{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T12:50:47Z","timestamp":1770987047247,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2008,11,26]],"date-time":"2008-11-26T00:00:00Z","timestamp":1227657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp;amp; Gyne"],"published-print":{"date-parts":[[2008,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess whether medically qualified sonologists with low\u2010to\u2010intermediate scanning experience are able to detect major abnormalities of the outflow tracts by reviewing the A\u2010plane of cardiac volume datasets acquired with spatiotemporal image correlation (STIC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fourteen sonologists of low\u2010to\u2010intermediate scanning experience were recruited among residents and colleagues involved in the screening ultrasound clinic at our referral center. Basic criteria for selection were: ability to perform the 20\u2010week anomaly scan and to assess the four\u2010chamber view, inability to perform extended cardiac screening (outflows); willingness to participate in the study. These sonologists attended a 2\u2010hour lesson on: a) how the outflow tract views can be abnormal, and b) how to use a laptop and the dedicated software to review cardiac volumes in the A\u2010plane only. After this briefing, each of them, independently, reviewed 26 preselected volumes at a workstation (from 16 normal fetuses and 10 with outflow tract abnormalities), without knowing how many of them were normal. After reviewing each volume, the sonologist was asked to define the outflow tract views as normal or abnormal and, if willing, to hypothesize the anomaly. The sequence of cases was changed for each participant. The time allotted for review of the volumes was 1 hour (about 2 min per case).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 364 diagnoses from review of the volumes, 116 (31.9%) were true positives, 195 (53.6%) were true negatives, 29 (8.0%) were false positives and 24 (6.6%) were false negatives. The sensitivity, specificity and positive and negative predictive values were 83%, 87%, 80% and 89%, respectively. Individual diagnostic accuracy ranged from 66 to 100% (median, 85.5%) and individual detection rate from 50 to 100% (median, 85%). The detection rate per single congenital heart disease ranged from 50% (for TGA with intact ventricular septum) to 100% (for DORV, DORV with pulmonary atresia and TGA with ventricular septal defect). There was no correlation between detection rate and alignment of the four\u2010chamber view with the ultrasound beam (apical vs. transverse).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this preliminary study, we have demonstrated that sonologists with low\u2010to\u2010intermediate experience of anomaly ultrasound screening in the second trimester and no experience of insonating the outflow tracts were able to identify outflow tract abnormalities by reviewing the A\u2010plane of cardiac volume datasets, after detailed briefing. Copyright \u00a9 2008 ISUOG. Published by John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.6261","type":"journal-article","created":{"date-parts":[[2008,11,26]],"date-time":"2008-11-26T17:36:30Z","timestamp":1227720990000},"page":"865-870","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Cardiac screening by STIC: can sonologists performing the 20\u2010week anomaly scan pick up outflow tract abnormalities by scrolling the A\u2010plane of STIC volumes?"],"prefix":"10.1002","volume":"32","author":[{"given":"D.","family":"Paladini","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Sglavo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Greco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Nappi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,11,26]]},"reference":[{"key":"e_1_2_5_2_2","unstructured":"FermontL de GeeterB AubryMC KachanerJ SidiD.A close collaboration between obstetricians and pediatric cardiologists allows antenatal detection of severe cardiac malformations by 2D echocardiography (Abstract).Proceedings of the2ndWorld Congress of Paediatric Cardiology New York 1985;10."},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1992.tb14503.x"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/heart.84.3.294"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0223(199710)17:10<901::AID-PD171>3.0.CO;2-Z"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1995.05060372.x"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.2677"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.3830"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.2710"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/heart.88.4.387"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.5"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.2843"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.2818"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.2749"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.883"},{"key":"e_1_2_5_16_2","volume-title":"Linee Guida","author":"SIEOG"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.5276"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2007.26.4.501"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.5351"}],"container-title":["Ultrasound in Obstetrics &amp; Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fuog.6261","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/uog.6261","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,8]],"date-time":"2023-10-08T13:00:40Z","timestamp":1696770040000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/uog.6261"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,11,26]]},"references-count":18,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2008,12]]}},"alternative-id":["10.1002\/uog.6261"],"URL":"https:\/\/doi.org\/10.1002\/uog.6261","archive":["Portico"],"relation":{},"ISSN":["0960-7692","1469-0705"],"issn-type":[{"value":"0960-7692","type":"print"},{"value":"1469-0705","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,11,26]]},"assertion":[{"value":"2008-09-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2008-11-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}