ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2018
Dynamic fetal cardiovascular magnetic resonance imaging using Doppler ultrasound gating.
Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.
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Who cites it
43 citing papers in PubMed, 80 citations in OpenAlex.
- Dynamic Mode Decomposition (DMD) for Low-Latency Real-Time Cardiac MRI.Magnetic resonance in medicine · 2026Article
- Automatic Respiratory and Bulk Patient Motion Corrected 3D Fetal MRI.Magnetic resonance in medicine · 2026Article
- Following the flow: in vivo imaging of fetal foramen ovale physiology using four-dimensional flow magnetic resonance imaging with doppler ultrasound gating.Radiology case reports · 2026Article
- Editorial: Unlocking the potential of prenatal MRI: advances in fetal brain, heart, and placenta imaging.Frontiers in cardiovascular medicine · 2026Article
- Fetal Cardiovascular Magnetic Resonance: History, Current Status, and Future Directions.Journal of magnetic resonance imaging : JMRI · 2025Review
- Criss-cross heart with complex cardiac malformation, situs inversus totalis and bronchial dysplasia.BMC cardiovascular disorders · 2025Article
- Feasibility of fetal cardiac function and anatomy assessment by real-time spiral balanced steady-state free precession magnetic resonance imaging at 0.55T.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2025Article
- Reliability of 4D Flow MRI for Investigation of Fetal Cardiovascular Hemodynamics in the Third Trimester.Radiology. Cardiothoracic imaging · 2024Article
- The New Frontiers of Fetal Imaging: MRI Insights into Cardiovascular and Thoracic Structures.Journal of clinical medicine · 2024Review
- Myocardial strain assessment in the human fetus by cardiac MRI using Doppler ultrasound gating and feature tracking.European radiology · 2024Article
- Reference Values for Fetal Cardiac Dimensions, Volumes, Ventricular Function and Left Ventricular Longitudinal Strain Using Doppler Ultrasound Gated Cardiac Magnetic Resonance Imaging in Healthy Third Trimester Fetuses.Journal of magnetic resonance imaging : JMRI · 2024Article
- Fetal Cardiac MRI Using Doppler US Gating: Emerging Technology and Clinical Implications.Radiology. Cardiothoracic imaging · 2024Review
- Deep learning denoising reconstruction for improved image quality in fetal cardiac cine MRI.Frontiers in cardiovascular medicine · 2024Article
- A comparative study of fetal cardiovascular assessment: utilizing Doppler ultrasound gated MRI and echocardiography with detailed analysis using five axial views.Frontiers in cardiovascular medicine · 2024Article
- Utility of Fetal Cardiac Resonance Imaging in Prenatal Clinical Practice: Current State of the Art.Diagnostics (Basel, Switzerland) · 2023Review
- Fetal cardiovascular blood flow MRI: techniques and applications.The British journal of radiology · 2023Review
- Cardiovascular Magnetic Resonance from Fetal to Adult Life-Indications and Challenges: A State-of-the-Art Review.Children (Basel, Switzerland) · 2023Review
- Fetal 4D flow MRI of the great thoracic vessels at 3 Tesla using Doppler-ultrasound gating: a feasibility study.European radiology · 2023Article
- Fetal Cardiac Cine MRI with Doppler US Gating in Complex Congenital Heart Disease.Radiology. Cardiothoracic imaging · 2023Article
- Fetal 3D cardiovascular cine image acquisition using radial sampling and compressed sensing.Magnetic resonance in medicine · 2023Article
Corrections and comments
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Authors and funding
12 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFetal cardiovascular magnetic resonance (CMR) imaging may provide a valuable adjunct to fetal echocardiography in the evaluation of congenital cardiovascular pathologies. However, dynamic fetal CMR is difficult due to the lack of direct in-utero cardiac gating. The aim of this study was to investigate the effectiveness of a newly developed Doppler ultrasound (DUS) device in humans for fetal CMR gating.
methodsFifteen fetuses (gestational age 30-39 weeks) were examined using 1.5 T CMR scanners at three different imaging sites. A newly developed CMR-compatible DUS device was used to generate gating signals from fetal cardiac motion. Gated dynamic balanced steady-state free precession images were acquired in 4-chamber and short-axis cardiac views. Gating signals during data acquisition were analyzed with respect to trigger variability and sensitivity. Image quality was assessed by measuring endocardial blurring (EB) and by image evaluation using a 4-point scale. Left ventricular (LV) volumetry was performed using the single-plane ellipsoid model.
resultsGating signals from the fetal heart were detected with a variability of 26 ± 22 ms and a sensitivity of trigger detection of 96 ± 4%. EB was 2.9 ± 0.6 pixels (4-chamber) and 2.5 ± 0.1 pixels (short axis). Image quality scores were 3.6 ± 0.6 (overall), 3.4 ± 0.7 (mitral valve), 3.4 ± 0.7 (foramen ovale), 3.6 ± 0.7 (atrial septum), 3.7 ± 0.5 (papillary muscles), 3.8 ± 0.4 (differentiation myocardium/lumen), 3.7 ± 0.5 (differentiation myocardium/lung), and 3.9 ± 0.4 (systolic myocardial thickening). Inter-observer agreement for the scores was moderate to very good (kappa 0.57-0.84) for all structures. LV volumetry revealed mean values of 2.8 ± 1.2 ml (end-diastolic volume), 0.9 ± 0.4 ml (end systolic volume), 1.9 ± 0.8 ml (stroke volume), and 69.1 ± 8.4% (ejection fraction).
conclusionHigh-quality dynamic fetal CMR was successfully performed using a newly developed DUS device for direct fetal cardiac gating. This technique has the potential to improve the utility of fetal CMR in the evaluation of congenital pathologies.
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