Clinical resource hub for fetal cardiac MRI. Contains reference site overview (e.g. Children's Hospital Colorado, University Hospital Bonn, Leeds, Lund), example images of normal and pathological fetal cardiac anatomy (short axis, 4D flow, CoA, D-TGA, CC-TGA), clinical case reports, customer experience interviews, downloadable brochures, and MRI exam cards for Philips, Siemens, and GE scanners. Resources Welcome to our resource hub — your access point to valuable insights and information Fetal CMR Webinar Magazine

Free, recurring educational webinar series on fetal cardiac MRI, hosted by Northh Medical. Now in its 4th series (2026). One-hour online sessions via Microsoft Teams for radiologists, pediatric cardiologists, and fetal medicine specialists. Topics include clinical cases, workflow integration, 4D flow, and expert consensus on key indications. Past recordings available on the website. Webinar Series FETAL CARDIAC IMAGING USING MRI A FREE one hour educational webinar Welcome to our webinar section. Our goal with these webinars is to create a hub for the global fetal cardiac MRI community. We aim to establish a platform that fosters communication and collaboration among users, with a particular focus on sharing valuable insights from experienced individuals to support those who are new to this field. Registration Webinar Series 4 Watch Recordings Upcoming live webinars on fetal CMR 4th Webinar Series 2026 - Session 2 on the 10th of June Join this free live webinar by registering here! Registration Upcoming Session Recording of our latest Sessions in 2026 03/26 Clinical Cases in Fetal Cardiac MRI and their Influence on Patient Management Jyothsna Akam-Venkata, Joe Di Maggio Children's Hospital Max Godfrey, Shaare Zedek Medical Center Bettina Reich, German Heart Center Munich Recording 12/25 Fetal Cardiac MRI: Practical Application & Clinical Case Insights Leah Meyer, Northh Medical Domenico Gulla, Northh Medical Prashant Minocha, Ochsner Children's Hospital Recording 09/25 Shaping the Future of Fetal Cardiac MRI: Expert Consensus on Key Indications – Insights from the 2nd International Workshop Malenka Bissell David Lloyd Eleanor Suchardt Sally-Ann Chlur Mansi Gaitonde Richard Friesen Recording 04/25 The Evolution of Fetal Cardiac MRI: Global Developments and Technical Insights Fabian Kording, Northh Medical Lorna Browne, Denver Malenka Bissell, Leeds Recording 06/25 Integrating Fetal Cardiac MRI into Clinical Routine: Insights from the Field A panel discussion among experts Marjolein Piek, Lund University Hospital Tomas Woodgate, King’s College London Domenico Gulla, Northh Medical Recording Missed a previous webinar? No problem! Click here to watch all recordings Webinar Series 4 Spring Session – Clinical Cases in Fetal Cardiac MRI and their Influence on Patient Management Summer Session – tba Autumn Session – tba Winter Session – tba Webinar Series 3 Summer Session – Integrating Fetal Cardiac MRI into Clinical Routine Spring Session – The Evolution of Fetal Cardiac MRI: Global Developments and Technical Insights Autumn Session – Shaping the Future of Fetal Cardiac MRI: Expert Consensus on Key Indications Winter Session – Fetal Cardiac MRI: Practical Application and Clinical Case Insights Webinar Series 2 Kick-Off Session Spring Session - Clinical Cases in Fetal CMR Summer Session - Clinical Impact of Fetal CMR Autumn Session - Why an additional fetal cardiac MRI can be so important - specific case studies Winter Session - Beyond structural anatomy - What functional application can bring additional clinical value in the future? Webinar Series 1 Session 1 - Step-by-step guidance for fetal CMR planning Session 2 - Mastering the technical challenges of fetal CMR Session 3 - Implementing fetal CMR as a diagnostic tool Session 4 - Step-by-step to 4D-flow images Session 5 - Mastering the challenges of fetal CMR Session 6 - Clinical Case from University Hospital Bonn

Web-based post-processing platform for quantitative analysis of fetal cardiac MRI data. Enables evaluation of fetal cardiac morphology, function, and hemodynamics. Designed as the software complement to the smart-sync Doppler Ultrasound gating hardware by Northh Medical. Supports workflows including myocardial strain analysis and 4D flow evaluation. Status: INVESTIGATIONAL DEVICE. Caution - Investigational Device The fetal MRI Post-Processing platform is only for research purposes and is not yet CE marked or FDA cleared. Fetal MRI Post-Processing Enhances fetal MR Imaging with Slice-to-Volume Reconstruction Transform motion-corrupted 2D MR image stacks into motion-compensated 3D volumes using the advanced slice-to-volume reconstruction pipeline developed by King’s College London. Looking to improve your fetal MR imaging? Discover our new Post-Processing platform! Register Login Book a Demo Our Platform Fetal MRI plays a crucial role in clinical settings, offering valuable insights for diagnosing and supporting fetal health. While post-processing of MR images is well-established across all patient groups, there remains a significant gap when it comes to fetal imaging – no dedicated software solution exists. To address this unmet need, we have developed a fetal MRI post-processing platform. Our vision is to make post-processing of fetal MR images as seamless and accessible as it is for pediatric and adult imaging. The platform already integrates a slice-to-volume reconstruction algorithm, developed by King’s College London (auto-proc-SVRTK package), to provide a single volumetric motion-corrected dataset. It is readily available for the brain, thorax, and body for download and can be easily integrated into your preferred software for further analysis or annotation. Furthermore, we have incorporated the automated brain and lung volume segmentation algorithm developed by Uus et al.. Fetal Motion Correction Brain Thorax Body Turning 2D motion-corrupted images in a comprehensive motion-corrected 3D volume through slice-to-volume reconstruction. Volume Segmentation Brain Thorax Automated segmentation and multi-regional parcellation with no manual work necessary. Find out more about Fetal MRI Post-Processing through our magazine 'Beating Heart issue #2' Click here Region of Interest: Brain Challenge: Image acquisition in specific planes can be complex and may require repeated scans for accurate results. Extensive training of MR personnel is necessary. Solution: A comprehensive brain volume offers re-orientation and accessibility in any imaging plane, significantly improving diagnostic capabilities. Additionally, automated brain segmentation and parcellation provide enhanced insights and efficiency. Region of Interest: Thorax Challenge: Manual segmentation of the lungs in motion-corrupted 2D slices is both time-intensive and prone to errors due to motion artifacts, often resulting in incorrect volume assessments. Solution: A comprehensive 3D volume reconstruction facilitates tracking of anatomical structures. This is further enhanced by automated multi-regional lung segmentation and accurate volume calculation, streamlining the diagnostic process. Related Publications 2012 Medical Image Analysis M. Kuklisova-Murgasovaet al. Reconstruction of fetal brain MRI with intensity matching and complete outlier removal Button Deformable Slice-to-Volume Registration for Motion Correction in Fetal Body MRI and Placenta Uus et al. IEEE Transactions on Medical Imaging 2020 Button Automated 3D reconstruction of the fetal thorax in the standard atlas space from motion-corrupted MRI stacks for 21–36 weeks GA range Uus et al. Medical Imaging Analysis 2022 Button BOUNTI: Brain vOlumetry and aUtomated parcellatioN for 3D feTal MRI Uus et al. eLife 2023 Button Towards automated multi-regional lung parcellation for 0.55-3T 3D T2w fetal MRI Uus et al. PIPPI MICCAI Workshop 2024 Button Scanner-based real-time 3D brain+body slice-to-volume reconstruction for T2-weighted 0.55T low field fetal MRI Uus et al. MedRxiv 2024 Button Scanner-based real-time three-dimensional brain + body slice-to-volume reconstruction for T2-weighted 0.55-T low-field fetal magnetic resonance imaging Uus et al. Springer Nature Link 2025 Button

Archive of past fetal cardiac MRI webinar sessions across 4 series (15+ recordings). Topics range from step-by-step CMR planning and 4D flow imaging to clinical cases, workflow integration, and expert consensus on key indications. Speakers from leading centers including King's College London, Children's Hospital Colorado, Amsterdam UMC, and University Hospital Bonn. Webinar Recordings Webinar Series 4 Spring Session – Clinical Cases in Fetal Cardiac MRI and their Influence on Patient Management Summer Session – tba Autumn Session – tba Winter Session – tba Webinar Series 3 Winter Session – Fetal Cardiac MRI: Practical Application and Clinical Case Insights Autumn Session – Shaping the Future of Fetal Cardiac MRI: Expert Consensus on Key Indications Summer Session – Integrating Fetal Cardiac MRI into Clinical Routine Spring Session – The Evolution of Fetal Cardiac MRI: Global Developments and Technical Insights Webinar Series 2 Winter Session - Beyond structural anatomy - What functional application can bring additional clinical value in the future? Autumn Session - Why an additional fetal cardiac MRI can be so important - specific case studies Summer Session - Clinical Impact of Fetal CMR Spring Session - Clinical Cases in Fetal CMR Kick-Off Session Webinar Series 1 Session 6 - Clinical Case from University Hospital Bonn Session 5 - Mastering the challenges of fetal CMR Session 4 - Step-by-step to 4D-flow images Session 3 - Implementing fetal CMR as a diagnostic tool Session 2 - Mastering the technical challenges of fetal CMR Session 1 - Step-by-step guidance for fetal CMR planning Webinar Series 4 Series 4: Spring SessionClinical Cases in Fetal Cardiac MRI and their Influence on Patient Management with Jyothsna Akam-Venkata, Joe Di Maggio Children's Hospital Max Godfrey, Shaare Zedek Medical Center Bettina Reich, German Heart Center Munich Webinar Series 3 Series 3: Winter Session Fetal Cardiac MRI: Practical Application and Clinical Case Insights with Leah Meyer, Northh Medical Domenico Gulla', Northh Medical Prashant Minocha, Ochsner Children's Health Center Series 3: Autumm Session Shaping the Future of Fetal Cardiac MRI: Expert Consensus on Key Indications with David Lloyd, King’s College London Mansi Gaitonde, Children’s Medical Center, Dallas Sally-Ann Chlur, Amsterdam UMC Richard Friesen, Children’s Hospital Colorado, Denver Eleanor Schuchardt, Rady Children’s Hospital, San Diego Malenka Bissell, University of Leeds Series 3: Summer Session Integrating Fetal Cardiac MRI into Clinical Routine with Marjolein Piek, Lund University Hospital Tomas Woodgate, King’s College London Domenico Gulla, Northh Medical Series 3: Spring Session Integrating Fetal Cardiac MRI into Clinical Routine with Fabian Kording, Northh Medical, Hamburg, Germany Lorna Browne, Children's Hospital Colorado, Denver, USA Malenka Bissell, University Hospital Leeds, UK Webinar Series 2 Series 2: Winter Session Beyond structural anatomy What functional application can bring additional clinical value in the future? with Julian Luetkens, University Hospital Bonn Alexander Barker, Children's Hospital Colorado, Denver Erik Schrauben, UMC Amsterdam, Netherlands Joshua van Ameron, Sick Kids, Toronto External moderation by Malenka Bissell, University of Leeds Series 2: Autumn Session Why an additional fetal cardiac MRI can be so important – specific case studies with Michelle Udine, Children's National Hospital Washington, USA CHD: Right superior vena cava to left atrium Julian Luetkens, University Hospital Bonn, Germany CHD: Right ventricular cardiomyopathy Marc Huppertz, University Hospital Aachen, Germany CHD: HLHS with premature closure of the foramen ovale Max Godfrey, Shaare Zedek Medical Center, Israel CHD: Rhabdomyoma and TGA with VSD Series 2: Summer Session The clinical impact of fetal cardiac MRI with Domenico Gulla‘, Northh Medical, MRI Application Specialist Pim van Ooij, UMC University of Amsterdam, Assistant Professor Richard Friesen, Children‘s Hospital Colorado, Denver, Assistant Professor Series 2: Spring Session Clinical Cases in fetal Cardiac MRI with Mansi Gaitonde, MD, University of Texas Southwestern Medical Center, Gloria Biechele, LMU - Clinics University Munich Peace Madueme, Nemours Children's Hospital, Orlando Ailís Ceara Haney, Universitätsklinikum Heidelberg Christopher Hart, Universitätsklinikum Bonn Series 2: Kick-off Session Clinical Cases in fetal Cardiac MRI with Malenka Bissell, Leeds University Alexander Barker, University of Colorado Thomas Vollbrecht, University Hospital Bonn Pim van Ooij, Amsterdam UMC David Lloyd, Kings College London Webinar Series 1 Series 1: Session 6 Clinical Cases from University Hospital Bonn with Julian Luetkens, University Hospital Bonn, Germany Series 1: Session 5 Mastering the Challenge of fetal cardiac MRI with Marjolein Piek, Lund University Roland Cronenberg, Medical University Vienna Munes Fares, Southwestern Medical Center - Dallas Sophia Stöcklein, Clinics of Munich University Series 1: Session 4 Step-by-Step to 4D imaging with Malenka Bissell, University of Leeds Alexander Barker, University of Colorado Series 1: Session 3 Implementing fetal cardiac MRI as a diagnostic tool with Eleanor Schuchardt, Rady Children's Hospital Lorna Browne, University of Colorado David Lloyd, St. Thomas Hospital, King's College London Erik Hedström, Skåne University Hospital, Lund University Series 1: Session 2 Mastering the Challenge of fetal cardiac MRI planning wi th Shuo Zhang, Philips Clinical Science MR Luis Gonçalves, Phoenix Children’s Hospital Series 1: Session 1 Mastering the Challenge of fetal cardiac MRI planning with Thomas Vollbrecht, University Hospital Bonn Björn Schönnagel, University Hospital Hamburg

Product overview of Northh Medical. Three products: (1) Fetal smart-sync – DUS gating device for fetal cardiac MRI; (2) Adult smart-sync – ECG-free DUS gating for adult cardiovascular MRI at 1.5T and 3T; (3) Fetal MRI Post-Processing – web-based platform for quantitative analysis of fetal cardiac MRI data. All products are based on Doppler Ultrasound technology. Products Discover the range of advanced solutions provided by Northh Medical Fetal smart-sync Adult smart-sync Fetal MRI Post-Processing

Free digital magazine on fetal cardiac MRI by Northh Medical. Two issues available. Issue #1 covers the current status of fetal CMR, best practices for cine imaging, and future applications. Issue #2 covers the research-to-clinic transition, high-impact clinical cases, fetal MRI post-processing, and future developments. Chapters downloadable individually as PDF. Magazine Welcome to Beating Hearts , our magazine dedicated to exploring the latest advancements, clinical experiences, and expert insights in fetal cardiac MRI. Across both Issue #1 and Issue #2 we continue to push the boundaries of innovation, sharing knowledge that shapes the future of fetal cardiac MRI. In Issue #1, we introduced foundational insights, emerging technologies, and real-world applications of fetal CMR. Building on this, Issue #2 brings fresh perspectives, high-impact clinical cases, and future developments that further enhance our understanding of the field. You can either click through the individual chapters below or download the entire magazine directly. Have fun reading and exploring! ISSUE #1 Download the entire magazine Magazine #1 Beating Hearts: Issue #1 Introduction and Overview Chapter 1 - Status of the fetal CMR today Chapter 2 - Best practice for fetal cardiac cine imaging Chapter 3 - Wrap-up Hazlewood Chapter 4 - What do the Experts say? Chapter 5 - This is smart-sync Chapter 6 - Future application - Highlights for the future ISSUE #2 Download the entire magazine Magazine #2 Beating Hearts: Issue #2 Introduction and Overview Chapter 1 - Status Report Chapter 2 - This is smart-sync Chapter 3 - From Research to Clinical Application Chapter 4 - High-Impact Clinical Cases in Fetal CMR Chapter 5 - Fetal MRI post-processing Chapter 6 - Future focus: What's next? Chapter 7 - Wrap up 2nd Webinar Series Beating Hearts: Issue #1 Introduction and Overview Chapter 1 - Status of fetal CMR today Download this chapter Chapter 1 Chapter 2 - Best practice for fetal cardiac cine imaging Download this chapter Chapter 2 Chapter 3 - Wrap-up Hazlewood Download this chapter Chapter 3 Chapter 4 - What do the Expert say? Download this chapter Chapter 4 Chapter 5 - This is smart-sync Download this chapter Chapter 5 Chapter 6 - Future application - Highlights for the future Download this chapter Chapter 6 Beating Hearts: Issue #2 Introduction and Overview Chapter 1 - Status Report Download this chapter Chapter 1 Chapter 2 - This is smart-sync Download this chapter Chapter 2 Chapter 3 - From Research to Clinical Application Download this chapter Chapter 3 Chapter 4 - High Impact Clinical Cases in Fetal CMR Download this chapter Chapter 4 Chapter 5 - Fetal MRI post-processing Download this chapter Chapter 5 Chapter 6 - Future Focus: What's Next? Download this chapter Chapter 6 Chapter 7 - Wrap up 2nd Webinar Series Download this chapter Chapter 7

Read how using smart-sync and fetal cardiac MRI was of additiona value in clinical cases. Hear from our happy customers or download or brochure. Download Material Case Reports Read about cases from hospitals around the world. How are they using smart-sync? Which diagnoses benefit from the use of smart-sync? Where do they see added clinical value? Find the answers in these reports: CC - TGA University Hospital Bonn D - TGA University Hospital Bonn Dextroposition of the Fetal Heart Phoenix Children's Hospital Interrupted aortic arch and hypoplastic ascending aorta University Children`s Hospital Zürich Pataus Syndrom Hospital Universitario Quironsalud Madrid Literature Review: Clinical Value of fetal smart-sync Customer Experience Hear from active smart-sync users. Where do they see a need for fetal cardiac MRI? How did they achieve funding for the device? How was their experience with buying smart-sync? Drs. Browne & Barker Dr. Malenka Bissell Info Material Download all the Information you need about smart-sync here. Brochure (english) Brochure (french) Study: Utility of Fetal cMRI Exam Cards If your staff are familiar with adult or pediatric cardiac MRI, there is no additional training required to use smart-sync successfully from the first scan on. Slight adaptations for the fetus can be done by yourself or you can use the Exam Cards we provide. You can download Exam Cards for Philips Scanners here: Exam Card 1.5T (Philips Scanner) Exam Card 3T (Philips Scanner) Exam Cards for Siemens or GE Scanners can be requested directly with us. Exam Card (Siemens/GE) Info Material Exam Cards

ECG-free cardiac gating device for adult cardiovascular MRI using Doppler Ultrasound. Detects myocardial motion to synchronize the cardiac cycle with MRI acquisition. Designed for challenging cases where ECG fails, e.g. at 3T, arrhythmias, pacemakers, or amyloidosis. Plug-and-play, compatible with all 1.5T and 3T MRI systems (Siemens, Philips, GE, Canon, United Imaging). No skin preparation required Adult smart-sync Doppler ultrasound gating for reliable adult cardiac MRI smart-sync provides ECG-free cardiac gating using Doppler Ultrasound. It detects and synchronises the cardiac cycles with the MRI and enables stable triggering and artifact-free imaging even in cases where ECG gating becomes unreliable. Get your own smart-sync Adult smart-sync in brief Doppler ultrasound gating for reliable adult cardiac MRI Adult smart-sync is a Doppler ultrasound-based cardiac gating system for MRI. It detects myocardial motion and blood flow directly and synchronizes the cardiac cycle with MRI acquisition, enabling stable triggering and artifact-free imaging even when ECG gating becomes unreliable. This additional robustness supports cardiologists and radiologists performing cardiovascular MRI (CMR) in challenging cases such as high-field 3T MRI, where ECG signals may degrade due to magneto-hydrodynamic effects. By enabling reliable synchronization of systolic and diastolic phases, smart-sync improves image consistency and quantitative accuracy, supporting confident diagnosis in routine clinical cardiac MRI. Download our flyer How does adult smart-sync work? The system provides undisturbed signal quality by using mechanical cardiac motion as the trigger ensuring stable synchronization for all cardiac MRI sequences. Place the ultrasound transducer on left parasternal side, starting at the sternum and level with the third rib, fixed where the heart connects to the chest wall for an acoustic window that remains effective during respiration. It connects wireless to the MRI system via the standard ECG input channel and is compatible with all MRI scanners. Learn more What are the benefits of adult cardiac MRI with smart-sync? Adult smart-sync supports clinicians performing cardiovascular MRI in complex or technically challenging patients. This makes smart-sync particularly valuable in cases where ECG gating is unreliable or difficult. Key Advantages Reliable and undisturbed gating in high-field 3T and 1.5T with no effects on signal quality Suitable for all patients, regardless of body size, pacemakers, scars, or conditions such as amyloidosis and stable triggering in patients with arrhythmias Fast application – no shaving or skin preparation required Cost-effective – eliminates the need for expensive ECG electrodes With the transducer the heartbeat is measured. It is artifact-free and built with wings for easy fastening. Unboxing adult smart-sync The cardiac gating simply appears as an ECG signal on the MRI scanner. smart-sync is a plug and play device that does not require any special installation. smart-sync is compatible with all MRI systems of 1.5T and 3T. The Sensor Box is the main unit that calculates the trigger signal using Doppler Ultrasound. The trigger is then sent to the MR system. How does adult smart-sync integrate into your clinical workflow? Adult smart-sync is designed as a plug-and-play MRI gating solution that integrates easily into existing CMR protocols. Typical workflow: Connect the smart-sync Sensor Box to the MRI system via the standard trigger interface Position the DUS transducer over the cardiac apex and secure it with the belt Optimize the acoustic window using the touchscreen interface Select systolic or diastolic triggering Perform the cardiac MRI scan using standard sequences Get your own smart-sync Adult smart-sync easily integrates with the following MRI machines without requiring additional software Recent Publication Button L.D. Beissel et al. Journal of Cardiovascular Magnetic Resonance Doppler ultrasound gating for adult cardiovascular magnetic resonance: Initial experience 2025

Free, recurring educational webinar series on fetal cardiac MRI, hosted by Northh Medical. Now in its 4th series (2026). One-hour online sessions via Microsoft Teams for radiologists, pediatric cardiologists, and fetal medicine specialists. Topics include clinical cases, workflow integration, 4D flow, and expert consensus on key indications. Past recordings available on the website Recent Publications Fetal cardiac MRI is rapidly increasing worldwide and so does the research around fetal cardiac MRI. Here you can find the latest publications in the field of fetal cardiac MRI. Following the flow: in vivo imaging of fetal foramen ovale physiology using four-dimensional flow magnetic resonance imaging with doppler ultrasound gating Gerstner Saucedo et al. European Heart Journal - Cardiovascular Imaging 02/26 Button Feasibility of fetal cardiac output measurement by phase-contrast magnetic resonance imaging using Doppler ultrasound gating increases with gestational age S. G. Hellmuth et al. Journal of Cardiovascular Magnetic Resonance 11/25 Button Foetal 4D flow cardiac magnetic resonance for advanced diagnostics of congenital heart disease: a prospective cohort study T. Vollbrecht et al. European Heart Journal - Cardiovascular Imaging 09/25 Button Factors influencing image quality in fetal cardiac cine MRI using Doppler US Gating: A multicenter study T. Vollbrecht et al. Journal of Cardiovascular Magnetic Resonance 03/25 Button Reliability of 4D Flow MRI for Investigation of Fetal Cardiovascular Hemodynamics in the Third Trimester E. K. Englund et al. Radiology: Cardiothoracic Imaging 12/24 Button Fetal Cardiovascular Magnetic Resonance: History, Current Status, and Future Directions D. Suchá et al. Journal of Magnetic Resonance Imaging 11/24 Button A comparative study of fetal cardiovascular assessment: utilizing Doppler ultrasound gated MRI and echocardiography with detailed analysis using five axial views B. Hergert et al. Cardiovascular Imaging 09/24 Button Fetal Cardiovascular MRI D. Marini et al. Springer: Reference Work 08/24 Button The New Frontiers of Fetal Imaging: MRI Insights into Cardiovascular and Thoracic Structures G. Cundari et al. Journal of Clinical Medicine 08/24 Button Fetal Cardiac MRI Using Doppler US Gating: Emerging Technology and Clinical Implications T. Vollbrecht et al. Radiology: Cardiothoracic Imaging 04/24 Button Predictive Capability of Fetal 4D Flow and Black Blood Slice to Volume Reconstruction for Prenatal Diagnosis of Coarctation of the Aorta (CoA) R. Friesen et al. Journal of Cardiovascular Magentic Resonance 03/24 Button Myocardial strain assessment in the human fetus by cardiac MRI using Doppler ultrasound gating and feature tracking M. D. Barough et al. European Radiology 01/24 Button “It's not just the medical aspects that are important”: A qualitative exploration of first-time parents' experiences of antenatal imaging and their influence on parent-fetal bonding E. Skelton et al. Radiography 11/23 Button Utility of Fetal Cardiac Resonance Imaging in Prenatal Clinical Practice: Current State of the Art A. Pozza et al. Diagnostics 11/23 Integration of Prenatal Cardiovascular Magnetic Resonance Imaging in Congenital Heart Disease A. Desmond et al. Journal of the American Heart Association 11/23 Button Fetal Cardiac Magnetic Resonance Imaging of the Descending Aorta in Suspected Left-Sided Cardiac Obstructions K. Fricke et al. Frontiers in Cardiovascular Medicine 11/23 Button Advances in Fetal Cardiac Imaging and Intervention N. Barber, L. Freud CJC Pediatric and Congenital Heart Disease 11/23 Button Reference Values for Fetal Cardiac Dimensions, Volumes, Ventricular Function and Left Ventricular Longitudinal Strain Using Doppler Ultrasound Gated Cardiac Magnetic Resonance Imaging in Healthy Third Trimester Fetuses P. Minocha et al. Journal of Magnetic Resonance Imaging 10/23 Button Deep Learning Denoising Reconstruction for Improved Image Quality in Fetal Cardiac Cine MRI T. M. Vollbrecht et al. The International Journal of Cardiovascular Imaging 09/23 Button The current state and potential innovation of fetal cardiac MRI M. Udine et al. Frontiers in Pediatrics 07/23 Button Fetal Cardiac MRI of Complex Interrupted Aortic Arch T. M. Vollbrecht et al. Images in Radiology 05/23 Button Feasibility of Non-Gated Dynamic Fetal Cardiac MRI for Identification of Fetal Cardiovascular Anatomy J. Geiger et al. Fetal Diagnosis and Therapy 04/23 Button D-Transposition of the great arteries with restrictive foramen ovale in the fetus: the dilemma of predicting the need for postnatal urgent balloon atrial septostomy I. Gottschalk et al. Archives of Gynecology and Obstetrics 03/23 Button Four-Dimensional Fetal Cardiac Imaging in a cohort of Fetuses with suspected Congenital Heart Disease N. C. Rubert et al. Pediatric Radiology 02/23 Fetal Cardiac Cine MRI with Doppler US Gating in Complex Congenital Heart Disease T. M. Vollbrecht et al. Radiology: Cardiothoracic Imaging 02/23 Comment: Fetal Cardiac MRI: Doppler US-gated Cine Imaging in Complex Congenital Heart Disease D. M. Biko, M. A. Fogel Radiology: Cardiothoracic Imaging 02/23 Button Fetal 4D flow MRI of the great thoracic vessels at 3 Tesla using Doppler-ultrasound gating: a feasibility study J. Knapp et al. European Radiology 10/22 Button Fetal 3D cardiovascular cine image acquisition using radial sampling and compressed sensing M. Piek et al. Magnetic Resonance in Medicine 09/22 Button Super-Resolution Cine Image Enhancement for Fetal Cardiac Magnetic Resonance Imaging K. Berggren et al. Magnetic Resonance Imaging 07/22 Button Fetal Cardiovascular MRI - A Systemic Review of the Literature: Challenges, New Technical Developments, and Perspectives J. Knapp et al. RöFo 07/22 Button 03/21 JAMA Network Open D. Ryd et al. Utility of Fetal Cardiovascular Magnetic Resonance for Prenatal Diagnosis of Complex Congenital Heart Defects Button Fetal Cardiac MRI: A Review of Technical Advancements C. W. Roy et al. Topics in Magnetic Resonance Imaging 10/19 Button

Northh Medical developed smart-sync: an innovative device for cardiac MRI Gating. It detects the heartbeat via doppler ultrasound and transmits it to the MR. smart-sync One Device, two Applications! Doppler Ultrasound for adult and fetal cardiac gating at 1.5T and 3T by Northh Medical Fetal Cardiac MRI Gating with Doppler Ultrasound With smart-sync the fetal heart appears in a whole new perspective through dynamic MRI. By using doppler-ultrasound, smart-sync detects the fetal heartbeat and synchronizes it wirelessly with the MR System, enabling a brand-new kind of image quality for the fetal heart. With smart-sync, we at Northh Medical want to empower you with greater diagnostic confidence and state-of-the-art parental counseling by providing valuable information for your diagnosis and allowing the parents to understand what’s happening. Learn More Adult Cardiac MRI Gating with Doppler Ultrasound Performing cardiac gating using ECG can be challenging: At high magnetic field strengths, such as 3T, cardiac synchronization is difficult. When tight schedules are impacted by delays during the MRI scan, it can significantly disrupt your clinical routine. Doppler ultrasound based gating with smart-sync, is not influenced by the MRI, allowing you to perform MRI scans without delays to your time-sensitive schedule. Learn More smart-sync for Fetal Cardiac MRI by Northh Medical

Northh Medical is a start-up devoting its time to improve prenatal diagnosis of congenital heart disease by empowering fetal cardiac MRI. We are Northh Medical Northh Medical is a Hamburg-based company of experts in radiology, gynecology and medical engineering, focussing on cardiac MRI. We believe that a second imaging modality is strongly needed to further improve fetal care. Learn more about us: Meet the Founders: Dr. Fabian Kording Co-Founder & CEO Christian Ruprecht Co-Founder & CTO Kai Fehrs Co-Founder & CQO Why we founded Northh Medical : We are three friends from Hamburg, driven by innovation and continuous improvements. When we learned that the prenatal diagnosis of congenital heart disease is crucial for the outcome after birth and that only one possibility with limitations for an optimal diagnosis exists, we felt the need to get active. What we do: We empower specialists for prenatal diagnosis of congenital heart disease to use cardiac Magnetic Resonance Imaging by providing smart-sync, a fetal cardiac gating device we’ve developed. We optimize our product continuously and push for scientific and clinical results. Where we are heading: Our team is ever-growing and getting bigger. We keep expanding our product line for different applications. We want to make a difference and establish new standards for fetal care. Meet the Team: Join the Team We are currently not offering any open positions, but we are always happy to receive unsolicited applications from motivated talents who would like to support our team. Send us your application

smart-sync is an innovative device for cardiac MRI Gating that delivers instant crisp images of the fetal heart. It empowers you with greater diagnostic confidence and state-of-the-art parental counseling. Fetal smart-sync Your complementary second line imaging tool for diagnostic certainty smart-sync is a Doppler ultrasound (DUS) based gating device for MRI. It detects and synchronises the fetal cardiac cycle with the MR system and enables a brand new-kind image quality. This valuable information empowers you with greater diagnostic confidence in complex congenital heart disease (CHD) thereby supporting you in pre- and postnatal management. Get your own smart-sync Fetal smart-sync in brief Fetal smart-sync is a Doppler ultrasound (DUS) gating technology that synchronizes the fetal cardiac cycle with the MRI acquisition, enabling clear, motion-free images of the fetal heart. It provides pin-sharp visualization of intracardiac and extracardiac structures, enhancing diagnostic precision, especially in complex CHD cases where echocardiography alone may be insufficient. It solves longstanding challenges in fetal cardiology and enables detailed assessment of function, morphology and hemodynamics. Fetal cardiac MRI with smart-sync increases diagnostic confidence for clinicians in CHD, supporting better delivery planning, optimized postnatal care and clearer parental counseling. Download Flyer Why should you consider fetal cardiac MRI using smart-sync ? Fetal smart-sync is assisting on all levels 772 scanned fetuses based on 27 scientific publications show 93% overall success rate of smart-sync 4 In 8 % of suspected CHD cases, echocardiography provides insufficient information for diagnosis 1 Consequence : Emergency transports, delays in optimal birth plans, increased neonatal morbidity, parental anxiety 2 smart-sync as a second line imaging tool provides clarity with 91% diagnostic accuracy – before birth, when it matters most 1 This additional diagnostic information positively affects patient management and/or parental counselling in 84% 3 How does fetal smart-sync work? Traditional fetal MRI struggles with motion artifacts from the fetal heartbeat. smart-sync uses Doppler ultrasound (DUS) gating to detect and synchronize the cardiac cycle automatically. Resulting in first-time crisp fetal heart imaging. Detects fetal heartbeat via artifact-free transducer with acoustic feedback Synchronizes with 1.5T and 3T MR systems using standard cardiac sequences Plug-and-play setup Outputs: From 4-chamber views over short-axis stacks to dynamic 4D flow - apply your standard cardiac MRI sequences 4-Chamber-View Click here 4D Flow of Aortic Arch Click here Short-Axis - 1.5T CINE SSFP - Gestational week 34 Click here 4D Flow of Ascending Aorta Click here Aortic Arch Evaluation Click here 4-Chamber-View Click here 4-Chamber-View Click here 4D Flow of Aortic Arch Click here Short-Axis - 1.5T CINE SSFP - Gestational week 34 Click here 4D Flow of Ascending Aorta Click here Aortic Arch Evaluation Click here 4-Chamber-View Click here 4-Chamber-View Click here 4D Flow of Aortic Arch Click here Short-Axis - 1.5T CINE SSFP - Gestational week 34 Click here 4D Flow of Ascending Aorta Click here Aortic Arch Evaluation Click here 4-Chamber-View Click here 4-Chamber-View Click here 4D Flow of Aortic Arch Click here Short-Axis - 1.5T CINE SSFP - Gestational week 34 Click here 4D Flow of Ascending Aorta Click here Aortic Arch Evaluation Click here 4-Chamber-View Click here 4-Chamber-View Click here 4D Flow of Aortic Arch Click here Short-Axis - 1.5T CINE SSFP - Gestational week 34 Click here 4D Flow of Ascending Aorta Click here Aortic Arch Evaluation Click here 4-Chamber-View Click here Case Picture Anchor How does a fetal cardiac MRI session with smart-sync look like? Insights of a Fetal Cardiac MRI scan session with smart-sync at Children's Hospital Colorado We greatly appreciate this contribution from Children's Hospital Colorado and would like to express our special thanks to the team led by Dr. Lorna Browne and Dr. Richard Friesen (Department of Pediatric Radiology), who pioneered the integration of fetal CMR with smart-sync. Headphones provide acoustic feedback for convenient localization of the heart MR Safe cable ensures compatibility with 1.5T & 3.0T MR systems Transducer detects fetal heartbeat. It is artefact-free and built with wings for easy fastening Sensor Box communicates trigger signal wirelessly to MR scanner Product Unboxing smart-sync Request Quote Now What do experts say about fetal smart-sync ? Read Case Reports and more "Fetal CMR serves as a powerful risk stratification tool in transposition of the great arteries. By quantifying blood flow across cardiac valves, it guides us in identifying which neonates require immediate intervention at a tertiary cardiac center versus those who can safely be delivered in a standard hospital." - Dr. Malenka Bissell Pediatric Cardiologist University of Leeds What are the benefits of fetal cardiac MRI with smart-sync ? The diagnosis of complex CHD (such as CoA, TGA or cardiac tumors) under difficult conditions (maternal obesity or unfavorable fetal position) with echocardiography alone can be insufficient. 1 Fetal cardiac MRI functions as a complementary imaging tool providing a high diagnostic accuracy. However, without cardiac gating, fetal movements can be challenging due to motion artifacts. 5 Parental Counselling: 68% of parents felt more comfortable with decision-making 3 Delivery Planning : Decision on site (tertiary vs. local center) and type (cesarean vs. vaginal) 3,5 Early Postnatal Care: Decision on need of prostaglandin, catheterization/intervention, surgery 3,6,7 Resource Management : Targeted use of staff, equipment and beds How does fetal CMR with smart-sync integrate into your clinical workflow? An accurate diagnosis has a positive impact on both pre- and postnatal management, specifically on delivery planning, parental counseling and early postnatal care, thus leading to targeted patient care 3,5,6,7 Find out more about the Integration of Prenatal Cardiovascular Magnetic Resonance Imaging in Congenital Heart Disease in this paper If your staff are familiar with adult or pediatric cardiac MRI, you will not have problems using fetal smart-sync . Nevertheless, we offer you a free 3-step training including hands-on remote scan support. In addition we provide Exam Cards to support you during your fetal MRI scans. Exam Cards Our Online Training Do you want to get your own fetal smart-sync ? Contact us now to get further information! Workflow Anchor Recent Publications Fetal cardiac MRI is rapidly increasing worldwide and so does the research around fetal cardiac MRI. Here you can find the latest publications in the field of fetal cardiac MRI. Learn More! Vollbrecht T. et al. Fetal Cardiac Cine MRI with Doppler US Gating in Complex Congenital Heart Disease. Radiology: Cardiothoracic Imaging 2023; 5(1):e220129. doi.org/10.1148/ryct.220129 Bonnet D. Impacts of prenatal diagnosis of congenital heart diseases on Outcomes. Transl Pediatr 2021;10(8):2241-2249. dx.doi.org/10.21037/tp-20-267 Salehi D. et al. JAMA Network Open. 2021;4(3):e213538. doi:10.1001/jamanetworkopen.2021.3538 Literature review: Recent Publications: www.northh.de/recent-publication-smart-sync. 2026 Desmond A. et al. Integration of Prenatal Cardiovascular Magnetic Resonance Imaging in Congenital Heart Disease. J Am Heart Assoc. 2023;12:e030640. doi: 10.1161/JAHA.123.030640 Vollbrecht T. et al. Fetal Cardiac MRI of Complex Interrupted Aortic Arch. Radiology 2023; 307(5):e223224. doi.org/10.1148/radiol.223224 Pozza A et al. Utility of Fetal Cardiac Resonance Imaging in Prenatal Clinical Practice: Current State of the Art. Diagnostics 2023, 13, 3523. doi.org/10.3390/ diagnostics13233523