{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:23:36Z","timestamp":1777944216215,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,3,2]],"date-time":"2018-03-02T00:00:00Z","timestamp":1519948800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:p>Detection rates of congenital cardiac malformations have traditionally remained low. The NHS Fetal Anomaly Screening Programme (FASP) aims to increase these detection rates for various reasons, including influencing perinatal management and aiding parental decision making. The inclusion of the three vessel view and trachea (3VT) view in 2015 aimed to improve detection rates of arch abnormalities in particular. This study evaluated the early impact of the new initiative at one NHS Trust. Departmental screen-positive rates were compared for a full year before and after implementation. Referrals to, and opinions of, the foetal medicine unit (FMU) were assessed; as were undetected congenital heart defects for the two time periods. Compared with the pre-implementation (pre-3VT) period, the number of completed anomaly scans performed after implementation (post-3VT) increased by 3% and the number of FMU referrals increased by 625%. Departmental screen-positive rates for cardiac abnormalities increased from 40% (pre-3VT) to 91% (post-3VT). Over half (52%) of the FMU referrals were made due to a suspected abnormal 3VT view. Early evaluation of 3VT implementation at this NHS Trust indicates that it has been a success. Departmental screen-positive rates for congenital cardiac malformations have risen. However, this performance has come at a cost: Some abnormalities now being detected, such as loose vascular ring and PLSVC, are frequently asymptomatic and likely to be clinically insignificant. The implementation of 3VT achieves the aims of FASP but may begin to exceed what is expected from a low risk population screening programme.<\/jats:p>","DOI":"10.1177\/1742271x17749718","type":"journal-article","created":{"date-parts":[[2018,3,2]],"date-time":"2018-03-02T05:20:53Z","timestamp":1519968053000},"page":"93-100","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Single centre audit of early impact of inclusion of the three vessel and trachea view in obstetric screening"],"prefix":"10.1177","volume":"26","author":[{"given":"Hazel","family":"Edwards","sequence":"first","affiliation":[{"name":"East & North Herts NHS Trust, Stevenage, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Hamilton","sequence":"additional","affiliation":[{"name":"East & North Herts NHS Trust, Stevenage, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,3,2]]},"reference":[{"key":"bibr1-1742271X17749718","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.08.025"},{"key":"bibr2-1742271X17749718","unstructured":"National Institute for Cardiovascular Outcome Research.\n                      National congenital heart disease audit report 2010\u20132013\n                      . Annual public report. 25 September 2014. London: UCL."},{"key":"bibr3-1742271X17749718","doi-asserted-by":"publisher","DOI":"10.1002\/j.2205-0140.2013.tb00243.x"},{"key":"bibr4-1742271X17749718","doi-asserted-by":"publisher","DOI":"10.4070\/kcj.2015.45.5.357"},{"key":"bibr5-1742271X17749718","doi-asserted-by":"publisher","DOI":"10.2217\/fca.12.15"},{"key":"bibr6-1742271X17749718","doi-asserted-by":"publisher","DOI":"10.3310\/hta4160"},{"key":"bibr7-1742271X17749718","unstructured":"NHS England. Update on neonatal and antenatal detection of congenital heart disease (CHD).\n                      New congenital heart disease review\n                      , www.england.nhs.uk\/wp-content\/uploads\/2014\/09\/chd-5-230914.pdf (2014, accessed 12 September 2017)."},{"key":"bibr8-1742271X17749718","unstructured":"NHS Fetal Anomaly Screening Programme.\n                      \n                        18\n                        +0\n                        to 20\n                        +6\n                        weeks fetal anomaly scan: national standards and guidance for England 2010\n                      \n                      . 2010. Exeter: NHS Fetal Anomaly Screening Programme."},{"key":"bibr9-1742271X17749718","volume-title":"Two day 3VT staff training programme","author":"NHS Fetal Anomaly Screening Programme","year":"2015"},{"key":"bibr10-1742271X17749718","unstructured":"NHS Fetal Anomaly Screening Programme.\n                      Programme handbook\n                      . 2015, www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/456654\/FASP_programme_handbook_August_2015.pdf (2015, accessed 12 September 2017)."},{"key":"bibr11-1742271X17749718","doi-asserted-by":"publisher","DOI":"10.1002\/uog.14751"},{"key":"bibr12-1742271X17749718","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmu.2012.04.005"},{"key":"bibr13-1742271X17749718","doi-asserted-by":"crossref","unstructured":"Ravi P, Mills L, Fruitman D et\u00a0al. Population trends in prenatal detection of transposition of great arteries: impact of obstetrical screening ultrasound guidelines.\n                      Ultrasound Obstet Gynecol\n                      . Epub ahead of print 24 April 2017. DOI: 10.1002\/uog.17496.","DOI":"10.1002\/uog.17496"},{"key":"bibr14-1742271X17749718","unstructured":"NHS England.\n                      New congenital heart disease review. Recommendations to improve antenatal and neonatal detection of congenital heart disease (CHD)\n                      , https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2015\/06\/chd-a-objective-paper.pdf (2015, accessed 10 October 2017)."},{"key":"bibr15-1742271X17749718","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.15.02063"},{"key":"bibr16-1742271X17749718","doi-asserted-by":"publisher","DOI":"10.1002\/uog.15914"}],"container-title":["Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1742271X17749718","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1742271X17749718","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1742271X17749718","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:48:36Z","timestamp":1777708116000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1742271X17749718"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,2]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,5]]}},"alternative-id":["10.1177\/1742271X17749718"],"URL":"https:\/\/doi.org\/10.1177\/1742271x17749718","relation":{},"ISSN":["1742-271X","1743-1344"],"issn-type":[{"value":"1742-271X","type":"print"},{"value":"1743-1344","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,2]]}}}