The assessment of fetal behavior of growth restricted fetuses by 4D sonography

Andonotopo, Wiku; Kurjak, Asım

doi:10.1515/jpm.2006.092

Cited by 74 publications

(68 citation statements)

References 31 publications

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“…A study investigating the multifactorial etiology of CP found a strong association between FGR and CP: FGR was found in 34 % in a series of 213 children diagnosed with CP [37] . Recent advances in understanding CP and other neurodevelopmental disorders as a result of insults during the prenatal period are about to induce a paradigm shift in jurisdiction in unfavorable perinatal outcome [1] .…”

Section: Discussionmentioning

confidence: 99%

“…Based on this, it is not surprising that adverse pregnancy conditions, such as gestosis, FGR, famine during pregnancy (protein-energy malnutrition), and severe chronic maternal stress or depression have been linked to altered fetal movement patterns, echogenicity changes of the fetal brain, to higher incidence of neurodevelopmental disorders in childhood, and to occurrence of autism, schizophrenia, and epilepsy in the adult [1,3,5,9,12,16,32,40,41] .…”

Section: Fetal Behaviormentioning

confidence: 99%

“…These results support growing evidence that many neurological disorders originate from intrauterine rather than peri-or postnatal periods. This makes a great difference for the obstetrician with regard to CP [38] , and is still one of the main causes of medico-legal confl icts, and might open new perspectives of prevention and therapy of neurodevelopmental disorders [1,20] .…”

Section: Fetal Behaviormentioning

confidence: 99%

“…Previous studies clearly showed signifi cant differences in fetal behavior, in at risk-vs. normal pregnancies [1,39] . Several pathological processes are involved in triggering the process which leads to brain injury and results in alterations of fetal behavior.…”

Section: Introductionmentioning

confidence: 99%

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Comparison between antenatal neurodevelopmental test and fetal Doppler in the assessment of fetal well being

Kurjak

Talić

Honemeyer

et al. 2012

Journal of Perinatal Medicine

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Aims: The primary aim of this study was to compare circulatory changes in the fetal brain under certain pathological conditions with alterations in fetal behavior. Patients and methods: A prospective longitudinal cohort study on fetal behavior of fetuses from singleton pregnancies between the 28 th and 38 th gestational week in the period from March 2009 to October 2011 was undertaken. There were 596 fetuses in the high-risk group and 273 fetuses in the low-risk group. Elevated umbilical artery Doppler pulsatility index and reduced middle cerebral artery pulsatility index obtained in the absence of fetal movements were considered abnormal. The Kurjak Antenatal Neurodevelopmental Test (KANET) was used to assess fetal behavior. Results: Statistically signifi cant differences in the distribution of normal, abnormal, and borderline KANET scores between low-risk and high-risk groups were found. Furthermore, 596 fetuses from the high-risk group were subdivided into subgroups according to the risk factor. The largest proportion of abnormal KANET scores (23.9 % ) was in the subgroup of fetuses whose mothers had an offspring diagnosed with cerebral palsy (23.9 % ), followed by the proportion of borderline KANET scores in the subgroup of fetuses from febrile mothers (12.7 % ). Fetal behavior was signifi cantly different between the normal group and the following subgroups of fetuses: fetal growth restriction (FGR), gestational diabetes mellitus, threatened preterm birth, antepartal hemorrhage, maternal fever, sibling with cerebral palsy, and polyhydramnios. Conclusions: A new clinical application of the KANET test in early identifi cation of fetuses at risk for adverse neurological outcome was demonstrated.

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Section: Discussionmentioning

confidence: 99%

Section: Fetal Behaviormentioning

confidence: 99%

Section: Fetal Behaviormentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison between antenatal neurodevelopmental test and fetal Doppler in the assessment of fetal well being

Kurjak

Talić

Honemeyer

et al. 2012

Journal of Perinatal Medicine

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“…[33][34][35]37,[39][40][41] All studies focused on the assessment of fetal facial expressions and movements, and fetal hand to face movements (Figs 6A to 8), because the viewing area was limited to that of the transabdominal probe. Kurjak et al 37 were the first to use 4D sonography to study 10 healthy fetuses for 15 minutes at 30 to 33 weeks.…”

Section: Late Second and Third Trimestersmentioning

confidence: 99%

4D Sonography in Assessment of Fetal Neurobehavior

Hata¹,

Sato²,

Kanenishi³

et al. 2012

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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ABSTRACT'Observation of fetal behavior reflects the functioning of the central nervous system, and behavioral assessment of the fetus enables the function of the brain to be examined'.1 The introduction of four-dimensional (4D) sonography techniques would facilitate fetal behavioral assessment in three dimensions in real time during pregnancy. We describe the latest 4D sonographic studies on fetal neurobehavior in all three trimesters of pregnancy. 4D sonography also facilitated the evaluation of interhuman contact and intrapair stimulation in twin pregnancies in utero. This novel technique may assist in the evaluation of fetal neurobehavior and intertwin contact and intrapair stimulation and offer potential advantages relative to conventional two-dimensional sonography. 4D sonography may become an important modality in future research on fetal neurobehavioral development and the prenatal identification of severely brain-damaged infants.

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Ultrasound for evaluation of fetal neurobehavioural development: from 2‐D to 4‐D ultrasound

Hata

Dai

Marumo

2009

Infant and Child Development

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With respect to the assessment of fetal behaviour, there have been numerous reports on the conventional two-dimensional (2-D) ultrasonographic evaluation of fetal movements. However, there are some limitations regarding the assessment of fetal movements using 2-D ultrasound. Because of the 2-D character of real-time scanning, fetal movements outside the scanning plane cannot be displayed on the monitor. The advent of three-dimensional (3-D) ultrasound significantly advanced fetal and placental evaluation in normal and abnormal pregnancies. The introduction of fourdimensional (4-D) ultrasound techniques would allow the assessment of fetal behavioural assessment in three dimensions in real time during pregnancy. We present the latest 4-D sonographic techniques and recent 4-D sonographic studies on fetal behaviour, especially fetal whole-body movements and facial expressions in all three trimesters of pregnancy, and the continuation of behaviour from the fetal to neonatal period. 2-D does not appear capable or comparable to 4-D ultrasound in terms of evaluating early fetal facial expressions. Moreover, we describe the safety of 3-D/4-D ultrasound during pregnancy. This novel technique may assist in the evaluation of fetal behaviour, and offer potential advantages relative to conventional 2-D ultrasound. 4-D ultrasound may be an important modality in future research on fetal neurobehavioural development, although some limitations regarding the assessment of fetal behaviour by means of 4-D ultrasonography still remain unresolved.

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The assessment of fetal behavior of growth restricted fetuses by 4D sonography

Cited by 74 publications

References 31 publications

Comparison between antenatal neurodevelopmental test and fetal Doppler in the assessment of fetal well being

Comparison between antenatal neurodevelopmental test and fetal Doppler in the assessment of fetal well being

4D Sonography in Assessment of Fetal Neurobehavior

Ultrasound for evaluation of fetal neurobehavioural development: from 2‐D to 4‐D ultrasound

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