Re: moroder_canal
From: art fougner, md (evsono@pipeline.com)
Sun Oct 31 09:14:03 2004
Wolfgang ...
thanks ... are you using a Sequoia? we have one in our lab and for
fetal hearts, its strength is its weakness - namely the color
sensitivity. i look forward to follow-ups. also, as a suggestion, try
using CDE instead of CDI to evaluate the IVS in the apical view.
art
At Sun, 31 Oct 2004, Dr. Wolfgang Moroder wrote:
>
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>Art, many thaks for your comment.
>I agree very much with you stating that the color setting is important.
>In this clip an apical four chamber view is shown which is notorious to
>be suboptimal for the visualization of the septa because of
>insufficient lateral resolution. A lateral four chamber view would be
>much more convincing to demontrate the septal defects. On the other
>hand, in this case the PRF (i.e. color scale) was set quite high (64
>cm/s) for the gestational age in order to avoid overflow of color which
>could give very likely a false septal defect image. In the b/w
>videoclip - shown on the clip 14 weeks (1.31 mb) which you can download
>here
>http://www.obgyn.net/us/us.asp?page=/us/present/1004/moroder_canal_wmp
>- of the heart of the same fetus taken 3 weeks before, the asymmetric
>canal was already clearly evident.
>This is at present an ongoing pregnancy and I fear that this will
>develop into a HLHS (Hypoplastic left heart). I will let you know
>further information on the development of this case.
>Best regards
>Wolfgang
>PS. I regret that there is an old invalid mail address on this case.
>My new address is wolfgang.moroder@tin.it
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><bigger>Art, many thaks for your comment.
>
>I agree very much with you stating that the color setting is
>important. In this clip an apical four chamber view is shown which is
>notorious to be suboptimal for the visualization of the septa because
>of insufficient lateral resolution. A lateral four chamber view would
>be much more convincing to demontrate the septal defects. On the
>other hand, in this case the PRF (i.e. color scale) was set quite high
>(64 cm/s) for the gestational age in order to avoid overflow of color
>which could give very likely a false septal defect image. In the b/w
>videoclip - shown on the clip<bold> 14 weeks (1.31 mb)</bold> which
>you can download here
>http://www.obgyn.net/us/us.asp?page=/us/present/1004/moroder_canal_wmp
>- of the heart of the same fetus taken 3 weeks before, the asymmetric
>canal was already clearly evident.
>
>This is at present an ongoing pregnancy and I fear that this will
>develop into a HLHS (Hypoplastic left heart). I will let you know
>further information on the development of this case.
>
>Best regards
>
>Wolfgang
>
>PS. I regret that there is an old invalid mail address on this case.
>My new address is wolfgang.moroder@tin.it</bigger>
>--Apple-Mail-3-666161292--
--
art fougner, md
ich bin ein New Yorker
