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        "rendered": "<figure class=\"wp-block-vimeo-create vimeo-create__video-container\"><div style=\"width:100%\"><iframe class=\"vimeo-core-video\" loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/1087894224?autopause=true&amp;autoplay=false&amp;background=false&amp;byline=true&amp;controls=true&amp;dnt=true&amp;loop=false&amp;muted=false&amp;pip=false&amp;playsinline=true&amp;portrait=true&amp;responsive=true&amp;speed=false&amp;title=true&amp;transparent=false\" width=\"848\" height=\"480\" frameborder=\"0\" allowfullscreen title=\"VIRTUAL-NAVIAGATION-OF-THE-FETAL-HEART\" style=\"max-width:100%;width:100%;height:100%;aspect-ratio:848 \/ 480\"><\/iframe><\/div><figcaption class=\"vimeo-create__video-caption\">Fetal Heart Virtual Navigation<\/figcaption><\/figure>\n\n\n\n<div class=\"wp-block-greenshift-blocks-container gspb_container gspb_container-gsbp-07284f6\" id=\"gspb_container-id-gsbp-07284f6\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"834\" height=\"1024\" src=\"https:\/\/alevato.xyz\/wp-content\/uploads\/2025\/03\/Screenshot-2025-03-20-at-15.47.25-834x1024.png\" alt=\"\" class=\"wp-image-1888\" srcset=\"https:\/\/alevato.xyz\/wp-content\/uploads\/2025\/03\/Screenshot-2025-03-20-at-15.47.25-834x1024.png 834w, https:\/\/alevato.xyz\/wp-content\/uploads\/2025\/03\/Screenshot-2025-03-20-at-15.47.25-244x300.png 244w, https:\/\/alevato.xyz\/wp-content\/uploads\/2025\/03\/Screenshot-2025-03-20-at-15.47.25-768x943.png 768w, https:\/\/alevato.xyz\/wp-content\/uploads\/2025\/03\/Screenshot-2025-03-20-at-15.47.25-10x12.png 10w, https:\/\/alevato.xyz\/wp-content\/uploads\/2025\/03\/Screenshot-2025-03-20-at-15.47.25.png 1174w\" sizes=\"auto, (max-width: 834px) 100vw, 834px\" \/><figcaption class=\"wp-element-caption\">Close view of a 3d print of a fetal hearth<\/figcaption><\/figure>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Congenital heart disease (CHD) is the most common congenital malformation, and an important cause of perinatal mortality and disabilities related to birth defects all over the world.&nbsp; The prevalence of CHD is 10 &#8211; 12 cases for every 1000 live births, most due to postnatal diagnosis of mild disease. The incidence in fetuses is even higher and estimated around 6,5%. Cardiac screening by ultrasound (US) evaluation of the fetal heart is the most important tool to maximize its prenatal diagnosis.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-vimeo-create vimeo-create__video-container\"><div style=\"width:100%\"><iframe class=\"vimeo-core-video\" loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/1087894183?autopause=true&amp;autoplay=false&amp;background=false&amp;byline=true&amp;controls=true&amp;dnt=true&amp;loop=false&amp;muted=false&amp;pip=false&amp;playsinline=true&amp;portrait=true&amp;responsive=true&amp;speed=false&amp;title=true&amp;transparent=false\" width=\"1920\" height=\"1080\" frameborder=\"0\" allowfullscreen title=\"Modelo-de-Navegacao-virtual-em-um-coracao-fetal-portador-de-Tetralogia-de-Fallot\" style=\"max-width:100%;width:100%;height:100%;aspect-ratio:1920 \/ 1080\"><\/iframe><\/div><figcaption class=\"vimeo-create__video-caption\">Virtual navigation model in a fetal heart with Tetralogy of Fallot<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-vimeo-create vimeo-create__video-container\"><div style=\"width:100%\"><iframe class=\"vimeo-core-video\" loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/1087894164?autopause=true&amp;autoplay=false&amp;background=false&amp;byline=true&amp;controls=true&amp;dnt=true&amp;loop=false&amp;muted=false&amp;pip=false&amp;playsinline=true&amp;portrait=true&amp;responsive=true&amp;speed=false&amp;title=true&amp;transparent=false\" width=\"1920\" height=\"1080\" frameborder=\"0\" allowfullscreen title=\"Modelo de Navegacao virtual em um coracao fetal portador de Transposicao dos grandes vasos\" style=\"max-width:100%;width:100%;height:100%;aspect-ratio:1920 \/ 1080\"><\/iframe><\/div><figcaption class=\"vimeo-create__video-caption\">Virtual navigation model in a fetal heart with transposition of the great vessels<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Advances in imaging techniques such as three-dimensional (3D) US have provided better accuracy of cardiac anatomy. 3D US with&nbsp;<em>software spatio-temporal image correlation<\/em>&nbsp;(STIC) allows the volume of the heart to be collected and analyzed in multiplanar and rendered modes.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-greenshift-blocks-container alignfull gspb_container gspb_container-gsbp-519f2a0\" id=\"gspb_container-id-gsbp-519f2a0\">\n<figure class=\"wp-block-image alignwide size-large\"><img decoding=\"async\" src=\"https:\/\/alevato.xyz\/wp-content\/uploads\/2025\/03\/Coracao-fetal-1024x592.jpg\" alt=\"\" class=\"wp-image-1878\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-greenshift-blocks-container gspb_container gspb_container-gsbp-d6c6e7a\" id=\"gspb_container-id-gsbp-d6c6e7a\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"967\" height=\"1024\" src=\"https:\/\/alevato.xyz\/wp-content\/uploads\/2025\/03\/Screenshot-2025-03-20-at-16.04.52-967x1024.png\" alt=\"\" class=\"wp-image-1889\" srcset=\"https:\/\/alevato.xyz\/wp-content\/uploads\/2025\/03\/Screenshot-2025-03-20-at-16.04.52-967x1024.png 967w, https:\/\/alevato.xyz\/wp-content\/uploads\/2025\/03\/Screenshot-2025-03-20-at-16.04.52-283x300.png 283w, https:\/\/alevato.xyz\/wp-content\/uploads\/2025\/03\/Screenshot-2025-03-20-at-16.04.52-768x813.png 768w, https:\/\/alevato.xyz\/wp-content\/uploads\/2025\/03\/Screenshot-2025-03-20-at-16.04.52-11x12.png 11w, https:\/\/alevato.xyz\/wp-content\/uploads\/2025\/03\/Screenshot-2025-03-20-at-16.04.52.png 1094w\" sizes=\"auto, (max-width: 967px) 100vw, 967px\" \/><figcaption class=\"wp-element-caption\">3D. model from a J5 stsratasys printer in front of the journal which it was cover<\/figcaption><\/figure>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">In the early 2010s, the emergence of 3D reconstruction&nbsp;<em>software<\/em>, combined with 3D printers, enabled virtual and physical reconstructions of fetuses, as well as virtual navigation of fetal cavities using 3D US and magnetic resonance imaging, enabling realistic visualizations of structures such as the airways, the urinary tract and the nervous system in cases of malformations. But only after the development of STIC, precise heart 3D images could be obtained.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-greenshift-blocks-container gspb_container gspb_container-gsbp-2ebb230\" id=\"gspb_container-id-gsbp-2ebb230\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/alevato.xyz\/wp-content\/uploads\/2025\/03\/22-1024x733.jpg\" alt=\"\" class=\"wp-image-1885\"\/><figcaption class=\"wp-element-caption\">Segmentation process of a fetal hearth<\/figcaption><\/figure>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">3D virtual and physical model of the fetal heart enables a better understanding of CHD improving parental counseling, teaching, as well as interactive discussions between the multidisciplinary medical team (maternal-fetal medicine specialist, neonatology, pediatric cardiology, and cardiovascular surgeon).&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">We studied the advantages of the use of physical models of fetal hearts with congenital heart anomalies to aid the understanding of these diseases by parents. After diagnosis, we offered an explanation to parents and their companions using 3D printed models. Finally, they answered a questionnaire about their feelings towards the fetal heart anomaly. Most of them declared that the physical model made them understand better the fetal condition, making them more self-assured and able to make decisions.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-vimeo-create vimeo-create__video-container\"><div style=\"width:100%\"><iframe class=\"vimeo-core-video\" loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/1087811686?autopause=true&amp;autoplay=false&amp;background=false&amp;byline=true&amp;controls=true&amp;dnt=true&amp;loop=false&amp;muted=false&amp;pip=false&amp;playsinline=true&amp;portrait=true&amp;responsive=true&amp;speed=false&amp;title=true&amp;transparent=false\" width=\"848\" height=\"480\" frameborder=\"0\" allowfullscreen title=\"Segmentando na realidade virtual o coracao fetal a partir de um exame de ultrassonografia\" style=\"max-width:100%;width:100%;height:100%;aspect-ratio:848 \/ 480\"><\/iframe><\/div><figcaption class=\"vimeo-create__video-caption\">Segmenting the fetal heart in virtual reality from an ultrasound scan<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-vimeo-create vimeo-create__video-container\"><div style=\"width:100%\"><iframe class=\"vimeo-core-video\" loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/1087894211?autopause=true&amp;autoplay=false&amp;background=false&amp;byline=true&amp;controls=true&amp;dnt=true&amp;loop=false&amp;muted=false&amp;pip=false&amp;playsinline=true&amp;portrait=true&amp;responsive=true&amp;speed=false&amp;title=true&amp;transparent=false\" width=\"1920\" height=\"1080\" frameborder=\"0\" allowfullscreen title=\"Segmentacao-do-coracao-fetal-a-partir-de-um-exame-de-ultrassonografia-na-realidade-virtual\" style=\"max-width:100%;width:100%;height:100%;aspect-ratio:1920 \/ 1080\"><\/iframe><\/div><figcaption class=\"vimeo-create__video-caption\">Fetal heart segmentation from an ultrasound examination in virtual reality<\/figcaption><\/figure>\n\n\n\n<div class=\"wp-block-greenshift-blocks-container alignfull gspb_container gspb_container-gsbp-f1d542a\" id=\"gspb_container-id-gsbp-f1d542a\">\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/alevato.xyz\/wp-content\/uploads\/2025\/03\/21-scaled.bmp\" alt=\"\" class=\"wp-image-1891\"\/><figcaption class=\"wp-element-caption\">Physicians manipulating a 3D model of a fetal hearth in the metaverse<\/figcaption><\/figure>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">We did a pilot study using the platform called Elucis (Realize Medical, Ottawa Canada), for fetal heart segmentation. This system allowed a 360<sup>0<\/sup> navigation and posteriorly utilizing in 3D printing, virtual reality and metaverse. Again, the visualization of normal fetal cardiac anatomy and its visualization enhanced education of students, residents and young professionals enrolled in fetal medicine.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Of course, these new technologies require a learning curve even for professionals with experience in congenital heart disease, design and the use of platforms. But the first step is the acquisition of one 3D volume from a four-chamber view of a fetal echocardiogram, that can be obtained from any equipment with STIC technology and a volumetric transducer.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-vimeo-create vimeo-create__video-container\"><div style=\"width:100%\"><iframe class=\"vimeo-core-video\" loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/1088397426?autopause=true&amp;autoplay=false&amp;background=false&amp;byline=true&amp;controls=true&amp;dnt=true&amp;loop=false&amp;muted=false&amp;pip=false&amp;playsinline=true&amp;portrait=true&amp;responsive=true&amp;speed=false&amp;title=true&amp;transparent=false\" width=\"848\" height=\"480\" frameborder=\"0\" allowfullscreen title=\"Heart Metaverse\" style=\"max-width:100%;width:100%;height:100%;aspect-ratio:848 \/ 480\"><\/iframe><\/div><figcaption class=\"vimeo-create__video-caption\">Metaverse Room dedicated to the study of the the heart<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">BRAVO-VALENZUELA NJ, BELEZA MCL, REZENDE GB, PAIVA LC, NIEBLAS CO, TRAJANO FILHO E, ARA\u00daJO J\u00daNIOR E, CASTRO PT, KIRSCHNER G, WERNER H. Prenatal diagnosis of fetal left ventricular diverticulum: 3D virtual and physical reconstruction models. J Clin Ultrasound. 2024;1\u20133. DOI: 10.1002\/jcu.23650<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">BRAVO-VALENZUELA NJ, LEITE MFMP, LOPES J, ARCOVERDE V, RIBEIRO G, ARA\u00daJO J\u00daNIOR E, WERNER H. Three-dimensional navigation inside a normal fetal heart in a virtual reality environment. J Clin Ultrasound. 2024;1\u20102. doi:10.100 2\/jcu.23788.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CASTRO PT, MATOS AP, WERNER H, LOPES J, RIBEIRO G, ARAUJO JE. Evaluation of fetal nasal cavity in bilateral congenital dacryocystocele: 3D reconstruction and virtual navigation by magnetic resonance imaging. Ultrasound Obstet Gynecol. 2020;55(1):141-143.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">GIFFONI MC, LOPES J, RIBEIRO G, ARA\u00daJO J\u00daNIOR E, WERNER H. Fetal heart segmentation in a virtual reality environment. The International Journal of Cardiovascular Imaging. 2024. https:\/\/doi. org\/10.1007\/s10554-024-03157-0.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">LEITE MFMP, PEREIRA J\u00daNIOR JP, VERONA BARRETO FARIAS C, LOBATO G, RIBEIRO G, WERNER H. Fetal left ventricle giant aneurysm: three- dimensional virtual and printed model. Ultrasound Obstet Gynecol 2024; 64: 127\u2013128.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nieblas CO, Br avo-Valenzuela NJ, Ar aujo J\u00fanior E, C astro PT, Werner H. Fetal tetralogy of Fallot: Three-dimensional virtual and physical models from ultrasound scan data findings. J Clin Ultr asound. 2024;1\u20103. doi:10.1002\/jcu.23696.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">NIEBLAS CO, BRAVO-VALENZUELA NJ, ARAUJO J\u00daNIOR E, CASTRO PT, WERNER H. Fetal transposition of the great arteries: 3D virtual and physical models from ultrasound datasets. The International Journal of Cardiovascular Imaging. 2024. https:\/\/doi. org\/10.1007\/s10554-024-03106-x.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">OKPAISE OO, TONNI G, WERNER H, ARAUJO J\u00daNIOR E, LOPES J, RUANO R. Threedimensional real and virtual models in fetal surgery: a real vision. Ultrasound Obstet Gynecol. 2024 Mar;63(3):303-311.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">WERNER H, LOPES J, RIBEIRO G, RAPOSO AB, TRAJANO E, ARAUJO J\u00daNIOR E. Threedimensional virtual traveling navigation and three\u2010dimensional printing m odels of a normal fetal heart using ultrasonography data. Prenatal Diagnosis. 2019; 39(3): 175-177.<\/p>",
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