Comparing three cardiothoracic ratio measurement techniques and creating multivariable scoring system to predict Bart's hydrops fetalis at 17-22 weeks' gestation.

Anuwutnavin, S ; Rangseechamrat, P ; et al.

In: Scientific reports, Jg. 14 (2024-04-17), Heft 1, S. 8894

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To assess the diagnostic performance of three cardiothoracic (CT) ratio techniques, including diameter, circumference, and area, for predicting hemoglobin (Hb) Bart's disease between 17 and 22 weeks' gestation, and to create a multivariable scoring system using multiple ultrasound markers. Before invasive testing, three CT ratio techniques and other ultrasound markers were obtained in 151 singleton pregnancies at risk of Hb Bart's disease. CT diameter ratio demonstrated the highest sensitivity among the other techniques. Significant predictors included CT diameter ratio > 0.5, middle cerebral artery-peak systolic velocity (MCA-PSV) > 1.5 multiples of the median, and placental thickness > 3 cm. MCA-PSV exhibited the highest sensitivity (97.8%) in predicting affected fetuses. A multivariable scoring achieved excellent sensitivity (100%) and specificity (84.9%) for disease prediction. CT diameter ratio exhibited slightly outperforming the other techniques. Increased MCA-PSV was the most valuable ultrasound marker. Multivariable scoring surpassed single-parameter analysis in predictive capabilities.

Titel:	Comparing three cardiothoracic ratio measurement techniques and creating multivariable scoring system to predict Bart's hydrops fetalis at 17-22 weeks' gestation.
Autor/in / Beteiligte Person:	Anuwutnavin, S ; Rangseechamrat, P ; Sompagdee, N ; Ruangvutilert, P ; Viboonchard, S
Link:	Full Text Finder (Volltext)
Zeitschrift:	Scientific reports, Jg. 14 (2024-04-17), Heft 1, S. 8894
Veröffentlichung:	London : Nature Publishing Group, copyright 2011-, 2024
Medientyp:	academicJournal
ISSN:	2045-2322 (electronic)
DOI:	10.1038/s41598-024-59719-8
Schlagwort:	Pregnancy Female Humans Hydrops Fetalis Placenta diagnostic imaging Ultrasonography, Prenatal methods Biomarkers Hemoglobins, Abnormal alpha-Thalassemia diagnosis
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Sci Rep] 2024 Apr 17; Vol. 14 (1), pp. 8894. <i>Date of Electronic Publication: </i>2024 Apr 17. MeSH Terms: Hemoglobins, Abnormal* ; alpha-Thalassemia* / diagnosis ; Pregnancy ; Female ; Humans ; Hydrops Fetalis ; Placenta / diagnostic imaging ; Ultrasonography, Prenatal / methods ; Biomarkers References: Ultraschall Med. 2012 Dec;33(7):E75-E79. (PMID: 22623130) ; J Ultrasound Med. 2019 Apr;38(4):999-1007. (PMID: 30208233) ; Fetal Diagn Ther. 2000 Jan-Feb;15(1):20-31. (PMID: 10705210) ; Hemoglobin. 1987;11(1):65-88. (PMID: 3294755) ; Hong Kong Med J. 2011 Dec;17(6):434-40. (PMID: 22147311) ; J Ultrasound Med. 2021 Apr;40(4):659-674. (PMID: 32815580) ; N Engl J Med. 2000 Jan 6;342(1):9-14. (PMID: 10620643) ; Ultrasound Obstet Gynecol. 1999 Sep;14(3):180-2. (PMID: 10550877) ; Ultrasound Obstet Gynecol. 2006 Aug;28(2):173-7. (PMID: 16652394) ; Hematology Am Soc Hematol Educ Program. 2021 Dec 10;2021(1):592-599. (PMID: 34889445) ; Prenat Diagn. 2019 Feb;39(3):232-237. (PMID: 30650188) ; Ultrasound Obstet Gynecol. 2009 Jun;33(6):694-7. (PMID: 19350531) ; Prenat Diagn. 2022 Aug;42(9):1155-1161. (PMID: 35226373) ; J Ultrasound Med. 2007 Aug;26(8):1013-7. (PMID: 17646363) ; Blood. 2017 Mar 9;129(10):1251-1259. (PMID: 28057638) ; J Perinatol. 2011 Mar;31(3):157-60. (PMID: 20651692) ; Fetal Diagn Ther. 2021;48(10):738-745. (PMID: 34794140) ; J Ultrasound Med. 1999 Dec;18(12):807-11. (PMID: 10591443) ; Am J Obstet Gynecol. 2015 Jun;212(6):697-710. (PMID: 25824811) ; Curr Pediatr Rev. 2018;14(4):239-252. (PMID: 30124157) ; Prenat Diagn. 2014 Mar;34(3):230-4. (PMID: 24318930) ; Lancet. 1994 Oct 8;344(8928):988-9. (PMID: 7934433) ; Am J Obstet Gynecol. 1993 May;168(5):1339-44. (PMID: 8498409) ; ESC Heart Fail. 2020 Dec;7(6):3473-3482. (PMID: 32909688) ; J Matern Fetal Neonatal Med. 2018 Apr;31(7):946-957. (PMID: 28277912) ; Ultraschall Med. 2017 Oct;38(5):544-548. (PMID: 28863410) ; Am J Hematol. 2008 Dec;83(12):908-10. (PMID: 18932192) ; J Ultrasound Med. 2004 Jan;23(1):49-55. (PMID: 14756353) ; Int J Gynaecol Obstet. 2022 Nov;159(2):451-456. (PMID: 35152406) ; Ultrasound Obstet Gynecol. 2010 Feb;35(2):149-54. (PMID: 20047196) ; Prenat Diagn. 2021 Dec;41(13):1658-1667. (PMID: 34647342) ; Prenat Diagn. 1999 Nov;19(11):1027-30. (PMID: 10589053) ; Prenat Diagn. 1997 Apr;17(4):327-32. (PMID: 9160385) Grant Information: RO16531043 Siriraj Research Development Fund Contributed Indexing: Keywords: Cardiothoracic ratio; Hemoglobin Bart’s disease; Middle cerebral artery-peak systolic velocity; Multivariable scoring system; Placental thickness; Prediction; Ultrasonography Substance Nomenclature: 0 (Hemoglobins, Abnormal) ; 0 (Biomarkers) Entry Date(s): Date Created: 20240417 Date Completed: 20240419 Latest Revision: 20240425 Update Code: 20240425 PubMed Central ID: PMC11024143

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