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3. Brain Volume and Doppler Velocimetry in Growth-Restricted, Small-for-Gestational-Age, and Appropriate-for-Gestational-Age Fetuses.

Author

Latif HA, Gaafar HM, Moety GA, Mahmoud DS, and El Rifai NM

Subjects
Adult, Brain diagnostic imaging, Cerebrovascular Circulation, Female, Fetal Development, Gestational Age, Humans, Imaging, Three-Dimensional, Organ Size, Pregnancy, Pulsatile Flow, Ultrasonography, Doppler, Ultrasonography, Prenatal, Vascular Resistance, Young Adult, Brain blood supply, Brain growth & development, Fetal Growth Retardation physiopathology, Middle Cerebral Artery diagnostic imaging, Middle Cerebral Artery physiopathology, Umbilical Arteries diagnostic imaging, Umbilical Arteries physiopathology
Abstract

Objective  This study aims to detect possible differences in fetal brain volumes between growth-restricted fetuses (FGR), small-for-gestational-age (SGA) fetuses with normal Doppler indices, and appropriate-for-gestational-age fetuses (AGA). Study Design  Three-dimensional measurements of fetal brain volume and umbilical artery and middle cerebral artery (MCA) pulsatility index (PI) and resistance index (RI) were made in 80 AGA fetuses, 68 SGA fetuses with normal Doppler indices, and 68 FGR with brain-sparing effect between 32 and 36 weeks of gestation. Results  MCA-PI and MCA-RI were significantly lower in FGR group compared with the other two groups ( p  < 0.001). Brain volume was significantly lower in SGA and FGR groups compared with AGA group ( p  < 0.001). Conclusion  Brain volume is significantly lower in SGA and FGR groups compared with AGA group., (Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.)

Published
2017
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