Document Detail


Three-dimensional power Doppler analysis of cerebral circulation in normal and growth-restricted fetuses.
MedLine Citation:
PMID:  19513086     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of the present study was to evaluate fetal cerebral circulation by using three-dimensional (3D) power Doppler ultrasound in normal and growth-restricted fetuses. A total of 100 normal grown fetuses were compared with other 25 with growth restriction (FGR). Three-dimensional power Doppler ultrasound was used to assess fetal cerebral 3D vascular indices: vascularization index, flow index (FI), and vascularization flow index (VFI). Both FI and VFI correlated positively with gestational age. On average, all the 3D vascular indices were increased in fetuses with FGR. The proportion of fetuses detected as having hemodynamic redistribution was higher when using 3D power Doppler indices than by means of the middle cerebral artery pulsatility index (52% versus 20%, P=0.002). In conclusion, two of the three indices increased during gestation. All the fetal cerebral 3D vascular indices are increased in fetuses with FGR. In these fetuses, there were more cases suggesting hemodynamic redistribution than expected by conventional Doppler studies.
Authors:
Jose L Bartha; Eva M Moya; Blas Hervías-Vivancos
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Publication Detail:
Type:  Journal Article     Date:  2009-06-10
Journal Detail:
Title:  Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism     Volume:  29     ISSN:  1559-7016     ISO Abbreviation:  J. Cereb. Blood Flow Metab.     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-09-01     Completed Date:  2009-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8112566     Medline TA:  J Cereb Blood Flow Metab     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1609-18     Citation Subset:  IM    
Affiliation:
Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, University Hospital Puerta del Mar, Cádiz, Spain. joseluis.bartha@uca.es
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MeSH Terms
Descriptor/Qualifier:
Adult
Cerebrovascular Circulation / physiology*
Female
Fetal Growth Retardation / physiopathology*
Fetus* / anatomy & histology,  physiology
Gestational Age
Hemodynamics
Humans
Pregnancy
Regional Blood Flow / physiology
Sensitivity and Specificity
Ultrasonography, Doppler, Transcranial*
Ultrasonography, Prenatal / methods

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