterine sonographic assessments of embryonic heart diameter. Hum Reprod 1997; 12:2286–2291.
Wloch A, Rozmus‐Warcholinska W, Czuba B, et al. Doppler study of the embryonic heart in normal pregnant women. J Matern Fetal Neonatal Med 2007; 20:533–539.
DeVore GR, Satou G, Sklansky M. Abnormal fetal findings associated with a global sphericity index of the 4‐chamber view below the 5th centile. J Ultrasound Med 2017; 36:2309–2318.
Ishii T. Evaluation of fetal cardiac function. Ped Cardiol Card Surg 2016; 32:379–386.
Okai T. Standard values of ultrasonic measurements in Japanese fetuses. J Med Ultrason 2003; 30:J415–J440.
Royston P, Wright E. How to construct “normal ranges” for fetal variables. Ultrasound Obstet Gynecol 1998; 11:30–38.
Merce LT, Barco MJ, Bau S. Reproducibility of the study of placental vascularization by three‐dimensional power Doppler. J Perinat Med 2004; 32:228–233.
Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986; 1:307–310.
Ogawa Y, Iwamura T, Kuriya N, et al. Birth size standards by gestational age for Japanese neonates. Acta Neonat Jpn 1998; 34:624–632.
Shen Y, Tan F, Yang J, Fan S, Zhang L, Ji X. A preliminary study on fetal cardiac morphology and systolic function of normal and anemic pregnant women by fetal heart quantification technology. Transl Pediatr 2022; 11:1336–1345.
Hata T, Koyanagi A, Kawahara T, et al. HDlive flow Silhouette with spatiotemporal correlation for assessment of fetal cardiac structures at 12 to 14 + 6 week of gestation. J Perinat Med 2022; 50:313–318.
Respondek M, Respondek A, Huhta JC, Wilczynski J. 2D echocardiographic assessment of the fetal heart size in the 2nd and 3rd trimester of uncomplicated pregnancy. Eur J Obstet Gynecol Biol 1992; 44:185–188.
Garcia‐Otero L, Soveral I, Sepulveda‐Martinez A, et al. Reference ranges for fetal cardiac, ventricular and atrial relative size, sphericity, ventricular dominance, wall asymmetry and relative wall thickness from 18 to 41 gestational weeks. Ultrasound Obstet Gynecol 2021; 58:388–397.
Xia T, Song S, Wang L, Sun L, Wang J, Wu Q. Establishing reference intervals for normal fetal lung biological parameters at 21–40 weeks of gestation in the Chinese population: a cross‐sectional study. Diagnostics 2023; 13:3525.

Auteurs

Toshiyuki Hata (T)

Department of Obstetrics and Gynecology, Miyake Clinic, Okayama, Japan.
Department of Perinatology and Gynecology, Kagawa University Graduate School of Medicine, Miki, Japan.

Miyu Konishi (M)

Department of Obstetrics and Gynecology, Miyake Clinic, Okayama, Japan.

Aya Koyanagi (A)

Department of Obstetrics and Gynecology, Miyake Clinic, Okayama, Japan.

Yasunari Miyagi (Y)

Department of Gynecology, Miyake Ofuku Clinic, Okayama, Japan.

Takahito Miyake (T)

Department of Obstetrics and Gynecology, Miyake Clinic, Okayama, Japan.
Department of Perinatology and Gynecology, Kagawa University Graduate School of Medicine, Miki, Japan.

Classifications MeSH