Accuracy of prenatal diagnosis of congenital heart defects.
Publication/Presentation Date
1-1-2001
Abstract
OBJECTIVES: (1) To evaluate the detection and accuracy of fetal echocardiography for congenital heart defects (CHD). (2) To compare the detection and accuracy of a team of maternal fetal medicine specialists and radiologists (MFM/R) with those of perinatal cardiologists (PC).
METHODS: All fetal echocardiograms performed from 1/91 to 6/95 were reviewed retrospectively. CHD diagnoses made prenatally were compared with postnatally-confirmed diagnoses.
RESULTS: 106 heat defects were correctly detected prenatally. There were 10 incorrect diagnoses, 6 false-negatives and 4 false-positives. Overall detection rate (sensitivity) was 95%, while overall accuracy was 87%. Detection rate for MFM/R and PC were 91 and 97%, respectively (p = 0.4). Accuracy was 74% for MFM/R and 92% for PC (p = 0.02).
CONCLUSIONS: CHD can be identified reliably by prenatal echocardiography. The involvement of a PC in the prenatal diagnosis of these defects may improve diagnostic accuracy.
Volume
16
Issue
6
First Page
407
Last Page
412
ISSN
1015-3837
Published In/Presented At
Berghella, V., Pagotto, L., Kaufman, M., Huhta, J. C., & Wapner, R. J. (2001). Accuracy of prenatal diagnosis of congenital heart defects. Fetal diagnosis and therapy, 16(6), 407–412. https://doi.org/10.1159/000053949
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
11694747
Department(s)
Administration and Leadership
Document Type
Article