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Evaluating fetal tricuspid and mitral annular plane systolic excursion (TAPSE and MAPSE) using spatiotemporal image correlation (STIC) M-mode

  • Hagai Avnet ORCID logo EMAIL logo , Samantha Thomas , Anna Erenbourg , Simcha Yagel and Alec Welsh
Published/Copyright: May 10, 2024
Journal of Perinatal Medicine
From the journal Journal of Perinatal Medicine Volume 52 Issue 6

Abstract

Objectives

This study aimed to evaluate the feasibility and reliability of tricuspid and mitral annular plane systolic excursion measurements (TAPSE and MAPSE) applying M-mode spatiotemporal image correlation (STIC) technology in low-risk pregnancies.

Methods

An initial retrospective pilot study was carried out to assess repeatability, followed by a larger mixed cross-sectional and prospective longitudinal study, both evaluating low-risk singleton pregnancies between 22+6 and 39+1 weeks. As only annuli capture was necessary, STIC acquisition parameters were set to the minimum volume angle of 15° and acquisition time of 7.5 s.

Results

A total of 330 volumes were analysed offline applying STIC M-mode. Acquisition rates were 96.9 % for TAPSE and 93.7 % MAPSE in the pilot study (n=32) and 98.0 % for both in the longitudinal study (n=102). Both study designs revealed good repeatability for both sides of the heart, with higher intraclass correlation coefficients (ICCs) for TAPSE (0.84–0.94) compared to MAPSE (0.80–0.88). Good repeatability was demonstrated for both sides of the heart, more so for TAPSE than MAPSE, with ICCs for TAPSE 0.84–0.91 and MAPSE 0.75–0.76, comparable to prior ICCs for STIC repeatability.

Conclusions

Modified STIC acquisition settings specifically tailored for capturing the longitudinal annular displacement may improve STIC TAPSE and MAPSE acquisition rates, optimising image quality for precise measurement and potentially bringing these modalities closer to clinical application.

Keywords: STIC; TAPSE; MAPSE; cardiac function; reliability
Corresponding author: Hagai Avnet, PhD, School of Clinical Medicine, Discipline of Women’s Health, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia; and Fetal Medicine Unit, Department of Obstetrics and Gynecology, Sheba Medical Center, TelHashomer, Israel, E-mail:

Acknowledgments

This work was conducted as part of the PhD thesis of Dr Hagai Avnet at the University of New South Wales, Sydney.

  1. Research ethics: This study obtained Ethical Approval (SESLHD HREC Reference 13/320) by the Southeastern Sydney Local Health District Human Research Ethics Committee. The research was performed in accordance with the Declaration of Helsinki.

  2. Informed consent: Informed consent was obtained from all individuals included in this study, or their legal guardians or wards.

  3. Author contributions: All the authors have revised and contribute to draft the manuscript. The authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  4. Competing interests: The authors state no conflict of interest.

  5. Research funding: None declared.

  6. Data availability: Not applicable.

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Supplementary Material

This article contains supplementary material (https://doi.org/10.1515/jpm-2023-0423).

Received: 2023-10-06
Accepted: 2024-01-28
Published Online: 2024-05-10
Published in Print: 2024-07-26

© 2024 Walter de Gruyter GmbH, Berlin/Boston

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https://doi.org/10.1515/jpm-2023-0423
Keywords for this article
STIC; TAPSE; MAPSE; cardiac function; reliability

Articles in the same Issue

  1. Frontmatter
  2. Review
  3. Newborns at risk of COVID-19, the story continues
  4. Opinion Paper
  5. Why do women choose home births
  6. Original Articles – Obstetrics
  7. Association between aneuploidy screening analytes and adverse outcomes in twin gestations
  8. Vaginal matrix metalloproteinase-9 (MMP-9) as a potential early predictor of preterm birth
  9. Intrapartum pyrexia, cardiotocography traces and histologic chorioamnionitis: a case-control study
  10. Effect of maternal asthma on fetal pulmonary artery Doppler parameters: a case-control study
  11. Association of BDNF polymorphism with gestational diabetes mellitus risk: a novel insight into genetic predisposition
  12. Transvaginal three-dimensional ultrasound assessment of embryonic genital tubercle at 8–10+6 weeks of gestation
  13. Ultrasound prediction of fetal macrosomia in pregnancies complicated by diabetes mellitus: a systematic review and meta-analysis
  14. Comparative analysis of ultrasonographic fetal lung texture in twin and singleton fetuses
  15. Association between first-trimester uterine artery Doppler and crown-rump length with growth discordance: does it make a difference
  16. Original Articles – Fetus
  17. Evaluating fetal tricuspid and mitral annular plane systolic excursion (TAPSE and MAPSE) using spatiotemporal image correlation (STIC) M-mode
  18. Hepatic arterial buffer response in monochorionic twins with selective fetal growth restriction
  19. Original Articles – Neonates
  20. Increases in drug-related infant mortality in the United States
  21. Factors of poor prognosis in newborns with a prenatal diagnosis of gastroschisis in Bogota, Colombia
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