{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T15:01:18Z","timestamp":1790521278248,"version":"4.1.0"},"reference-count":28,"publisher":"BMJ","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Dis Child Fetal Neonatal Ed"],"accepted":{"date-parts":[[2011,4,2]]},"published-print":{"date-parts":[[2011,11]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>This study aimed to evaluate the feasibility, accuracy and user acceptability of performing remote fetal echocardiograms (FEs).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>A regional fetal cardiology unit and a district general hospital (DGH).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>A prospective study over 20 months. An initial FE was performed by a radiographer in the DGH (D1) followed by a second FE transmitted to the regional centre, in real time, via a telemedicine link with live guidance by a fetal cardiologist (D2). A FE was performed later at the regional centre (D3, reference standard). Structured questionnaires were employed to evaluate the technical quality of each tele-link and the radiographers' confidence at performing FE.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>69 remote FEs were performed and showed 58 normal hearts and 11 with congenital heart disease (CHD). D2 was accurate in 97% of cases compared with D3 (\u03ba score=0.89) indicating excellent agreement. All tele-links connected at first attempt with a mean study time = 13.9 min. Overall tele-link quality was rated highly (median=4\/5). In 94% of tele-links, at least 11\/12 components of the FE were confidently assessed. The mean composite radiographer's questionnaire score increased significantly during the study period (p&lt;0.05).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>To date this is the largest study of its kind. CHD can be confidently diagnosed and excluded by remote FE. Radiographers report increased confidence and proficiency following involvement in real-time telemedicine. This application of telemedicine could improve access to fetal cardiology and support radiographers screening for CHD.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/adc.2010.197202","type":"journal-article","created":{"date-parts":[[2011,5,17]],"date-time":"2011-05-17T20:51:15Z","timestamp":1305665475000},"page":"F394-F397","source":"Crossref","is-referenced-by-count":42,"title":["Fetal diagnosis of congenital heart disease by telemedicine"],"prefix":"10.1136","volume":"96","author":[{"given":"Brian A","family":"McCrossan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J","family":"Sands","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Kileen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris R","family":"Cardwell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank A","family":"Casey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2011,5,17]]},"reference":[{"key":"2025090511555623000_96.6.F394.1","doi-asserted-by":"publisher","DOI":"10.1136\/heart.83.3.367"},{"key":"2025090511555623000_96.6.F394.2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.2001.00385.x"},{"key":"2025090511555623000_96.6.F394.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2009.01.050"},{"key":"2025090511555623000_96.6.F394.4","doi-asserted-by":"publisher","DOI":"10.1136\/heart.84.3.294"},{"key":"2025090511555623000_96.6.F394.5","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1002\/uog.7616","article-title":"Impact of a regional training program in fetal echocardiography for sonographers on the antenatal detection of major congenital heart disease","volume":"36","author":"McBrien","year":"2010","journal-title":"Ultrasound Obstet Gynecol"},{"key":"2025090511555623000_96.6.F394.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)01167-8"},{"key":"2025090511555623000_96.6.F394.7","doi-asserted-by":"publisher","DOI":"10.1002\/pd.2113"},{"key":"2025090511555623000_96.6.F394.8","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2003.018895"},{"key":"2025090511555623000_96.6.F394.9","first-page":"191","article-title":"Fetal echocardiography and telemedicine","volume":"3","author":"Cloutier","year":"2001","journal-title":"Frontiers in Fetal Health"},{"key":"2025090511555623000_96.6.F394.10","doi-asserted-by":"publisher","DOI":"10.1002\/uog.2826"},{"key":"2025090511555623000_96.6.F394.11","unstructured":"Allan LD . How to establish a fetal cardiology service: experience in London and New York. Frontiers in Fetal Health 2001;3."},{"key":"2025090511555623000_96.6.F394.12","doi-asserted-by":"publisher","DOI":"10.1258\/1357633971931165"},{"key":"2025090511555623000_96.6.F394.13","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1136\/hrt.82.2.217","article-title":"Application of a low cost telemedicine link to the diagnosis of neonatal congenital heart defects by remote consultation","volume":"82","author":"Mulholland","year":"1999","journal-title":"Heart"},{"key":"2025090511555623000_96.6.F394.14","first-page":"1","article-title":"Telemedicine applications in pediatric cardiology","volume":"55","author":"Sable","year":"2003","journal-title":"Minerva Pediatr"},{"key":"2025090511555623000_96.6.F394.15","doi-asserted-by":"publisher","DOI":"10.1258\/1357633011936462"},{"key":"2025090511555623000_96.6.F394.16","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1007\/s00431-003-1170-6","article-title":"Tele-echocardiography in paediatrics","volume":"162","author":"Widmer","year":"2003","journal-title":"Eur J Pediatr"},{"key":"2025090511555623000_96.6.F394.17","doi-asserted-by":"publisher","DOI":"10.1258\/1357633042614258"},{"key":"2025090511555623000_96.6.F394.18","doi-asserted-by":"publisher","DOI":"10.1258\/135763306779378636"},{"key":"2025090511555623000_96.6.F394.19","unstructured":"Qureshi SA . Requirements for provision of outreach paediatric cardiology service. London: British Congenital Cardiac Association, 2008."},{"key":"2025090511555623000_96.6.F394.20","first-page":"II12","article-title":"Fetal echocardiography: 20 years of progress","volume":"86","author":"Gardiner","year":"2001","journal-title":"Heart"},{"key":"2025090511555623000_96.6.F394.21","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2008.146456"},{"key":"2025090511555623000_96.6.F394.22","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1136\/adc.80.6.497","article-title":"Telemedicine in paediatric cardiology","volume":"80","author":"Casey","year":"1999","journal-title":"Arch Dis Child"},{"key":"2025090511555623000_96.6.F394.23","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2008.003012"},{"key":"2025090511555623000_96.6.F394.24","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-0803.2008.00205.x"},{"key":"2025090511555623000_96.6.F394.25","doi-asserted-by":"publisher","DOI":"10.1067\/mje.2003.46"},{"key":"2025090511555623000_96.6.F394.26","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2005.08.001"},{"key":"2025090511555623000_96.6.F394.27","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951104006419"},{"key":"2025090511555623000_96.6.F394.28","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2004.04.011"}],"container-title":["Archives of Disease in Childhood - Fetal and Neonatal Edition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/adc.2010.197202","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T19:06:49Z","timestamp":1757099209000},"score":1,"resource":{"primary":{"URL":"https:\/\/fn.bmj.com\/lookup\/doi\/10.1136\/adc.2010.197202"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,5,17]]},"references-count":28,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2011,10,12]]},"published-print":{"date-parts":[[2011,11]]}},"alternative-id":["10.1136\/adc.2010.197202"],"URL":"https:\/\/doi.org\/10.1136\/adc.2010.197202","relation":{},"ISSN":["1359-2998","1468-2052"],"issn-type":[{"value":"1359-2998","type":"print"},{"value":"1468-2052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,5,17]]}}}