Diagnostic accuracy of artificial intelligence models in detecting congenital heart disease in the second-trimester fetus through prenatal cardiac screening: a systematic review and meta-analysis
Frontiers in Cardiovascular Medicine,
Journal Year:
2025,
Volume and Issue:
12
Published: Feb. 24, 2025
Congenital
heart
disease
(CHD)
is
a
major
contributor
to
morbidity
and
infant
mortality
imposes
the
highest
burden
on
global
healthcare
costs.
Early
diagnosis
prompt
treatment
of
CHD
contribute
enhanced
neonatal
outcomes
survival
rates;
however,
there
shortage
proficient
examiners
in
remote
regions.
Artificial
intelligence
(AI)-powered
ultrasound
provides
potential
solution
improve
diagnostic
accuracy
fetal
screening.
A
literature
search
was
conducted
across
seven
databases
for
systematic
review.
Articles
were
retrieved
based
PRISMA
Flow
2020
inclusion
exclusion
criteria.
Eligible
data
further
meta-analyzed,
risk
bias
tested
using
Quality
Assessment
Diagnostic
Accuracy
Studies-Artificial
Intelligence.
total
374
studies
screened
eligibility,
but
only
9
included.
Most
utilized
deep
learning
models
either
or
echocardiographic
images.
Overall,
AI
performed
exceptionally
well
accurately
identifying
normal
abnormal
meta-analysis
these
nine
resulted
pooled
sensitivity
0.89
(0.81-0.94),
specificity
0.91
(0.87-0.94),
an
area
under
curve
0.952
random-effects
model.
Although
several
limitations
must
be
addressed
before
can
implemented
clinical
practice,
has
shown
promising
results
diagnosis.
Nevertheless,
prospective
with
bigger
datasets
more
inclusive
populations
are
needed
compare
algorithms
conventional
methods.
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023461738,
PROSPERO
(CRD42023461738).
Language: Английский
The Artificial Intelligence-Enhanced Echocardiographic Detection of Congenital Heart Defects in the Fetus: A Mini-Review
Khadiza Tun Suha,
No information about this author
Hugh Lubenow,
No information about this author
Stefania Soria-Zurita
No information about this author
et al.
Medicina,
Journal Year:
2025,
Volume and Issue:
61(4), P. 561 - 561
Published: March 21, 2025
Artificial
intelligence
(AI)
is
rapidly
gaining
attention
in
radiology
and
cardiology
for
accurately
diagnosing
structural
heart
disease.
In
this
review
paper,
we
first
outline
the
technical
background
of
AI
echocardiography
then
present
an
array
clinical
applications,
including
image
quality
control,
cardiac
function
measurements,
defect
detection,
classifications.
Collectively,
answer
how
integrating
technologies
can
help
improve
detection
congenital
defects.
Particularly,
superior
sensitivity
AI-based
(CHD)
fetus
(>90%)
allows
it
to
be
potentially
translated
into
workflow
as
effective
screening
tool
obstetric
setting.
However,
current
still
have
many
limitations,
more
technological
developments
are
required
enable
these
reach
their
full
potential.
Also,
diagnostic
should
resolve
ethical
concerns.
Otherwise,
deploying
may
not
address
low-resource
populations’
healthcare
access
disadvantages.
Instead,
will
further
exacerbate
disparities.
We
envision
that,
through
combination
tele-echocardiography
AI,
medical
facilities
gain
CHD
at
prenatal
stage.
Language: Английский
Fetal cardiac diagnostics in Indonesia: a study of screening and echocardiography
Journal of Perinatal Medicine,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 15, 2025
Abstract
Introduction
Congenital
heart
defects
(CHDs)
are
a
leading
cause
of
neonatal
morbidity
and
mortality
globally.
Accurate
prenatal
detection
is
crucial
to
improving
outcomes.
In
Indonesia,
two
primary
methods
used:
fetal
cardiac
screening
(FCS),
which
accessible
but
limited
in
sensitivity
(40–60
%),
echocardiography
(FE),
the
gold
standard
with
over
90
%
access
due
infrastructural
financial
challenges.
Content
This
review
analyzes
Indonesia’s
diagnostic
disparities,
highlighting
how
rural
regions
rely
heavily
on
FCS,
while
FE
remains
restricted
urban
centers.
Emerging
technologies,
such
as
AI-enhanced
diagnostics
telemedicine,
show
promise
bridging
gaps
by
increasing
FCS
accuracy
extending
through
remote
consultations.
Summary
AI
has
potential
boost
up
30
%,
making
it
an
effective
preliminary
tool,
telemedicine
platforms
connect
practitioners
specialists.
However,
barriers
like
insufficient
infrastructure,
regulatory
issues,
training
hinder
widespread
adoption.
Outlook
Addressing
these
requires
standardized
national
protocols,
capacity-building
initiatives,
public-private
partnerships
finance
infrastructure
reduce
costs.
With
technology
integration
systemic
reforms,
Indonesia
can
achieve
equitable
CHD
diagnostics,
maternal
outcomes
aligning
global
standards.
Language: Английский
A cluster-based ensemble approach for congenital heart disease prediction
Computer Methods and Programs in Biomedicine,
Journal Year:
2023,
Volume and Issue:
243, P. 107922 - 107922
Published: Nov. 7, 2023
Language: Английский
Empowering Prenatal Care Using AI Image Processing for Early Detection of Pregnancy Complications
Advances in medical technologies and clinical practice book series,
Journal Year:
2024,
Volume and Issue:
unknown, P. 51 - 64
Published: July 12, 2024
AI
image
processing
has
emerged
as
a
transformative
tool
in
the
realm
of
maternal
healthcare,
particularly
early
detection
pregnancy
complications.
By
harnessing
power
artificial
intelligence,
healthcare
providers
can
now
leverage
advanced
algorithms
to
analyze
medical
images
such
ultrasound
scans,
MRI
images,
and
fetal
monitoring
data
with
unprecedented
accuracy
efficiency.
These
AI-based
systems
excel
at
detecting
subtle
abnormalities
anomalies
that
may
indicate
potential
risks
health,
including
markers
growth
restriction,
placental
abnormalities,
congenital
anomalies.
facilitating
earlier
intervention,
empowers
proactively
manage
complications,
thereby
improving
outcomes
for
both
mother
baby.
predictive
models
enable
assess
risk
complications
tailor
interventions
accordingly.
Language: Английский
A Systematic Review of Fetal Cardiac Abnormality with Future Directions
Kulvinder Singh,
No information about this author
Shirly Edward. A,
No information about this author
D. Anto Sahaya Dhas
No information about this author
et al.
Published: Feb. 21, 2024
Globally,
the
fetal
cardiac
abnormality
is
primary
reason
for
morality.
However,
understanding
huge
amount
of
"Electrocardiogram
(ECG)"
signals
generated
from
sensors
exhausting.
The
machine
learning
approaches
can
be
employed
to
assist
evaluation
these
images
and
support
identifying
any
dangerous
anomalies
in
fetus.
But,
traditional
techniques
still
need
improvements.
Thus,
this
survey
analyzes
existing
strategies
utilized
detection
tasks.
multimodal
data
performance
measures
supported
tasks
are
categorized.
research
gaps
challenges
provided
improve
new
mechanisms
future.
Language: Английский
Identifying At-Risk Patients for Congenital Heart Disease Using Integrated Predictive Models and Fuzzy Clustering Analysis: A Cross-Sectional Study
Heliyon,
Journal Year:
2024,
Volume and Issue:
10(20), P. e39609 - e39609
Published: Oct. 1, 2024
Language: Английский
Advancing real-time echocardiographic diagnosis with a hybrid deep learning model
Eastern-European Journal of Enterprise Technologies,
Journal Year:
2024,
Volume and Issue:
6(9 (132)), P. 60 - 70
Published: Dec. 30, 2024
This
research
focuses
on
developing
a
novel
hybrid
deep
learning
architecture
designed
for
real-time
analysis
of
ultrasound
heart
images.
The
object
the
study
is
diagnostic
accuracy
and
efficiency
in
detecting
pathologies
such
as
atrial
septal
defect
(ASD)
aortic
stenosis
(AS)
from
data.
problem
insufficient
generalizability
existing
models
cardiac
image
analysis,
which
limits
their
practical
clinical
application.
To
solve
this,
convolutional
neural
networks
(CNNs),
combining
local
feature
extraction
was
integrated
with
global
contextual
understanding
structures.
Additionally,
YOLOv7
precise
segmentation
detection
utilized.
results
demonstrate
that
model
achieves
an
overall
92
%
ASD
90
AS
detection,
representing
7
improvement
over
standard
model.
These
improvements
are
attributed
to
architecture's
ability
simultaneously
capture
fine-grained
anatomical
details
broader
structural
relationships,
enhancing
subtle
anomalies.
findings
suggest
combination
CNNs
enhances
pattern
recognition
leading
better
key
features
contributing
solving
include
detailed
context
simultaneously.
In
terms,
can
be
applied
settings
require
assessment
using
medical
imaging
equipment.
Its
computational
high
make
it
suitable
even
resource-constrained
environments,
reducing
time
clinicians,
supporting
personalized
treatment
plans,
potentially
improving
patient
outcomes
cardiology
Language: Английский