Fetal Echocardiogram Protocol

Grayscale Imaging:
Four chamber view Apical
Four chamber view Subcostal
Four chamber view valves open
Four chamber view valves closed
Left outflow tract
Right outflow tract long and short axis
Three vessel and trachea view
Short axis views high for outflow and low for ventricles
Aortic arch
Ductal arch
SVC/IVC

Measurements in Gray Scale:

o 4 chamber diastolic measurements of the ventricular diameter
o 4 chamber measurement in diastole of the atrioventricular valve
orifices mitral and tricuspid
o 4 chamber systolic measurements of the right and left
ventricular width and length
o 4 chamber systolic measurements of the right and left
ventricular wall thickness
o 4 chamber systolic measurement of the septal thickness
o 4 chamber systolic measurements of the right and left atrial
width
o 4 chamber with cardiac to thoracic ratio
o Mitral Valve orifice
o Tricuspid Valve orifice
o Main Pulmonary artery width
o Right and Left Pulmonary artery width
o Aortic Arch measurements of the width of the isthmus, ascending
and descending aorta
o Ductal Arch width

C.Taff 6.2016
Color Doppler Imaging:
Systemic veins:
o Ductus Venosus, SVC, IVC
Four chamber view
o valves open
o valves closed
o Subcostal
o Demonstrating AV valves
o Demonstrating atrial and ventricular septum
Outflow tracks:
o Left outflow tract demonstrating AV
o Right outflow tract demonstrating PV
Arches:
o Ductal Arch
o Aortic Arch
Umbilical artery and Vein
Pulmonary Veins
Foramen Ovale
3 Vessel trachea view

Anomalies:
o Document with Color Doppler

C.Taff 6.2016
Pulse Wave Doppler Imaging:
Valves: Doppler superior and inferior to each valve
o Mitral Valve
o Tricuspid Valve
o Aortic Valve
o Pulmonary Valve

Structures:
o Aortic Arch at Isthmus
o Ductal Arch
o Foramen Ovale
o Pulmonary Vein
o Ductus Venosus
o Umbilical artery
o Umbilical vein

Anomalies:
o Document any flow disturbances and or rhythm disturbances

Measurements to Document in Pulse Wave Doppler

o Mitral Valve E and A Wave
o Tricuspid Valve E and A Wave
o Aortic Arch Max Velocity
o Ductal Arch Max Velocity
o Pulmonary Valve Max Velocity
o Ductus venosus Manual trace
o Umbilical Artery S/D Ratio
o Umbilical Vein Max Velocity

C.Taff 6.2016
Cine Clips and STIC

Cine Clips:
o 4 chamber heart demonstrating valves opening and closing
o Clip demonstrating fetal lie and situs (scan from fetal head to
bottom)
o Outflows demonstrating the great arteries crossing
o Cine of any Anomaly in grayscale and with color Doppler

STIC: (4D Imaging)

o 4 Chamber heart
o 4 Chamber with color Doppler
o Any Anomaly

M-Mode
Document fetal atria and ventricles together
Measure heart rate
Demonstrate any rhythm disturbances

C.Taff 6.2016