{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:46:47Z","timestamp":1791233207417,"version":"4.1.0"},"reference-count":39,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T00:00:00Z","timestamp":1731456000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Introduction: Antenatal diagnosis of cardiac abnormalities and counselling parents about postnatal care require a multidisciplinary team, which includes a paediatric cardiologist, a neonatologist, and a fetal medicine physician. Some of these kinds of expertise are not available in all centres with fetal medicine expertise. However, with modern technology, this could be provided remotely. Our objective was to assess the feasibility and outcomes of prenatal multidisciplinary tele-echocardiography diagnostic and counselling services. Materials and Methods: Two centres based in separate countries provided a joint diagnostic and counselling service over a period of 14 months. The primary centre performed the fetal echocardiography with a Voluson E10 machine, and images were transmitted live using Zoom OPS system with video-consultation and counselling. The fetal echo was performed using the ISUOG Guidelines check list. Results: There was an initial feasibility period of 2 months during which 10 women whose fetuses had normal hearts were scanned to test the workability of the system. Over a period of 12 months, 513 high-risk fetuses were then scanned, and out of these, 27 had congenital malformations. The most common were hypoplastic left heart syndrome (HHLS) and atrio-ventricular septal defect. Tele-echocardiography and counselling were successful in all the cases. Satisfaction with the service was 3.8\/4, with the main limitation being the need for further referral to a tertiary centre for delivery. Conclusions: Tele-echocardiography is reliable, and when combined with live counselling and support from a paediatric cardiologist, it is an option acceptable to patients. The greatest benefit was from being counselled by a team of experts at a single consultation rather than having to travel to another centre for consultation. With rapidly evolving technology, making video transmission easier and less expensive, we feel that consideration should be given not only to the development of tele-echocardiography but also to extending it to other aspects of fetal medicine.<\/jats:p>","DOI":"10.3390\/diagnostics14222545","type":"journal-article","created":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T09:59:11Z","timestamp":1731491951000},"page":"2545","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Fetal Tele-Echocardiography\u2014An Approach to Improving Diagnosis and Management"],"prefix":"10.3390","volume":"14","author":[{"given":"Badreldeen","family":"Ahmed","sequence":"first","affiliation":[{"name":"Feto Maternal Centre, Al Markhiya Doha, Doha P.O. Box 34181, Qatar"},{"name":"Obstetrics and Gynaecology, Qatar University, Doha P.O. Box 2713, Qatar"},{"name":"Obstetrics and Gynecology, Weill Cornell Medicine, Doha P.O. Box 24144, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amal","family":"Elsisi","sequence":"additional","affiliation":[{"name":"Paediatric Cardiology, Cairo University, Cairo 12613, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9736-6938","authenticated-orcid":false,"given":"Justin C.","family":"Konje","sequence":"additional","affiliation":[{"name":"Feto Maternal Centre, Al Markhiya Doha, Doha P.O. Box 34181, Qatar"},{"name":"Obstetrics and Gynecology, Weill Cornell Medicine, Doha P.O. Box 24144, Qatar"},{"name":"Obstetrics and Gynaecology, Department of Health Studies, University of Leicester, Leicester LE1 7RH, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,13]]},"reference":[{"key":"ref_1","first-page":"261","article-title":"Congenital heart defects and disease: An epidemiological overview","volume":"30","author":"Bosi","year":"2004","journal-title":"Ital. J. Pediatr."},{"key":"ref_2","first-page":"620","article-title":"Infant mortality from congenital malformations in the United States, 1970\u20131997","volume":"98","author":"Lee","year":"2001","journal-title":"Obstet. Gynecol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/S1058-9813(03)00084-5","article-title":"Decreasing the burden of congenital heart anomalies: An epidemiologic evaluation of risk factors and survival","volume":"18","author":"Botto","year":"2003","journal-title":"Prog. Pediatr. Cardiol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1111\/j.1365-3016.2008.00987.x","article-title":"Descriptive epidemiology of congenital heart disease in Northern England","volume":"23","author":"Dadvand","year":"2009","journal-title":"Paediatr. Perinat. Epidemiol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1007\/978-90-481-9485-8_20","article-title":"The prevalence of congenital anomalies in Europe","volume":"686","author":"Dolk","year":"2010","journal-title":"Adv. Exp. Med. Biol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2716","DOI":"10.1161\/CIRCULATIONAHA.116.023544","article-title":"Trends in congenital heart disease","volume":"133","author":"Triedman","year":"2016","journal-title":"Circulation"},{"key":"ref_7","unstructured":"Centers for Disease Control and Prevention (2018, December 18). Racial Differences by Gestational Age in Neonatal Deaths Attributable to Congenital Heart Defects\u2014United States, 2003\u20132006, Available online: https:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm5937a3.htm?."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1093\/ije\/dyz009","article-title":"Global birth prevalence of congenital heart defects 1970\u20132017: Updated systematic review and meta-analysis of 260 studies","volume":"48","author":"Liu","year":"2019","journal-title":"Int. J. Epidemiol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1161\/CIRCULATIONAHA.110.958405","article-title":"Congenital heart defects in Europe: Prevalence and perinatal mortality, 2000 to 2005","volume":"123","author":"Dolk","year":"2011","journal-title":"Circulation"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e378","DOI":"10.1542\/peds.2014-3783","article-title":"Variation in Prenatal Diagnosis of Congenital Heart Disease in Infants","volume":"136","author":"Quartermain","year":"2015","journal-title":"Pediatrics"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1111\/j.1471-0528.1992.tb14503.x","article-title":"Screening for congenital heart disease prenatally. Results of a 2 1\/2-year study in the South East Thames Region","volume":"99","author":"Sharland","year":"1992","journal-title":"BJOG"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"659","DOI":"10.7863\/jum.1993.12.11.659","article-title":"Fetal echocardiography: Factors that influence imaging of the fetal heart during the second trimester of pregnancy","volume":"12","author":"DeVore","year":"1993","journal-title":"J. Ultrasound Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1002\/uog.2710","article-title":"Prenatal detection of heart defects in a non-selected population of 30,149 fetuses\u2014Detection rates and outcome","volume":"27","author":"Tegnander","year":"2006","journal-title":"Ultrasound Obstet. Gynecol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1002\/uog.20358","article-title":"Why are congenital heart defects being missed?","volume":"55","author":"Teunissen","year":"2020","journal-title":"Ultrasound Obstet. Gynecol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"788","DOI":"10.1002\/uog.26224","article-title":"ISUOG Practice Guidelines (updated): Fetal cardiac screening","volume":"61","author":"Carvalho","year":"2023","journal-title":"Ultrasound Obstet. Gynecol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e000276","DOI":"10.1136\/bmjoq-2017-000276","article-title":"Training: Improving antenatal detection and outcomes of congenital heart disease","volume":"7","author":"Uzun","year":"2018","journal-title":"BMJ Open Qual."},{"key":"ref_17","unstructured":"(2024, June 19). Available online: https:\/\/www.nicor.org.uk\/interactive-reports\/national-congenital-heart-disease-audit-nchda."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Suard, C., Flori, A., Paoli, F., Loundou, A., Fouilloux, V., Sigaudy, S., Michel, F., Antomarchi, J., Moceri, P., and Paquis-Flucklinger, V. (2020). Accuracy of prenatal screening for congenital heart disease in population: A retrospective study in Southern France. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0239476"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1016\/S0140-6736(99)01167-8","article-title":"Current and potential impact of fetal diagnosis on prevalence and spectrum of serious congenital heart disease at term in the UK. British Paediatric Cardiac Association","volume":"354","author":"Bull","year":"1999","journal-title":"Lancet"},{"key":"ref_20","unstructured":"Current Cardiac Audit Database (2012, July 15). Antenatal Diagnosis. Available online: https:\/\/www.nicor.org.uk\/publications\/ncap\/congenitial\/2024-1\/nchda-additional-information-and-overview-of-qi-metrics-2022-23-final?layout=default."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Qiu, X., Weng, Z., Liu, M., Chen, X., Wu, Q., Ling, W., Ma, H., Huang, H., and Lin, Y. (2020). Prenatal diagnosis and pregnancy outcomes of 1492 fetuses with congenital heart disease: Role of multidisciplinary-joint consultation in prenatal diagnosis. Sci. Rep., 10.","DOI":"10.1038\/s41598-020-64591-3"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1002\/pd.6196","article-title":"Use of fetal tele-echo at small regional hospitals increases the rate of prenatal diagnosis of congenital heart disease","volume":"42","author":"Holland","year":"2022","journal-title":"Prenat. Diagn."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1146\/annurev-publhealth-090519-093711","article-title":"Improving Access to Care: Telemedicine Across Medical Domains","volume":"42","author":"Barbosa","year":"2021","journal-title":"Annu. Rev. Public Health"},{"key":"ref_24","unstructured":"(2023, June 23). Telemedicine Solutions for Clinical Care Delivery During COVID-19 Pandemic: A Scoping Review\u2014PMC, Available online: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9354887\/."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1258\/1357633991933585","article-title":"Minimum requirements for remote realtime fetal teleultrasound consultation","volume":"5","author":"Chan","year":"1999","journal-title":"J. Telemed. Telecare"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1177\/1357633X9500100108","article-title":"Fetal telemedicine: Interactive transfer of realtime ultrasound and video via ISDN for remote consultation","volume":"1","author":"Fisk","year":"1995","journal-title":"J. Telemed. Telecare"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1089\/107830200415171","article-title":"Clinical value of real time tertiary fetal ultrasound consultation by telemedicine: Preliminary evaluation","volume":"6","author":"Chan","year":"2000","journal-title":"Telemed. J."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1016\/S0002-9378(97)70280-1","article-title":"Telemedicine and fetal ultrasonography: Asessment of technical performance and clinical feasibility","volume":"177","author":"Landwehr","year":"1997","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_29","first-page":"161","article-title":"Effect of ISDN bandwidth on image quality for telemedicine transmission of obstetric ultrasonography","volume":"4","author":"Malone","year":"1998","journal-title":"Telemed. J."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1258\/1357633971931183","article-title":"The effect of transmission bandwidth on diagnostic accuracy in remote fetal ultrasound scanning","volume":"3","author":"Wootton","year":"1997","journal-title":"J. Telemed. Telecare"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1111\/j.1471-0528.1996.tb09588.x","article-title":"Fetal telemedicine: Six month pilot of real-time ultrasound and video consultation between the Isle of Wight and London","volume":"103","author":"Fisk","year":"1996","journal-title":"Br. J. Obstet. Gynaecol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1177\/1357633X9600201S28","article-title":"Point-to-point telemedicine using the ISDN","volume":"2","author":"Darkins","year":"1996","journal-title":"J. Telemed. Telecare"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1258\/1357633011937281","article-title":"Minimum acceptable standards for digital compression of a fetal ultrasound video-clip","volume":"7","author":"Begg","year":"2001","journal-title":"J. Telemed. Telecare"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1258\/1357633011937290","article-title":"Realtime fetal ultrasound by telemedicine in Queensland. A successful venture?","volume":"7","author":"Chan","year":"2001","journal-title":"J. Telemed. Telecare"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1067\/mje.2003.46","article-title":"Screening fetal echocardiography by telemedicine: Efficacy and community acceptance","volume":"16","author":"Sharma","year":"2003","journal-title":"J Am. Soc. Echocardiogr."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1258\/jtt.2008.080401","article-title":"Cost implications of introducing a telecardiology service to support fetal ultrasound screening","volume":"14","author":"Dowie","year":"2008","journal-title":"J. Telemed. Telecare"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1007\/s12553-023-00742-6","article-title":"The use and role of telemedicine in maternal fetal medicine around the world: An up-to-date","volume":"13","author":"Fernandes","year":"2023","journal-title":"Health Technol."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1258\/jtt.2012.120418","article-title":"The cost-effectiveness of prenatal detection for congenital heart disease using telemedicine screening","volume":"19","author":"Mistry","year":"2013","journal-title":"J. Telemed. Telecare"},{"key":"ref_39","first-page":"485","article-title":"Successful fetal Tele-Echo at a small Regional Hospital","volume":"23","author":"Brown","year":"2017","journal-title":"Telemed. J. E Health Off. J. Am. Telemed. Assoc."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/22\/2545\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:31:39Z","timestamp":1760113899000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/22\/2545"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,13]]},"references-count":39,"journal-issue":{"issue":"22","published-online":{"date-parts":[[2024,11]]}},"alternative-id":["diagnostics14222545"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics14222545","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,13]]}}}