First trimester placental volume and three dimensional power doppler ultrasonography in type I diabetic pregnancies
ABSTRACT Objective This study aimed to investigate the placental volume and three dimensional (3D) power Doppler vascularization in type I diabetic pregnancies during the first trimester Methods 3D‐power Doppler ultrasonography of the placenta was performed at 11 + 0–13 + 6 weeks in 32 pregnancies c...
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Veröffentlicht in: | Prenatal diagnosis 2012-05, Vol.32 (5), p.480-484 |
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creator | Rizzo, Giuseppe Capponi, Alessandra Pietrolucci, Maria Elena Aiello, Eloisa Arduini, Domenico |
description | ABSTRACT
Objective
This study aimed to investigate the placental volume and three dimensional (3D) power Doppler vascularization in type I diabetic pregnancies during the first trimester
Methods
3D‐power Doppler ultrasonography of the placenta was performed at 11 + 0–13 + 6 weeks in 32 pregnancies complicated by type I diabetes. Placental volume, vascularization index (VI), flow index (FI), and vascularization flow index (VFI) were calculated using a standardized setting.
Results
In nine pregnancies, a poor first trimester glycemic control was present as expressed by HbA1c levels ≥ 7%, whereas in the remaining 23 mothers, the HbA1c concentrations were |
doi_str_mv | 10.1002/pd.3848 |
format | Article |
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Objective
This study aimed to investigate the placental volume and three dimensional (3D) power Doppler vascularization in type I diabetic pregnancies during the first trimester
Methods
3D‐power Doppler ultrasonography of the placenta was performed at 11 + 0–13 + 6 weeks in 32 pregnancies complicated by type I diabetes. Placental volume, vascularization index (VI), flow index (FI), and vascularization flow index (VFI) were calculated using a standardized setting.
Results
In nine pregnancies, a poor first trimester glycemic control was present as expressed by HbA1c levels ≥ 7%, whereas in the remaining 23 mothers, the HbA1c concentrations were <7%. No differences were found in the placental volumes of diabetic mothers when compared with reference limits. 3D Doppler placental vascular indices were significantly higher in diabetic mothers (VI delta value 0.99, p = 0.0012; FI delta value 0.64, p = 0.0008; VFI delta value 1.28, p = 0.0039) when compared with reference limits. Pregnancies with HbA1c ≥7% exhibited higher placental vascular indices when compared with diabetic mothers with better glycemic control.
Conclusions
In type I diabetic mothers, placental vascular indices are increased and these modifications are more evident in pregnancies with poor first trimester glycemic control. © 2012 John Wiley & Sons, Ltd.</description><identifier>ISSN: 0197-3851</identifier><identifier>EISSN: 1097-0223</identifier><identifier>DOI: 10.1002/pd.3848</identifier><identifier>PMID: 22504827</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Adult ; Diabetes Mellitus, Type 1 - diagnostic imaging ; Diabetes Mellitus, Type 1 - pathology ; Female ; Humans ; Organ Size ; Placenta - diagnostic imaging ; Placenta - pathology ; Pregnancy ; Pregnancy in Diabetics - diagnostic imaging ; Pregnancy Trimester, First ; Prospective Studies ; Ultrasonography, Doppler ; Ultrasonography, Prenatal</subject><ispartof>Prenatal diagnosis, 2012-05, Vol.32 (5), p.480-484</ispartof><rights>2012 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3558-c2d7156d1f7d7694ce1b85584b315e0c98b6f163cd28a4f50e67493917a939313</citedby><cites>FETCH-LOGICAL-c3558-c2d7156d1f7d7694ce1b85584b315e0c98b6f163cd28a4f50e67493917a939313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpd.3848$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpd.3848$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22504827$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rizzo, Giuseppe</creatorcontrib><creatorcontrib>Capponi, Alessandra</creatorcontrib><creatorcontrib>Pietrolucci, Maria Elena</creatorcontrib><creatorcontrib>Aiello, Eloisa</creatorcontrib><creatorcontrib>Arduini, Domenico</creatorcontrib><title>First trimester placental volume and three dimensional power doppler ultrasonography in type I diabetic pregnancies</title><title>Prenatal diagnosis</title><addtitle>Prenat Diagn</addtitle><description>ABSTRACT
Objective
This study aimed to investigate the placental volume and three dimensional (3D) power Doppler vascularization in type I diabetic pregnancies during the first trimester
Methods
3D‐power Doppler ultrasonography of the placenta was performed at 11 + 0–13 + 6 weeks in 32 pregnancies complicated by type I diabetes. Placental volume, vascularization index (VI), flow index (FI), and vascularization flow index (VFI) were calculated using a standardized setting.
Results
In nine pregnancies, a poor first trimester glycemic control was present as expressed by HbA1c levels ≥ 7%, whereas in the remaining 23 mothers, the HbA1c concentrations were <7%. No differences were found in the placental volumes of diabetic mothers when compared with reference limits. 3D Doppler placental vascular indices were significantly higher in diabetic mothers (VI delta value 0.99, p = 0.0012; FI delta value 0.64, p = 0.0008; VFI delta value 1.28, p = 0.0039) when compared with reference limits. Pregnancies with HbA1c ≥7% exhibited higher placental vascular indices when compared with diabetic mothers with better glycemic control.
Conclusions
In type I diabetic mothers, placental vascular indices are increased and these modifications are more evident in pregnancies with poor first trimester glycemic control. © 2012 John Wiley & Sons, Ltd.</description><subject>Adult</subject><subject>Diabetes Mellitus, Type 1 - diagnostic imaging</subject><subject>Diabetes Mellitus, Type 1 - pathology</subject><subject>Female</subject><subject>Humans</subject><subject>Organ Size</subject><subject>Placenta - diagnostic imaging</subject><subject>Placenta - pathology</subject><subject>Pregnancy</subject><subject>Pregnancy in Diabetics - diagnostic imaging</subject><subject>Pregnancy Trimester, First</subject><subject>Prospective Studies</subject><subject>Ultrasonography, Doppler</subject><subject>Ultrasonography, Prenatal</subject><issn>0197-3851</issn><issn>1097-0223</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10F1vFCEUBmBiNHatxn9guNPETOVjGJhLU-22aVNtUuMlYeBMi7IMhRnr_ntpdu1dbzgk5-FNeBF6S8kRJYR9Su6Iq1Y9QytKetkQxvhztCK03rkS9AC9KuVXhYr18iU6YEyQVjG5QuXE5zLjOfsNlBkyTsFYiLMJ-M8Ulg1gEx2ebzMAdtXE4qdYl2m6r9hNKYU6lzBnU6Y43WSTbrfYRzxvE-Cz-sYMMHuLU4abaKL1UF6jF6MJBd7s5yH6cfL1-vi0ufi2Pjv-fNFYLoRqLHOSis7RUTrZ9a0FOqi6aAdOBRDbq6EbacetY8q0oyDQybbnPZWmnpzyQ_Rhl5vydLfU7-mNLxZCMBGmpWhKKGNEEc4rfb-jNk-lZBh1qo2YvK1IPzSsk9MPDVf5bh-6DBtwj-5_pRV83IF7H2D7VI7-_mUf1-y0r-3_fdQm_9ad5FLon5drfb4WXF3JU33O_wEdKZPR</recordid><startdate>201205</startdate><enddate>201205</enddate><creator>Rizzo, Giuseppe</creator><creator>Capponi, Alessandra</creator><creator>Pietrolucci, Maria Elena</creator><creator>Aiello, Eloisa</creator><creator>Arduini, Domenico</creator><general>John Wiley & Sons, Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201205</creationdate><title>First trimester placental volume and three dimensional power doppler ultrasonography in type I diabetic pregnancies</title><author>Rizzo, Giuseppe ; Capponi, Alessandra ; Pietrolucci, Maria Elena ; Aiello, Eloisa ; Arduini, Domenico</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3558-c2d7156d1f7d7694ce1b85584b315e0c98b6f163cd28a4f50e67493917a939313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Diabetes Mellitus, Type 1 - diagnostic imaging</topic><topic>Diabetes Mellitus, Type 1 - pathology</topic><topic>Female</topic><topic>Humans</topic><topic>Organ Size</topic><topic>Placenta - diagnostic imaging</topic><topic>Placenta - pathology</topic><topic>Pregnancy</topic><topic>Pregnancy in Diabetics - diagnostic imaging</topic><topic>Pregnancy Trimester, First</topic><topic>Prospective Studies</topic><topic>Ultrasonography, Doppler</topic><topic>Ultrasonography, Prenatal</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rizzo, Giuseppe</creatorcontrib><creatorcontrib>Capponi, Alessandra</creatorcontrib><creatorcontrib>Pietrolucci, Maria Elena</creatorcontrib><creatorcontrib>Aiello, Eloisa</creatorcontrib><creatorcontrib>Arduini, Domenico</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Prenatal diagnosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rizzo, Giuseppe</au><au>Capponi, Alessandra</au><au>Pietrolucci, Maria Elena</au><au>Aiello, Eloisa</au><au>Arduini, Domenico</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>First trimester placental volume and three dimensional power doppler ultrasonography in type I diabetic pregnancies</atitle><jtitle>Prenatal diagnosis</jtitle><addtitle>Prenat Diagn</addtitle><date>2012-05</date><risdate>2012</risdate><volume>32</volume><issue>5</issue><spage>480</spage><epage>484</epage><pages>480-484</pages><issn>0197-3851</issn><eissn>1097-0223</eissn><abstract>ABSTRACT
Objective
This study aimed to investigate the placental volume and three dimensional (3D) power Doppler vascularization in type I diabetic pregnancies during the first trimester
Methods
3D‐power Doppler ultrasonography of the placenta was performed at 11 + 0–13 + 6 weeks in 32 pregnancies complicated by type I diabetes. Placental volume, vascularization index (VI), flow index (FI), and vascularization flow index (VFI) were calculated using a standardized setting.
Results
In nine pregnancies, a poor first trimester glycemic control was present as expressed by HbA1c levels ≥ 7%, whereas in the remaining 23 mothers, the HbA1c concentrations were <7%. No differences were found in the placental volumes of diabetic mothers when compared with reference limits. 3D Doppler placental vascular indices were significantly higher in diabetic mothers (VI delta value 0.99, p = 0.0012; FI delta value 0.64, p = 0.0008; VFI delta value 1.28, p = 0.0039) when compared with reference limits. Pregnancies with HbA1c ≥7% exhibited higher placental vascular indices when compared with diabetic mothers with better glycemic control.
Conclusions
In type I diabetic mothers, placental vascular indices are increased and these modifications are more evident in pregnancies with poor first trimester glycemic control. © 2012 John Wiley & Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>22504827</pmid><doi>10.1002/pd.3848</doi><tpages>5</tpages></addata></record> |
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subjects | Adult Diabetes Mellitus, Type 1 - diagnostic imaging Diabetes Mellitus, Type 1 - pathology Female Humans Organ Size Placenta - diagnostic imaging Placenta - pathology Pregnancy Pregnancy in Diabetics - diagnostic imaging Pregnancy Trimester, First Prospective Studies Ultrasonography, Doppler Ultrasonography, Prenatal |
title | First trimester placental volume and three dimensional power doppler ultrasonography in type I diabetic pregnancies |
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