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Calculations and Patient Worksheets (Reports) 12.6.4.10.3 Echocardiac views Figure 1 Fetal echocardic views from which the cardiac structures can be measured. (a) Long Axis view of the left ventricel showing the aortic valve (1) and ascending aorta (2). (b) Aortic arch view showing the aortic valve (1), ascending aorta (2), descending aorta (3) and inferior vena cava (4). (c) Short axis view showing the pulmonary valve (1), main (2), right (3) and left (4) pulmonary arteries. (d) Oblique short axis view, showing the pulmonary trunk and arterial duct (5). (e) Four chamber view, showing the tricuspid valve (1), right ventricular end-diastolic dimension (2), right ventricular inlet length (3), right ventricular area (dashed line) (4), mitral valve (5), left ventricular end-diastolic dimension (6), left ventricular inlet length (7) and left ventricular area (dotted line) (8). Ao, aorta; Desc Ao, descending aorta; IVC, inferior vena cava; LA, left atrium; LPA, left pulmonary artery; LV, left ventricle; MPA main pulmonary artery;RA right atrium; RPA, right pulmonary artery; RV right ventricle. REFERENCE: Schneider C. et. al., “Development of Z-scores for fetal cardiac dimensions from echocardio-graphy”, Ultrasound Obstet Gynecol. Vol. 26, 2005, pages 599-605. Fomulas: Z-scores = (ln(actual) - ln(predicted cardiac dimensions)) / Root MSE ln (predicted cardiac dimensions) = m.ln(FL, GA or BPD) + c FL...femur length; GA...gestational age in completed weeks; BPD...biparietal diameter; m...multiplier; c...intercept 12.6.4.10.4 Fractional Limb This measurement is for calculating the fetal limbs. Based on this partial volume-calculation the fetal weight can be estimated. Voluson™ E8/E8 Expert Basic User Manual H48691CF Revision 2 12-31
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