Although the detection rates of congenital heart disease (CHD) as the most common organ-specific birth defect have tended to improve in national and regional screening programs over the past ten years, the sensitivity remains low. Local guidelines, the sociodemographic situation of the parents, access to screening facilities, the expertise of the examiners and the type and extent of the CHD are most likely responsible for the large differences in the prenatal diagnosis of heart defects. The advantages of four-dimensional (4D) echocardiography using spatial temporal image correlation (STIC) over conventional two-dimensional (2D) ultrasound in delineating cardiac anatomy have been clearly demonstrated. Prerequisite for a thorough anatomic survey is a standardized display of all cardiac diagnostic planes to capture crucial information on spatial anatomical arrangements exemplifying an explicit operator dependency. The introduction of the FINE (fetal intelligent navigation echocardiography) has shown to be able to overcome the limitations in STIC volume interrogation as it allows for the detection of CHD with high sensitivity and specificity. Moreover, this technique provides the opportunity for even unexperienced operators to become familiar with the normal and abnormal anatomy of the fetal heart underscoring its impact for education and teaching.