Since its introduction >15 years ago, the use of spatial and temporal image correlation (STIC) technology has contributed substantially to fetal echocardiography. Moreover, significant advances have occurred in 3- and 4-dimensional (3D/4D) echocardiography over the past several years including the matrix probe along with advances in gray scale and color Doppler post processing, resulting in improved display of ultrasound images. In this article, we provide examples to show these recent developments including the use of color Doppler with STIC in the glass-body mode and the matrix probe thus enabling the demonstration of cardiac anomalies of the 4-chamber-view and great arteries. The use of the matrix probe allows the examination of cardiac structures in 2 orthogonal planes simultaneously, which can help in display of anatomy side by side (Biplane mode). In addition, the rapid image reconstruction of the matrix probe allows for the display of live 4D and the rapid acquisition of a STIC volume. The display of multiplanar images of the heart in 3D/4D has also been used to automate the display of ultrasound images, resulting in standardization of the image display and thus minimizing the operation dependency of the ultrasound examination. Future addition of image recognition software can also provide assistance in image review.

1.
Lee
W
,
Allan
L
,
Carvalho
JS
,
Chaoui
R
,
Copel
J
,
Devore
G
, et al.;
ISUOG Fetal Echocardiography Task Force
.
ISUOG consensus statement: what constitutes a fetal echocardiogram?
Ultrasound Obstet Gynecol
.
2008
Aug
;
32
(
2
):
239
42
.
[PubMed]
0960-7692
2.
Carvalho
JS
,
Allan
LD
,
Chaoui
R
,
Copel
JA
,
DeVore
GR
,
Hecher
K
, et al.;
International Society of Ultrasound in Obstetrics and Gynecology
.
ISUOG Practice Guidelines (updated): sonographic screening examination of the fetal heart
.
Ultrasound Obstet Gynecol
.
2013
Mar
;
41
(
3
):
348
59
.
[PubMed]
0960-7692
3.
DeVore
GR
,
Falkensammer
P
,
Sklansky
MS
,
Platt
LD
.
Spatio-temporal image correlation (STIC): new technology for evaluation of the fetal heart
.
Ultrasound Obstet Gynecol
.
2003
Oct
;
22
(
4
):
380
7
.
[PubMed]
0960-7692
4.
DeVore
GR
,
Polanco
B
,
Sklansky
MS
,
Platt
LD
.
The ‘spin’ technique: a new method for examination of the fetal outflow tracts using three-dimensional ultrasound
.
Ultrasound Obstet Gynecol
.
2004
Jul
;
24
(
1
):
72
82
.
[PubMed]
0960-7692
5.
Chaoui
R
,
Hoffmann
J
,
Heling
KS
.
Three-dimensional (3D) and 4D color Doppler fetal echocardiography using spatio-temporal image correlation (STIC)
.
Ultrasound Obstet Gynecol
.
2004
Jun
;
23
(
6
):
535
45
.
[PubMed]
0960-7692
6.
Paladini
D
,
Vassallo
M
,
Sglavo
G
,
Lapadula
C
,
Martinelli
P
.
The role of spatio-temporal image correlation (STIC) with tomographic ultrasound imaging (TUI) in the sequential analysis of fetal congenital heart disease
.
Ultrasound Obstet Gynecol
.
2006
May
;
27
(
5
):
555
61
.
[PubMed]
0960-7692
7.
Chaoui
R
,
Heling
KS
.
3D-ultrasound in prenatal diagnosis : a practical approach
. 1st ed.
Berlin, New York
:
DeGruyter
;
2016
.
8.
Viñals
F
.
Current experience and prospect of internet consultation in fetal cardiac ultrasound
.
Fetal Diagn Ther
.
2011
;
30
(
2
):
83
7
.
[PubMed]
1015-3837
9.
Espinoza
J
,
Lee
W
,
Comstock
C
,
Romero
R
,
Yeo
L
,
Rizzo
G
, et al.
Collaborative study on 4-dimensional echocardiography for the diagnosis of fetal heart defects: the COFEHD study
.
J Ultrasound Med
.
2010
Nov
;
29
(
11
):
1573
80
.
[PubMed]
0278-4297
10.
Hamill
N
,
Yeo
L
,
Romero
R
,
Hassan
SS
,
Myers
SA
,
Mittal
P
, et al.
Fetal cardiac ventricular volume, cardiac output, and ejection fraction determined with 4-dimensional ultrasound using spatiotemporal image correlation and virtual organ computer-aided analysis
.
Am J Obstet Gynecol
.
2011
Jul
;
205
(
1
):
76.e1
10
.
[PubMed]
0002-9378
11.
Abuhamad
A
,
Chaoui
R
.
A practical guide to fetal echocardiography: normal and abnormal hearts
. 3rd ed.
Philadelphia (PA)
:
Wolters Kluwer Health/Lippincott Williams & Wilkins
;
2015
.
12.
Xiong
Y
,
Chen
M
,
Chan
LW
,
Ting
YH
,
Fung
TY
,
Leung
TY
, et al.
A novel way of visualizing the ductal and aortic arches by real-time three-dimensional ultrasound with live xPlane imaging
.
Ultrasound Obstet Gynecol
.
2012
Mar
;
39
(
3
):
316
21
.
[PubMed]
0960-7692
13.
Xiong
Y
,
Liu
T
,
Wu
Y
,
Xu
JF
,
Ting
YH
,
Yeung Leung
T
, et al.
Comparison of real-time three-dimensional echocardiography and spatiotemporal image correlation in assessment of fetal interventricular septum
.
J Matern Fetal Neonatal Med
.
2012
Nov
;
25
(
11
):
2333
8
.
[PubMed]
1476-7058
14.
Xiong
Y
,
Liu
T
,
Gan
HJ
,
Wu
Y
,
Xu
JF
,
Ting
YH
, et al.
Detection of the fetal conotruncal anomalies using real-time three-dimensional echocardiography with live xPlane imaging of the fetal ductal arch view
.
Prenat Diagn
.
2013
May
;
33
(
5
):
462
6
.
[PubMed]
0197-3851
15.
Abuhamad
A
,
Falkensammer
P
,
Zhao
Y
.
Automated sonography: defining the spatial relationship of standard diagnostic fetal cardiac planes in the second trimester of pregnancy
.
J Ultrasound Med
.
2007
Apr
;
26
(
4
):
501
7
.
[PubMed]
0278-4297
16.
Abuhamad
A
,
Falkensammer
P
,
Reichartseder
F
,
Zhao
Y
.
Automated retrieval of standard diagnostic fetal cardiac ultrasound planes in the second trimester of pregnancy: a prospective evaluation of software
.
Ultrasound Obstet Gynecol
.
2008
Jan
;
31
(
1
):
30
6
.
[PubMed]
0960-7692
17.
Yeo
L
,
Luewan
S
,
Markush
D
,
Gill
N
,
Romero
R
.
Prenatal Diagnosis of Dextrocardia with Complex Congenital Heart Disease Using Fetal Intelligent Navigation Echocardiography (FINE) and a Literature Review
.
Fetal Diagn Ther
.
2018
;
43
(
4
):
304
16
.
[PubMed]
1015-3837
18.
Veronese
P
,
Bogana
G
,
Cerutti
A
,
Yeo
L
,
Romero
R
,
Gervasi
MT
.
A Prospective Study of the Use of Fetal Intelligent Navigation Echocardiography (FINE) to Obtain Standard Fetal Echocardiography Views
.
Fetal Diagn Ther
.
2017
;
41
(
2
):
89
99
.
[PubMed]
1015-3837
19.
Yeo
L
,
Romero
R
.
Intelligent navigation to improve obstetrical sonography
.
Ultrasound Obstet Gynecol
.
2016
Apr
;
47
(
4
):
403
9
.
[PubMed]
0960-7692
20.
DeVore
GR
,
Satou
G
,
Sklansky
M
.
4D fetal echocardiography-An update
.
Echocardiography
.
2017
Dec
;
34
(
12
):
1788
98
.
[PubMed]
0742-2822
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