Ultrasonographic approach to diagnosis of fetal inflammatory response syndrome: a tool for at-risk fetuses?
Preterm parturition is a syndrome that may result from many underlying mechanisms. Infection and inflammation are the prominent ones. Intrauterine infection and inflammation have an effect akin to sepsis, and that is similar to systemic inflammatory response in adults. Indeed, there is evidence to s...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 2016-07, Vol.215 (1), p.9-20 |
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| container_title | American journal of obstetrics and gynecology |
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| creator | Mastrolia, Salvatore Andrea, MD Erez, Offer, MD Loverro, Giuseppe, MD Di Naro, Edoardo, MD Weintraub, Adi Yehuda, MD Tirosh, Dan, MD Baron, Joel, MD Hershkovitz, Reli, MD |
| description | Preterm parturition is a syndrome that may result from many underlying mechanisms. Infection and inflammation are the prominent ones. Intrauterine infection and inflammation have an effect akin to sepsis, and that is similar to systemic inflammatory response in adults. Indeed, there is evidence to support the association of a fetal inflammatory response syndrome (FIRS) to systemic infection and inflammation. The utilization of invasive procedures for the prenatal diagnosis of FIRS is associated with a risk for complications resulting from the invasive method. The progress in the imaging quality of obstetrical ultrasound and the development of novel methods for functional anatomical assessment of the fetal organs may help to identify, noninvasively, fetuses at risk for FIRS in patients presenting with preterm labor. We review the studies describing advanced sonographic modalities and the imaging findings in the heart, thymus, kidney, adrenal glands, and spleen of these fetuses. |
| doi_str_mv | 10.1016/j.ajog.2016.01.164 |
| format | Article |
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Infection and inflammation are the prominent ones. Intrauterine infection and inflammation have an effect akin to sepsis, and that is similar to systemic inflammatory response in adults. Indeed, there is evidence to support the association of a fetal inflammatory response syndrome (FIRS) to systemic infection and inflammation. The utilization of invasive procedures for the prenatal diagnosis of FIRS is associated with a risk for complications resulting from the invasive method. The progress in the imaging quality of obstetrical ultrasound and the development of novel methods for functional anatomical assessment of the fetal organs may help to identify, noninvasively, fetuses at risk for FIRS in patients presenting with preterm labor. We review the studies describing advanced sonographic modalities and the imaging findings in the heart, thymus, kidney, adrenal glands, and spleen of these fetuses.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2016.01.164</identifier><identifier>PMID: 26821337</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Chorioamnionitis - diagnosis ; Chorioamnionitis - diagnostic imaging ; Chorioamnionitis - immunology ; Female ; fetal adrenal gland ; Fetal Diseases - diagnosis ; Fetal Diseases - diagnostic imaging ; fetal thymus ; Humans ; Obstetric Labor, Premature - etiology ; Obstetric Labor, Premature - immunology ; Obstetrics and Gynecology ; Pregnancy ; Premature Birth - etiology ; Premature Birth - immunology ; Prenatal Diagnosis ; preterm labor ; splenic vein flow ; Systemic Inflammatory Response Syndrome - complications ; Systemic Inflammatory Response Syndrome - diagnosis ; Systemic Inflammatory Response Syndrome - diagnostic imaging ; Tei index ; Ultrasonography, Prenatal - methods</subject><ispartof>American journal of obstetrics and gynecology, 2016-07, Vol.215 (1), p.9-20</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. 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Infection and inflammation are the prominent ones. Intrauterine infection and inflammation have an effect akin to sepsis, and that is similar to systemic inflammatory response in adults. Indeed, there is evidence to support the association of a fetal inflammatory response syndrome (FIRS) to systemic infection and inflammation. The utilization of invasive procedures for the prenatal diagnosis of FIRS is associated with a risk for complications resulting from the invasive method. The progress in the imaging quality of obstetrical ultrasound and the development of novel methods for functional anatomical assessment of the fetal organs may help to identify, noninvasively, fetuses at risk for FIRS in patients presenting with preterm labor. We review the studies describing advanced sonographic modalities and the imaging findings in the heart, thymus, kidney, adrenal glands, and spleen of these fetuses.</description><subject>Chorioamnionitis - diagnosis</subject><subject>Chorioamnionitis - diagnostic imaging</subject><subject>Chorioamnionitis - immunology</subject><subject>Female</subject><subject>fetal adrenal gland</subject><subject>Fetal Diseases - diagnosis</subject><subject>Fetal Diseases - diagnostic imaging</subject><subject>fetal thymus</subject><subject>Humans</subject><subject>Obstetric Labor, Premature - etiology</subject><subject>Obstetric Labor, Premature - immunology</subject><subject>Obstetrics and Gynecology</subject><subject>Pregnancy</subject><subject>Premature Birth - etiology</subject><subject>Premature Birth - immunology</subject><subject>Prenatal Diagnosis</subject><subject>preterm labor</subject><subject>splenic vein flow</subject><subject>Systemic Inflammatory Response Syndrome - complications</subject><subject>Systemic Inflammatory Response Syndrome - diagnosis</subject><subject>Systemic Inflammatory Response Syndrome - diagnostic imaging</subject><subject>Tei index</subject><subject>Ultrasonography, Prenatal - methods</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9v1DAQxS0EokvhC3BAPnJJsOOsnSBEhSr-SZU4QM_W1BlvnU3i4EmQ9tvjaAsHDpxmRnrvSe83jL2UopRC6jd9CX08lFXeSyFLqetHbCdFawrd6OYx2wkhqqJVprlgz4j67aza6im7qHRTSaXMjh1vhyUBxSkeEsz3wXGY5xTB3fMl8i7AYYoUiEfPPS4w8DD5AcYRlphOPCHNcSLkdJq6FEd8yyH74sB9TByWIgU6bsaVkK6esyceBsIXD_OS3X76-OP6S3Hz7fPX6w83hauNWQqnwRvX1V4b78AIrWUnW9XIRqGovBe-RuUceDQKVds1uPc-t7wTCChgry7Z63NuLvJzRVrsGMjhMMCEcSUrTdvu901mkaXVWepSJEro7ZzCCOlkpbAbZNvbDbLdIFshbYacTa8e8te7Ebu_lj9Us-DdWYC55a-AyZILODnsQkK32C6G_-e__8fuhjAFB8MRT0h9XNOU-VlpqbLCft_-un1Z6rzIWqnfI6GlQw</recordid><startdate>20160701</startdate><enddate>20160701</enddate><creator>Mastrolia, Salvatore Andrea, MD</creator><creator>Erez, Offer, MD</creator><creator>Loverro, Giuseppe, MD</creator><creator>Di Naro, Edoardo, MD</creator><creator>Weintraub, Adi Yehuda, MD</creator><creator>Tirosh, Dan, MD</creator><creator>Baron, Joel, MD</creator><creator>Hershkovitz, Reli, MD</creator><general>Elsevier Inc</general><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>20160701</creationdate><title>Ultrasonographic approach to diagnosis of fetal inflammatory response syndrome: a tool for at-risk fetuses?</title><author>Mastrolia, Salvatore Andrea, MD ; Erez, Offer, MD ; Loverro, Giuseppe, MD ; Di Naro, Edoardo, MD ; Weintraub, Adi Yehuda, MD ; Tirosh, Dan, MD ; Baron, Joel, MD ; Hershkovitz, Reli, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-c6af7cd4f67fca70661d1938183e02ff0f4e3ccafe73e39d8e5ff937b0eae0a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Chorioamnionitis - diagnosis</topic><topic>Chorioamnionitis - diagnostic imaging</topic><topic>Chorioamnionitis - immunology</topic><topic>Female</topic><topic>fetal adrenal gland</topic><topic>Fetal Diseases - diagnosis</topic><topic>Fetal Diseases - diagnostic imaging</topic><topic>fetal thymus</topic><topic>Humans</topic><topic>Obstetric Labor, Premature - etiology</topic><topic>Obstetric Labor, Premature - immunology</topic><topic>Obstetrics and Gynecology</topic><topic>Pregnancy</topic><topic>Premature Birth - etiology</topic><topic>Premature Birth - immunology</topic><topic>Prenatal Diagnosis</topic><topic>preterm labor</topic><topic>splenic vein flow</topic><topic>Systemic Inflammatory Response Syndrome - complications</topic><topic>Systemic Inflammatory Response Syndrome - diagnosis</topic><topic>Systemic Inflammatory Response Syndrome - diagnostic imaging</topic><topic>Tei index</topic><topic>Ultrasonography, Prenatal - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mastrolia, Salvatore Andrea, MD</creatorcontrib><creatorcontrib>Erez, Offer, MD</creatorcontrib><creatorcontrib>Loverro, Giuseppe, MD</creatorcontrib><creatorcontrib>Di Naro, Edoardo, MD</creatorcontrib><creatorcontrib>Weintraub, Adi Yehuda, MD</creatorcontrib><creatorcontrib>Tirosh, Dan, MD</creatorcontrib><creatorcontrib>Baron, Joel, MD</creatorcontrib><creatorcontrib>Hershkovitz, Reli, MD</creatorcontrib><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>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mastrolia, Salvatore Andrea, MD</au><au>Erez, Offer, MD</au><au>Loverro, Giuseppe, MD</au><au>Di Naro, Edoardo, MD</au><au>Weintraub, Adi Yehuda, MD</au><au>Tirosh, Dan, MD</au><au>Baron, Joel, MD</au><au>Hershkovitz, Reli, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ultrasonographic approach to diagnosis of fetal inflammatory response syndrome: a tool for at-risk fetuses?</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2016-07-01</date><risdate>2016</risdate><volume>215</volume><issue>1</issue><spage>9</spage><epage>20</epage><pages>9-20</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><abstract>Preterm parturition is a syndrome that may result from many underlying mechanisms. 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| subjects | Chorioamnionitis - diagnosis Chorioamnionitis - diagnostic imaging Chorioamnionitis - immunology Female fetal adrenal gland Fetal Diseases - diagnosis Fetal Diseases - diagnostic imaging fetal thymus Humans Obstetric Labor, Premature - etiology Obstetric Labor, Premature - immunology Obstetrics and Gynecology Pregnancy Premature Birth - etiology Premature Birth - immunology Prenatal Diagnosis preterm labor splenic vein flow Systemic Inflammatory Response Syndrome - complications Systemic Inflammatory Response Syndrome - diagnosis Systemic Inflammatory Response Syndrome - diagnostic imaging Tei index Ultrasonography, Prenatal - methods |
| title | Ultrasonographic approach to diagnosis of fetal inflammatory response syndrome: a tool for at-risk fetuses? |
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