Congenital heart disease/defects, fetal heart abnormalities/anomalies Congenital heart defects
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Antenatal suspicion of significant CHD (significant CHD defined as requiring intervention within the first six months of postnatal life) based on prior fetal echocardiography Informed consent by the mother for fetal MRI and echo data, and by both parents for postnatal imaging/surgical findingsGestational age >28 weeks
Exclusion criteria
Exclusion criteria: Maternal age <18 yearsContraindication for MR imaging (see Radiology department checklist: e.g. pacemaker, metallic implant, foreign body, claustrophobia)Inability to correctly inform mother about study due to language barrier or other factors
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| This study aims to evaluate the additional diagnostic value of novel fetal-CMR sequences for the assessment of congenital heart disease (CHD) in third-trimester fetuses, compared with fetal echocardiography alone. To determine the additive value of an enhanced imaging protocol, two primary parameters will be assessed: (1) qualitative image assessment and (2) accuracy of associated prediction of postnatal diagnoses and outcomes. | — |
Secondary
| Measure | Time frame |
|---|---|
| To quantify CINE-derived cardiac values, including left and right ventricular stroke volumes at end of systole and diastole, ejection fraction and cardiac outputs, as well as the vena cavae, transverse and descending aortic and pulmonary diameters.To quantify blood flow, measured through developed 4D flow sequences, in clinically relevant vasculature (e.g. main pulmonary artery, aortic arch, ductal arch, descending aorta, inferior vena cava) and heart valves (e.g. aortic peak velocity and time to peak velocity). | — |
Countries
Netherlands
Contacts
Amsterdam UMC