Two‐ or three‐dimensional ultrasonography: which is the best predictor of pulmonary hypoplasia?

Vergani, Patrizia; Andreani, Marianna; Greco, Massimiliano; Farina, Giuliano; Fedeli, Tiziana; Cuttin, Serena

doi:10.1002/pd.2564

Cited by 29 publications

(16 citation statements)

References 23 publications

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“…In living individuals, organ growth is studied by using anatomical imaging methods to obtain information on their shape and size and also with metabolic imaging techniques to gather data on organ function. Several recent works suggest that measurement of the volume of whole organs or segments thereof by imaging techniques might be an interesting method to follow organ growth and trophicity in patients with different pathologies 1–3. However, very few studies have compared the ‘virtual’ (by imaging techniques) and the real volumes of organs determined at autopsy 4 5…”

Section: Introductionmentioning

confidence: 99%

Organ volume measurements: comparison between MRI and autopsy findings in infants following sudden unexpected death

Prodhomme

Séguret

Martrille

et al. 2012

Arch Dis Child Fetal Neonatal Ed

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Section: Introductionmentioning

confidence: 99%

Organ volume measurements: comparison between MRI and autopsy findings in infants following sudden unexpected death

Prodhomme

Séguret

Martrille

et al. 2012

Arch Dis Child Fetal Neonatal Ed

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“…More recently, three-dimensional ultrasound has been used to identify pulmonary hypoplasia in at-risk foetuses. In a recent series [30] , a sensitivity of between 85 and 92% for predicting pulmonary hypoplasia was achieved when the results were adjusted for gestational age, estimated foetal weight and two-dimensional biometric measurements. In foetuses with varying risks of pulmonary hypoplasia such as those with CDH or anterior abdominal wall defects, the results of 3-D ultrasound significantly correlated with the durations of ventilation and supplementary oxygen dependency [31] .…”

Section: Antenatal Prediction Of Pulmonary Hypoplasiamentioning

confidence: 99%

Pulmonary Effects of Prolonged Oligohydramnios following Mid-Trimester Rupture of the Membranes – Antenatal and Postnatal Management

Williams¹,

Hutchings

Hubinont

et al. 2011

Neonatology

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Mid-trimester, preterm prelabour rupture of the membranes (PPROM) with prolonged oligohydramnios remains a challenge for both obstetricians and neonatologists. Although survival rates have improved, morbidity remains common particularly due to pulmonary insufficiency and pulmonary hypertension. The aetiology of abnormal lung development is unknown but may depend critically on pulmonary vascular development. Antenatal evaluation of at-risk foetuses by three-dimensional ultrasound and MRI is possible but the techniques need to be further assessed. Antenatal corticosteroids given in cases of PPROM reduce the incidence of neonatal death, respiratory distress syndrome, intraventricular haemorrhage and necrotising enterocolitis without increasing maternal or neonatal infection. The true risk-benefit ratio of antibiotics, tocolysis and strategies to normalise amniotic fluid volume remains less clear. There is no consensus regarding the optimal ventilation strategy to support infants with pulmonary insufficiency following PPROM, and further work is required to determine whether and which pulmonary vasodilators improve long-term outcome in these infants.

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“…Because a small thorax and lung hypoplasia can be a major life‐limiting feature of some skeletal dysplasias and generalized muscular disorders, such as a fetal akinesia deformation sequence, lung assessment is critical to determine the appropriate in utero management . US and MRI are both able to visualize the thorax shape and lung abnormalities . A chest‐to‐abdominal circumference ratio of <0.6 is strongly suggestive of lethality .…”

Section: Thorax and Spinementioning

confidence: 99%

MR imaging of the fetal musculoskeletal system

Nemec

Brugger

et al. 2012

Prenatal Diagnosis

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Magnetic resonance imaging (MRI) appears to be increasingly used, in addition to standard ultrasonography for the diagnosis of abnormalities in utero. Previous studies have recently drawn attention to the technical refinement of MRI to visualize the fetal bones and muscles. Beyond commonly used T2-weighted MRI, echoplanar, thick-slab T2-weighted and dynamic sequences, and three-dimensional MRI techniques, are about to provide new imaging insights into the normal and the pathological musculoskeletal system of the fetus. This review emphasizes the potential significance of MRI in the visualization of the fetal musculoskeletal system.

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Two‐ or three‐dimensional ultrasonography: which is the best predictor of pulmonary hypoplasia?

Abstract: 3D lung volume measurements seem to be useful in the prenatal prediction of PH.

Cited by 29 publications

References 23 publications

Organ volume measurements: comparison between MRI and autopsy findings in infants following sudden unexpected death

Organ volume measurements: comparison between MRI and autopsy findings in infants following sudden unexpected death

Pulmonary Effects of Prolonged Oligohydramnios following Mid-Trimester Rupture of the Membranes – Antenatal and Postnatal Management

MR imaging of the fetal musculoskeletal system

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