Diagnosis of congenital abnormalities with post-mortem ultrasound in perinatal death - 08/03/18
, E. Lesieur d , C. Bartoli a, b , C. Delteil a, b , L. Sarda-Quarello c , J. Torrents a, c , S. Sigaudy d , M.-D. Piercecchi a, b , G. Gorincour d, e
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
Artículo gratuito.
Conéctese para beneficiarse!
Abstract |
Purpose |
To determine the sensitivity and specificity of post-mortem ultrasound in the diagnosis of major congenital abnormalities of fetuses using conventional autopsy as the standard of reference.
Material and methods |
All fetuses coming from terminations of pregnancy or intrauterine fetal deaths in a single institution were included. A total of 75 fetuses were included during the study period. The results of post-mortem ultrasound examinations were compared to those of conventional autopsy that served as standard of reference.
Results |
Gestational age of the fetuses ranged from 15 to 38 weeks gestation. A complete post-mortem ultrasound assessment was possible in all fetuses. Regarding detection of brain abnormalities, post-mortem ultrasound had a sensitivity of 81.5% or 4/5 (95% CI: 63.3–91.8%), and a specificity of 97.9% (95% CI: 89.1–99.6%). Specificities for the diagnosis of thoracic, cardiac, urinary tract, spinal and bone abnormalities were 100%.
Conclusion |
Post-mortem ultrasound shows high sensitivity and specificity for the diagnosis of congenital structural abnormalities as compared to conventional autopsy, with the exception of congenital cardiac diseases.
El texto completo de este artículo está disponible en PDF.Keywords : Post-mortem imaging, Fetal ultrasound, Termination of pregnancy, Intrauterine fetal death, Autopsy
Esquema
Vol 99 - N° 3
P. 143-149 - mars 2018 Regresar al número
Artículo precedente
- Enhanced antitumor efficacy through microwave ablation in combination with immune checkpoints blockade in breast cancer: A pre-clinical study in a murine model
- J. Zhu, M. Yu, L. Chen, P. Kong, L. Li, G. Ma, H. Ge, Y. Cui, Z. Li, H. Pan, H. Xie, W. Zhou, S. Wang
- Diagnostic accuracy of point shear wave elastography in the detection of portal hypertension in pediatric patients
- M. Burak Özkan, M.C. Bilgici, E. Eren, G. Caltepe
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.