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Using three‐dimensional ultrasound in predicting complex gastroschisis: A longitudinal, prospective, multicenter cohort study
- Source :
- Prenatal Diagnosis, 39(13), 1204-1212. John Wiley & Sons Ltd., Prenatal Diagnosis, 39(13), 1204-1212. Wiley-Blackwell, Prenatal Diagnosis, Prenatal diagnosis, 39(13), 1204-1212. John Wiley and Sons Ltd
- Publication Year :
- 2019
- Publisher :
- Wiley, 2019.
-
Abstract
- Objective To determine whether complex gastroschisis (ie, intestinal atresia, perforation, necrosis, or volvulus) can prenatally be distinguished from simple gastroschisis by fetal stomach volume and stomach‐bladder distance, using three‐dimensional (3D) ultrasound. Methods This multicenter prospective cohort study was conducted in the Netherlands between 2010 and 2015. Of seven university medical centers, we included the four centers that performed longitudinal 3D ultrasound measurements at a regular basis. We calculated stomach volumes (n = 223) using Sonography‐based Automated Volume Count. The shortest stomach‐bladder distance (n = 241) was determined using multiplanar visualization of the volume datasets. We used linear mixed modelling to evaluate the effect of gestational age and type of gastroschisis (simple or complex) on fetal stomach volume and stomach‐bladder distance. Results We included 79 affected fetuses. Sixty‐six (84%) had been assessed with 3D ultrasound at least once; 64 of these 66 were liveborn, nine (14%) had complex gastroschisis. With advancing gestational age, stomach volume significantly increased, and stomach‐bladder distance decreased (both P<br />What's already known about this topic? Infants with complex gastroschisis have a higher risk of morbidity than those with simple gastroschisis.Many attempts have been made to prenatally predict complex gastroschisis, using two‐dimensional ultrasound parameters. What does this study add? This longitudinal prospective multicenter study is the first to evaluate the possible benefit of the use of three‐dimensional ultrasound in fetuses with gastroschisis.Fetal stomach volume and stomach‐bladder distance, measured during pregnancy using three‐dimensional ultrasound, cannot predict complex gastroschisis.
- Subjects :
- Adult
Perforation (oil well)
DIAGNOSIS
Ultrasonography, Prenatal
Young Adult
Imaging, Three-Dimensional
Pregnancy
medicine
Humans
3D ultrasound
Longitudinal Studies
Prospective Studies
Prospective cohort study
Genetics (clinical)
Gastroschisis
medicine.diagnostic_test
business.industry
Stomach
digestive, oral, and skin physiology
Intestinal atresia
Ultrasound
Obstetrics and Gynecology
Gestational age
Original Articles
medicine.disease
medicine.anatomical_structure
Original Article
Female
Nuclear medicine
business
Subjects
Details
- ISSN :
- 10970223 and 01973851
- Volume :
- 39
- Database :
- OpenAIRE
- Journal :
- Prenatal Diagnosis
- Accession number :
- edsair.doi.dedup.....458fad4ed56ab39a6822b83dd1edc73d