Abnormal Fetal Findings Associated With a Global Sphericity Index of the 4‐Chamber View Below the 5th Centile
Objectives The purpose of this study was to evaluate the global sphericity index (GSI) of the 4‐chamber view and correlate the results with abnormal ultrasound findings. Methods The epicardial end‐diastolic basal‐apical length (BAL) and transverse length (TL) of the 4‐chamber view were measured to c...
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| Veröffentlicht in: | Journal of ultrasound in medicine 2017-11, Vol.36 (11), p.2309-2318 |
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| creator | DeVore, Greggory R. Satou, Gary Sklansky, Mark |
| description | Objectives
The purpose of this study was to evaluate the global sphericity index (GSI) of the 4‐chamber view and correlate the results with abnormal ultrasound findings.
Methods
The epicardial end‐diastolic basal‐apical length (BAL) and transverse length (TL) of the 4‐chamber view were measured to compute the GSI (BAL/TL) in 200 control fetuses between 20 and 40 weeks' gestation. Three hundred study fetuses were prospectively examined between 17 and 39 weeks' gestation. The GSI, Z score, and centile were computed for each of the fetuses.
Results
The GSI (1.233; SD, 0.0953) in the control fetuses was independent of gestational age. Eighteen percent of the study fetuses (55 of 300) had a GSI below the 5th centile ( |
| doi_str_mv | 10.1002/jum.14261 |
| format | Article |
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The purpose of this study was to evaluate the global sphericity index (GSI) of the 4‐chamber view and correlate the results with abnormal ultrasound findings.
Methods
The epicardial end‐diastolic basal‐apical length (BAL) and transverse length (TL) of the 4‐chamber view were measured to compute the GSI (BAL/TL) in 200 control fetuses between 20 and 40 weeks' gestation. Three hundred study fetuses were prospectively examined between 17 and 39 weeks' gestation. The GSI, Z score, and centile were computed for each of the fetuses.
Results
The GSI (1.233; SD, 0.0953) in the control fetuses was independent of gestational age. Eighteen percent of the study fetuses (55 of 300) had a GSI below the 5th centile (<1.08), of whom 96% (53 of 55) had additional abnormal ultrasound findings. Fetuses with an estimated fetal weight below the 10th centile had a significantly (P < .05) higher rate of an umbilical artery Doppler pulsatility index above the 95th centile (27% versus 17.7%), a middle cerebral artery Doppler pulsatility index below the 5th centile (27% versus 0%), an abnormal cerebroplacental ratio (27% versus 4.5%), and an amniotic fluid index of less than 5 cm (36% versus 9%). The TL was significantly increased compared with the BAL in fetuses with cardiac dysfunction, irrespective of the estimated fetal weight.
Conclusions
An abnormal GSI below the 5th centile is associated with abnormal fetal ultrasound findings.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.1002/jum.14261</identifier><identifier>PMID: 28556937</identifier><language>eng</language><publisher>England</publisher><subject>Adult ; Blood Flow Velocity ; Female ; Fetal Growth Retardation - diagnostic imaging ; Fetal Heart - diagnostic imaging ; Fetal Heart - physiopathology ; Fetal Weight ; fetus ; growth restriction ; heart ; Humans ; Middle Cerebral Artery - diagnostic imaging ; obstetric ultrasound ; Pregnancy ; Prospective Studies ; Pulsatile Flow ; Sensitivity and Specificity ; sphericity index ; Ultrasonography, Doppler - methods ; Ultrasonography, Prenatal - methods ; ultrasound ; Umbilical Arteries - diagnostic imaging ; Z score</subject><ispartof>Journal of ultrasound in medicine, 2017-11, Vol.36 (11), p.2309-2318</ispartof><rights>2017 by the American Institute of Ultrasound in Medicine</rights><rights>2017 by the American Institute of Ultrasound in Medicine.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2551-a9dd9ce0c043cab1add93aa36d84f72693d634684ba0a8c0b30d033a8883da823</citedby><cites>FETCH-LOGICAL-c2551-a9dd9ce0c043cab1add93aa36d84f72693d634684ba0a8c0b30d033a8883da823</cites><orcidid>0000-0001-8814-572X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjum.14261$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjum.14261$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28556937$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DeVore, Greggory R.</creatorcontrib><creatorcontrib>Satou, Gary</creatorcontrib><creatorcontrib>Sklansky, Mark</creatorcontrib><title>Abnormal Fetal Findings Associated With a Global Sphericity Index of the 4‐Chamber View Below the 5th Centile</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>Objectives
The purpose of this study was to evaluate the global sphericity index (GSI) of the 4‐chamber view and correlate the results with abnormal ultrasound findings.
Methods
The epicardial end‐diastolic basal‐apical length (BAL) and transverse length (TL) of the 4‐chamber view were measured to compute the GSI (BAL/TL) in 200 control fetuses between 20 and 40 weeks' gestation. Three hundred study fetuses were prospectively examined between 17 and 39 weeks' gestation. The GSI, Z score, and centile were computed for each of the fetuses.
Results
The GSI (1.233; SD, 0.0953) in the control fetuses was independent of gestational age. Eighteen percent of the study fetuses (55 of 300) had a GSI below the 5th centile (<1.08), of whom 96% (53 of 55) had additional abnormal ultrasound findings. Fetuses with an estimated fetal weight below the 10th centile had a significantly (P < .05) higher rate of an umbilical artery Doppler pulsatility index above the 95th centile (27% versus 17.7%), a middle cerebral artery Doppler pulsatility index below the 5th centile (27% versus 0%), an abnormal cerebroplacental ratio (27% versus 4.5%), and an amniotic fluid index of less than 5 cm (36% versus 9%). The TL was significantly increased compared with the BAL in fetuses with cardiac dysfunction, irrespective of the estimated fetal weight.
Conclusions
An abnormal GSI below the 5th centile is associated with abnormal fetal ultrasound findings.</description><subject>Adult</subject><subject>Blood Flow Velocity</subject><subject>Female</subject><subject>Fetal Growth Retardation - diagnostic imaging</subject><subject>Fetal Heart - diagnostic imaging</subject><subject>Fetal Heart - physiopathology</subject><subject>Fetal Weight</subject><subject>fetus</subject><subject>growth restriction</subject><subject>heart</subject><subject>Humans</subject><subject>Middle Cerebral Artery - diagnostic imaging</subject><subject>obstetric ultrasound</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>Pulsatile Flow</subject><subject>Sensitivity and Specificity</subject><subject>sphericity index</subject><subject>Ultrasonography, Doppler - methods</subject><subject>Ultrasonography, Prenatal - methods</subject><subject>ultrasound</subject><subject>Umbilical Arteries - diagnostic imaging</subject><subject>Z score</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL9OwzAQhy0EoqUw8ALIIwxp7dhJnLFUtBQVMUBhjBz7So2SuMSpSjcegWfkSXD_wMbik3Xf_XT3IXROSZcSEvbelmWX8jCmB6hNo4gEaUzZIWqTMBEBD9OkhU6ce_MooQk_Rq1QRFGcsqSNbD-vbF3KAg-h2bym0qZ6dbjvnFVGNqDxi2nmWOJRYXNPPC7mUBtlmjUeVxo-sJ3hZg6Yf39-DeayzKHGzwZW-BoKu9q2Ij8_gKoxBZyio5ksHJztawdNhzdPg9tg8jAaD_qTQIVRRAOZap0qIIpwpmROpf8yKVmsBZ8lod9dx4zHgueSSKFIzogmjEkhBNNShKyDLne5i9q-L8E1WWmcgqKQFdily2hKWMo5Y9SjVztU1da5GmbZojalrNcZJdnGb-b9Zlu_nr3Yxy7zEvQf-SvUA70dsPLHrv9Pyu6m97vIH6bxhMc</recordid><startdate>201711</startdate><enddate>201711</enddate><creator>DeVore, Greggory R.</creator><creator>Satou, Gary</creator><creator>Sklansky, Mark</creator><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><orcidid>https://orcid.org/0000-0001-8814-572X</orcidid></search><sort><creationdate>201711</creationdate><title>Abnormal Fetal Findings Associated With a Global Sphericity Index of the 4‐Chamber View Below the 5th Centile</title><author>DeVore, Greggory R. ; Satou, Gary ; Sklansky, Mark</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2551-a9dd9ce0c043cab1add93aa36d84f72693d634684ba0a8c0b30d033a8883da823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Blood Flow Velocity</topic><topic>Female</topic><topic>Fetal Growth Retardation - diagnostic imaging</topic><topic>Fetal Heart - diagnostic imaging</topic><topic>Fetal Heart - physiopathology</topic><topic>Fetal Weight</topic><topic>fetus</topic><topic>growth restriction</topic><topic>heart</topic><topic>Humans</topic><topic>Middle Cerebral Artery - diagnostic imaging</topic><topic>obstetric ultrasound</topic><topic>Pregnancy</topic><topic>Prospective Studies</topic><topic>Pulsatile Flow</topic><topic>Sensitivity and Specificity</topic><topic>sphericity index</topic><topic>Ultrasonography, Doppler - methods</topic><topic>Ultrasonography, Prenatal - methods</topic><topic>ultrasound</topic><topic>Umbilical Arteries - diagnostic imaging</topic><topic>Z score</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DeVore, Greggory R.</creatorcontrib><creatorcontrib>Satou, Gary</creatorcontrib><creatorcontrib>Sklansky, Mark</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>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DeVore, Greggory R.</au><au>Satou, Gary</au><au>Sklansky, Mark</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abnormal Fetal Findings Associated With a Global Sphericity Index of the 4‐Chamber View Below the 5th Centile</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>2017-11</date><risdate>2017</risdate><volume>36</volume><issue>11</issue><spage>2309</spage><epage>2318</epage><pages>2309-2318</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><abstract>Objectives
The purpose of this study was to evaluate the global sphericity index (GSI) of the 4‐chamber view and correlate the results with abnormal ultrasound findings.
Methods
The epicardial end‐diastolic basal‐apical length (BAL) and transverse length (TL) of the 4‐chamber view were measured to compute the GSI (BAL/TL) in 200 control fetuses between 20 and 40 weeks' gestation. Three hundred study fetuses were prospectively examined between 17 and 39 weeks' gestation. The GSI, Z score, and centile were computed for each of the fetuses.
Results
The GSI (1.233; SD, 0.0953) in the control fetuses was independent of gestational age. Eighteen percent of the study fetuses (55 of 300) had a GSI below the 5th centile (<1.08), of whom 96% (53 of 55) had additional abnormal ultrasound findings. Fetuses with an estimated fetal weight below the 10th centile had a significantly (P < .05) higher rate of an umbilical artery Doppler pulsatility index above the 95th centile (27% versus 17.7%), a middle cerebral artery Doppler pulsatility index below the 5th centile (27% versus 0%), an abnormal cerebroplacental ratio (27% versus 4.5%), and an amniotic fluid index of less than 5 cm (36% versus 9%). The TL was significantly increased compared with the BAL in fetuses with cardiac dysfunction, irrespective of the estimated fetal weight.
Conclusions
An abnormal GSI below the 5th centile is associated with abnormal fetal ultrasound findings.</abstract><cop>England</cop><pmid>28556937</pmid><doi>10.1002/jum.14261</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-8814-572X</orcidid></addata></record> |
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| ispartof | Journal of ultrasound in medicine, 2017-11, Vol.36 (11), p.2309-2318 |
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| language | eng |
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| source | Wiley-Blackwell Journals; MEDLINE |
| subjects | Adult Blood Flow Velocity Female Fetal Growth Retardation - diagnostic imaging Fetal Heart - diagnostic imaging Fetal Heart - physiopathology Fetal Weight fetus growth restriction heart Humans Middle Cerebral Artery - diagnostic imaging obstetric ultrasound Pregnancy Prospective Studies Pulsatile Flow Sensitivity and Specificity sphericity index Ultrasonography, Doppler - methods Ultrasonography, Prenatal - methods ultrasound Umbilical Arteries - diagnostic imaging Z score |
| title | Abnormal Fetal Findings Associated With a Global Sphericity Index of the 4‐Chamber View Below the 5th Centile |
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