A háromdimenziós power Doppler-indexek es a perinatalis kimenetel vizsgálata mehen belüli növekedési restrikcióval szövodott terhességekben

Translated title of the contribution: Examination of placental three-dimensional power Doppler indices and perinatal outcome in pregnancies complicated by intrauterine growth restriction

Molnár András, Surányi Andrea, Jako Mária, T. Nyári, Németh Gabor

Research output: Contribution to journalArticle

Abstract

Introduction: Development of intrauterine growth restriction (IUGR) can be traced back to maternal or fetal factors, but in many cases we find placental factors (reduced placental circulation) in the background. Aim: Our aim was to examine whether the reduced placental bloodperfusion and vascularity show any correlation with cesarean section frequency and the clinical outcome in IUGR pregnancies. The aim of the present study was also to use a properly calibrated and reproducible method for evaluating placental blood flow, that can later be incorporated into the routine examination. Method: 254 women were recruited in our prospective case-control study. The 3 dimensional power Doppler (3DPD) ultrasound indices; vascularisation index (VI), flow index (FI) and vascularization flow index (VFI) were measured on each participant. Results: Median VI was 3.7% (interquartile range [IQR] 3.2%-4.2%) in the IUGR group and 10.1% (IQR 8.6%-10.9%) in the control group (p = 0.001). Median FI value was 40.0 (IQR 39.7-42.5) in the IUGR group and 45.1 (IQR 44.1-53.1) in the control group (p = 0.012). Median VFI was 2.2 (IQR 2.1-2.4) in the IUGR group and 4.8 (IQR 4.4-5.3) in the control. Conclusions: The 3DPD indices may be useful for examining changes in circulation in IUGR pregnancies to characterize the underlying pathology.

Original languageHungarian
Pages (from-to)1008-1013
Number of pages6
JournalOrvosi Hetilap
Volume158
Issue number26
DOIs
Publication statusPublished - Jul 1 2017

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Pregnancy Outcome
Growth
Placental Circulation
Doppler Ultrasonography
Pregnancy
Control Groups
Growth and Development
Cesarean Section
Case-Control Studies
Mothers
Pathology

ASJC Scopus subject areas

  • Medicine(all)

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A háromdimenziós power Doppler-indexek es a perinatalis kimenetel vizsgálata mehen belüli növekedési restrikcióval szövodott terhességekben. / András, Molnár; Andrea, Surányi; Mária, Jako; Nyári, T.; Gabor, Németh.

In: Orvosi Hetilap, Vol. 158, No. 26, 01.07.2017, p. 1008-1013.

Research output: Contribution to journalArticle

András, Molnár ; Andrea, Surányi ; Mária, Jako ; Nyári, T. ; Gabor, Németh. / A háromdimenziós power Doppler-indexek es a perinatalis kimenetel vizsgálata mehen belüli növekedési restrikcióval szövodott terhességekben. In: Orvosi Hetilap. 2017 ; Vol. 158, No. 26. pp. 1008-1013.
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abstract = "Introduction: Development of intrauterine growth restriction (IUGR) can be traced back to maternal or fetal factors, but in many cases we find placental factors (reduced placental circulation) in the background. Aim: Our aim was to examine whether the reduced placental bloodperfusion and vascularity show any correlation with cesarean section frequency and the clinical outcome in IUGR pregnancies. The aim of the present study was also to use a properly calibrated and reproducible method for evaluating placental blood flow, that can later be incorporated into the routine examination. Method: 254 women were recruited in our prospective case-control study. The 3 dimensional power Doppler (3DPD) ultrasound indices; vascularisation index (VI), flow index (FI) and vascularization flow index (VFI) were measured on each participant. Results: Median VI was 3.7{\%} (interquartile range [IQR] 3.2{\%}-4.2{\%}) in the IUGR group and 10.1{\%} (IQR 8.6{\%}-10.9{\%}) in the control group (p = 0.001). Median FI value was 40.0 (IQR 39.7-42.5) in the IUGR group and 45.1 (IQR 44.1-53.1) in the control group (p = 0.012). Median VFI was 2.2 (IQR 2.1-2.4) in the IUGR group and 4.8 (IQR 4.4-5.3) in the control. Conclusions: The 3DPD indices may be useful for examining changes in circulation in IUGR pregnancies to characterize the underlying pathology.",
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AU - Andrea, Surányi

AU - Mária, Jako

AU - Nyári, T.

AU - Gabor, Németh

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N2 - Introduction: Development of intrauterine growth restriction (IUGR) can be traced back to maternal or fetal factors, but in many cases we find placental factors (reduced placental circulation) in the background. Aim: Our aim was to examine whether the reduced placental bloodperfusion and vascularity show any correlation with cesarean section frequency and the clinical outcome in IUGR pregnancies. The aim of the present study was also to use a properly calibrated and reproducible method for evaluating placental blood flow, that can later be incorporated into the routine examination. Method: 254 women were recruited in our prospective case-control study. The 3 dimensional power Doppler (3DPD) ultrasound indices; vascularisation index (VI), flow index (FI) and vascularization flow index (VFI) were measured on each participant. Results: Median VI was 3.7% (interquartile range [IQR] 3.2%-4.2%) in the IUGR group and 10.1% (IQR 8.6%-10.9%) in the control group (p = 0.001). Median FI value was 40.0 (IQR 39.7-42.5) in the IUGR group and 45.1 (IQR 44.1-53.1) in the control group (p = 0.012). Median VFI was 2.2 (IQR 2.1-2.4) in the IUGR group and 4.8 (IQR 4.4-5.3) in the control. Conclusions: The 3DPD indices may be useful for examining changes in circulation in IUGR pregnancies to characterize the underlying pathology.

AB - Introduction: Development of intrauterine growth restriction (IUGR) can be traced back to maternal or fetal factors, but in many cases we find placental factors (reduced placental circulation) in the background. Aim: Our aim was to examine whether the reduced placental bloodperfusion and vascularity show any correlation with cesarean section frequency and the clinical outcome in IUGR pregnancies. The aim of the present study was also to use a properly calibrated and reproducible method for evaluating placental blood flow, that can later be incorporated into the routine examination. Method: 254 women were recruited in our prospective case-control study. The 3 dimensional power Doppler (3DPD) ultrasound indices; vascularisation index (VI), flow index (FI) and vascularization flow index (VFI) were measured on each participant. Results: Median VI was 3.7% (interquartile range [IQR] 3.2%-4.2%) in the IUGR group and 10.1% (IQR 8.6%-10.9%) in the control group (p = 0.001). Median FI value was 40.0 (IQR 39.7-42.5) in the IUGR group and 45.1 (IQR 44.1-53.1) in the control group (p = 0.012). Median VFI was 2.2 (IQR 2.1-2.4) in the IUGR group and 4.8 (IQR 4.4-5.3) in the control. Conclusions: The 3DPD indices may be useful for examining changes in circulation in IUGR pregnancies to characterize the underlying pathology.

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KW - Ultrasonography

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