Document Detail


Epiphyseal ossification centers in the assessment of fetal maturity: sonographic correlation with the amniocentesis lung profile.
MedLine Citation:
PMID:  3515425     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The epiphyseal ossification centers of the distal femur (DFE) and proximal tibia (PTE) appear and enlarge during the third trimester of pregnancy. Late in the third trimester, the epiphysis of the proximal humerus (PHE) begins to ossify in some fetuses. Using the amniocentesis lung profile to determine the value of sonographic epiphyseal visualization as a predictor of pulmonary maturity, we studied 50 fetuses prospectively and compared the sonographic epiphyseal findings with results from the amniocentesis lung profiles. Nine fetuses with a visible PHE had a mature amniocentesis lung profile (accuracy of positive prediction = 100%), and then fetuses with an immature amniocentesis lung profile had no visible PHE (conegativity = 100%). Fetuses in which the combined DFE and PTE diameters were greater than 11 mm or in which the DFE and the PTE diameters were similar in size (DFE less than or equal to 1 mm larger than PTE) also yielded positive results. Copositivity and accuracy of prediction of an immature amniocentesis lung profile, on the other hand, were low (22%-25%) for the same epiphyseal parameters. These data suggest that antenatal visualization and measurement of the epiphyseal ossification centers of the fetal knee and shoulder may help to identify fetuses that would have a mature amniocentesis lung profile.
Authors:
B S Mahony; J D Bowie; A P Killam; H H Kay; C Cooper
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Radiology     Volume:  159     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1986 May 
Date Detail:
Created Date:  1986-05-19     Completed Date:  1986-05-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  521-4     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Amniocentesis*
Amniotic Fluid / analysis
Epiphyses / anatomy & histology*,  embryology
Female
Fetal Organ Maturity*
Fetus / anatomy & histology
Humans
Knee Joint / radiography
Lung / embryology*
Male
Osteogenesis
Phospholipids / analysis
Pregnancy
Prospective Studies
Shoulder Joint / radiography
Ultrasonography*
Chemical
Reg. No./Substance:
0/Phospholipids

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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