Diagnostic accuracy of Quantitative Colour Doppler Flow imaging in distinguishing Persistent Fetal Vasculature from Retinal Detachment
Purpose Distinguishing posterior persistent fetal vasculature (PFV) from retinal detachment (RD) may be very challenging clinically and ultrasonographically, as they share common morphological features. However, it is crucial, considering their substantially distinct management and treatment. We aim...
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| Veröffentlicht in: | Acta ophthalmologica (Oxford, England) England), 2022-03, Vol.100 (2), p.196-202 |
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| creator | Chiaroni, Pierre‐Marie Chapron, Thibaut Purcell, Yvonne Zuber, Kevin Savatovsky, Julien Caputo, Georges Gillard, Perrine Elmaleh, Monique Bergès, Olivier Lecler, Augustin |
| description | Purpose
Distinguishing posterior persistent fetal vasculature (PFV) from retinal detachment (RD) may be very challenging clinically and ultrasonographically, as they share common morphological features. However, it is crucial, considering their substantially distinct management and treatment. We aimed to assess the relevance of quantitative colour Doppler flow imaging to distinguish PFV from RD in children.
Methods
This retrospective bi‐centre study included 66 children (30 females and 36 males, mean age: 244 ± 257 days) with a clinically suspected diagnosis of RD or posterior PFV. All children underwent systematic and standardized conventional ultrasonography and colour Doppler flow imaging under general anaesthesia with a qualitative and quantitative analysis of the retrolental tissue’s vascularization. Peak systolic velocity, end‐diastolic velocity and resistive index were recorded for analysis. Whenever available, surgical findings were deemed gold standard for diagnosis. A Mann–Whitney U‐test was used to compare quantitative colour Doppler flow imaging data.
Results
Peak systolic velocity and end‐diastolic velocity were significantly lower in children with PFV versus RD: 2.7 (IQR: 0.5) versus 5.1 (IQR: 2.8), p |
| doi_str_mv | 10.1111/aos.14793 |
| format | Article |
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Distinguishing posterior persistent fetal vasculature (PFV) from retinal detachment (RD) may be very challenging clinically and ultrasonographically, as they share common morphological features. However, it is crucial, considering their substantially distinct management and treatment. We aimed to assess the relevance of quantitative colour Doppler flow imaging to distinguish PFV from RD in children.
Methods
This retrospective bi‐centre study included 66 children (30 females and 36 males, mean age: 244 ± 257 days) with a clinically suspected diagnosis of RD or posterior PFV. All children underwent systematic and standardized conventional ultrasonography and colour Doppler flow imaging under general anaesthesia with a qualitative and quantitative analysis of the retrolental tissue’s vascularization. Peak systolic velocity, end‐diastolic velocity and resistive index were recorded for analysis. Whenever available, surgical findings were deemed gold standard for diagnosis. A Mann–Whitney U‐test was used to compare quantitative colour Doppler flow imaging data.
Results
Peak systolic velocity and end‐diastolic velocity were significantly lower in children with PFV versus RD: 2.7 (IQR: 0.5) versus 5.1 (IQR: 2.8), p < 0.001, and 0.0 (IQR: 0.0) versus 2.0 (IQR: 1.2), p < 0.001, respectively. Resistive index was significantly higher in children with PFV versus RD: 1 (IQR: 0) versus 0.6 (IQR: 0.1), p < 0.001. Area under curves (AUCs) were of 0.94, 0.99 and 1, respectively. No differences between PFV and RD were observed on structural ultrasound or qualitative analysis of colour Doppler.
Conclusion
Quantitative colour Doppler flow imaging has an excellent accuracy in distinguishing PFV from RD in children. It may help to improve management and treatment.</description><identifier>ISSN: 1755-375X</identifier><identifier>EISSN: 1755-3768</identifier><identifier>DOI: 10.1111/aos.14793</identifier><identifier>PMID: 33629492</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Anesthesia ; Blood Flow Velocity ; Children ; colour ; Diagnosis ; Diagnosis, Differential ; diagnostic ; doppler ; Doppler effect ; Female ; Fetuses ; Humans ; imaging ; Infant ; Male ; persistent hyperplastic primary vitreous ; Persistent Hyperplastic Primary Vitreous - diagnostic imaging ; Persistent Hyperplastic Primary Vitreous - pathology ; Retina ; Retinal detachment ; Retinal Detachment - diagnostic imaging ; Retinal Detachment - pathology ; Retrospective Studies ; ROC Curve ; ultrasonography ; Ultrasonography, Doppler, Color - standards ; Vascularization ; Velocity</subject><ispartof>Acta ophthalmologica (Oxford, England), 2022-03, Vol.100 (2), p.196-202</ispartof><rights>2021 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd</rights><rights>2021 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2022 Acta Ophthalmologica Scandinavica Foundation</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3883-e219ba5c12ffdda2cb994267efc881a23fa51dda877ed740bb39c2c4f3cef0623</citedby><cites>FETCH-LOGICAL-c3883-e219ba5c12ffdda2cb994267efc881a23fa51dda877ed740bb39c2c4f3cef0623</cites><orcidid>0000-0002-6847-8882 ; 0000-0003-3576-3203 ; 0000-0001-7869-1815</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Faos.14793$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Faos.14793$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33629492$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chiaroni, Pierre‐Marie</creatorcontrib><creatorcontrib>Chapron, Thibaut</creatorcontrib><creatorcontrib>Purcell, Yvonne</creatorcontrib><creatorcontrib>Zuber, Kevin</creatorcontrib><creatorcontrib>Savatovsky, Julien</creatorcontrib><creatorcontrib>Caputo, Georges</creatorcontrib><creatorcontrib>Gillard, Perrine</creatorcontrib><creatorcontrib>Elmaleh, Monique</creatorcontrib><creatorcontrib>Bergès, Olivier</creatorcontrib><creatorcontrib>Lecler, Augustin</creatorcontrib><title>Diagnostic accuracy of Quantitative Colour Doppler Flow imaging in distinguishing Persistent Fetal Vasculature from Retinal Detachment</title><title>Acta ophthalmologica (Oxford, England)</title><addtitle>Acta Ophthalmol</addtitle><description>Purpose
Distinguishing posterior persistent fetal vasculature (PFV) from retinal detachment (RD) may be very challenging clinically and ultrasonographically, as they share common morphological features. However, it is crucial, considering their substantially distinct management and treatment. We aimed to assess the relevance of quantitative colour Doppler flow imaging to distinguish PFV from RD in children.
Methods
This retrospective bi‐centre study included 66 children (30 females and 36 males, mean age: 244 ± 257 days) with a clinically suspected diagnosis of RD or posterior PFV. All children underwent systematic and standardized conventional ultrasonography and colour Doppler flow imaging under general anaesthesia with a qualitative and quantitative analysis of the retrolental tissue’s vascularization. Peak systolic velocity, end‐diastolic velocity and resistive index were recorded for analysis. Whenever available, surgical findings were deemed gold standard for diagnosis. A Mann–Whitney U‐test was used to compare quantitative colour Doppler flow imaging data.
Results
Peak systolic velocity and end‐diastolic velocity were significantly lower in children with PFV versus RD: 2.7 (IQR: 0.5) versus 5.1 (IQR: 2.8), p < 0.001, and 0.0 (IQR: 0.0) versus 2.0 (IQR: 1.2), p < 0.001, respectively. Resistive index was significantly higher in children with PFV versus RD: 1 (IQR: 0) versus 0.6 (IQR: 0.1), p < 0.001. Area under curves (AUCs) were of 0.94, 0.99 and 1, respectively. No differences between PFV and RD were observed on structural ultrasound or qualitative analysis of colour Doppler.
Conclusion
Quantitative colour Doppler flow imaging has an excellent accuracy in distinguishing PFV from RD in children. It may help to improve management and treatment.</description><subject>Anesthesia</subject><subject>Blood Flow Velocity</subject><subject>Children</subject><subject>colour</subject><subject>Diagnosis</subject><subject>Diagnosis, Differential</subject><subject>diagnostic</subject><subject>doppler</subject><subject>Doppler effect</subject><subject>Female</subject><subject>Fetuses</subject><subject>Humans</subject><subject>imaging</subject><subject>Infant</subject><subject>Male</subject><subject>persistent hyperplastic primary vitreous</subject><subject>Persistent Hyperplastic Primary Vitreous - diagnostic imaging</subject><subject>Persistent Hyperplastic Primary Vitreous - pathology</subject><subject>Retina</subject><subject>Retinal detachment</subject><subject>Retinal Detachment - diagnostic imaging</subject><subject>Retinal Detachment - pathology</subject><subject>Retrospective Studies</subject><subject>ROC Curve</subject><subject>ultrasonography</subject><subject>Ultrasonography, Doppler, Color - standards</subject><subject>Vascularization</subject><subject>Velocity</subject><issn>1755-375X</issn><issn>1755-3768</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v1DAQhi0EoqVw4A8gS1zgsG38ESc-VrssVKrU8ilukeOMt66ceLFjqv0D_G6m3dIDUn0Za95nXo3mJeQ1q44ZvhMT8zGTjRZPyCFr6nohGtU-ffjXPw_Ii5yvq0oxpeRzciCE4lpqfkj-rLzZTDHP3lJjbUnG7mh09HMx0-xnM_vfQJcxxJLoKm63ARJdh3hD_Wg2ftpQP9HB4_i0KT5f3XYuIWXswDTTNcwm0B8m2xLMXBJQl-JIvwDyKKxQtlcjki_JM2dChlf39Yh8X3_4tvy0OL_4eLY8PV9Y0bZiAZzp3tSWceeGwXDbay25asDZtmWGC2dqhkLbNDA0sup7oS230gkLrlJcHJF3e99tir8K5LkbfbYQgpkgltxxqYWUuhEtom__Q6_xCLg2UoorVuFGEqn3e8qmmHMC120TnibtOlZ1t-F0GE53Fw6yb-4dSz_C8ED-SwOBkz1w4wPsHnfqTi--7i3_AvecnAc</recordid><startdate>202203</startdate><enddate>202203</enddate><creator>Chiaroni, Pierre‐Marie</creator><creator>Chapron, Thibaut</creator><creator>Purcell, Yvonne</creator><creator>Zuber, Kevin</creator><creator>Savatovsky, Julien</creator><creator>Caputo, Georges</creator><creator>Gillard, Perrine</creator><creator>Elmaleh, Monique</creator><creator>Bergès, Olivier</creator><creator>Lecler, Augustin</creator><general>Wiley Subscription Services, 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>7TK</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6847-8882</orcidid><orcidid>https://orcid.org/0000-0003-3576-3203</orcidid><orcidid>https://orcid.org/0000-0001-7869-1815</orcidid></search><sort><creationdate>202203</creationdate><title>Diagnostic accuracy of Quantitative Colour Doppler Flow imaging in distinguishing Persistent Fetal Vasculature from Retinal Detachment</title><author>Chiaroni, Pierre‐Marie ; Chapron, Thibaut ; Purcell, Yvonne ; Zuber, Kevin ; Savatovsky, Julien ; Caputo, Georges ; Gillard, Perrine ; Elmaleh, Monique ; Bergès, Olivier ; Lecler, Augustin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3883-e219ba5c12ffdda2cb994267efc881a23fa51dda877ed740bb39c2c4f3cef0623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Anesthesia</topic><topic>Blood Flow Velocity</topic><topic>Children</topic><topic>colour</topic><topic>Diagnosis</topic><topic>Diagnosis, Differential</topic><topic>diagnostic</topic><topic>doppler</topic><topic>Doppler effect</topic><topic>Female</topic><topic>Fetuses</topic><topic>Humans</topic><topic>imaging</topic><topic>Infant</topic><topic>Male</topic><topic>persistent hyperplastic primary vitreous</topic><topic>Persistent Hyperplastic Primary Vitreous - diagnostic imaging</topic><topic>Persistent Hyperplastic Primary Vitreous - pathology</topic><topic>Retina</topic><topic>Retinal detachment</topic><topic>Retinal Detachment - diagnostic imaging</topic><topic>Retinal Detachment - pathology</topic><topic>Retrospective Studies</topic><topic>ROC Curve</topic><topic>ultrasonography</topic><topic>Ultrasonography, Doppler, Color - standards</topic><topic>Vascularization</topic><topic>Velocity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chiaroni, Pierre‐Marie</creatorcontrib><creatorcontrib>Chapron, Thibaut</creatorcontrib><creatorcontrib>Purcell, Yvonne</creatorcontrib><creatorcontrib>Zuber, Kevin</creatorcontrib><creatorcontrib>Savatovsky, Julien</creatorcontrib><creatorcontrib>Caputo, Georges</creatorcontrib><creatorcontrib>Gillard, Perrine</creatorcontrib><creatorcontrib>Elmaleh, Monique</creatorcontrib><creatorcontrib>Bergès, Olivier</creatorcontrib><creatorcontrib>Lecler, Augustin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Acta ophthalmologica (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chiaroni, Pierre‐Marie</au><au>Chapron, Thibaut</au><au>Purcell, Yvonne</au><au>Zuber, Kevin</au><au>Savatovsky, Julien</au><au>Caputo, Georges</au><au>Gillard, Perrine</au><au>Elmaleh, Monique</au><au>Bergès, Olivier</au><au>Lecler, Augustin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic accuracy of Quantitative Colour Doppler Flow imaging in distinguishing Persistent Fetal Vasculature from Retinal Detachment</atitle><jtitle>Acta ophthalmologica (Oxford, England)</jtitle><addtitle>Acta Ophthalmol</addtitle><date>2022-03</date><risdate>2022</risdate><volume>100</volume><issue>2</issue><spage>196</spage><epage>202</epage><pages>196-202</pages><issn>1755-375X</issn><eissn>1755-3768</eissn><abstract>Purpose
Distinguishing posterior persistent fetal vasculature (PFV) from retinal detachment (RD) may be very challenging clinically and ultrasonographically, as they share common morphological features. However, it is crucial, considering their substantially distinct management and treatment. We aimed to assess the relevance of quantitative colour Doppler flow imaging to distinguish PFV from RD in children.
Methods
This retrospective bi‐centre study included 66 children (30 females and 36 males, mean age: 244 ± 257 days) with a clinically suspected diagnosis of RD or posterior PFV. All children underwent systematic and standardized conventional ultrasonography and colour Doppler flow imaging under general anaesthesia with a qualitative and quantitative analysis of the retrolental tissue’s vascularization. Peak systolic velocity, end‐diastolic velocity and resistive index were recorded for analysis. Whenever available, surgical findings were deemed gold standard for diagnosis. A Mann–Whitney U‐test was used to compare quantitative colour Doppler flow imaging data.
Results
Peak systolic velocity and end‐diastolic velocity were significantly lower in children with PFV versus RD: 2.7 (IQR: 0.5) versus 5.1 (IQR: 2.8), p < 0.001, and 0.0 (IQR: 0.0) versus 2.0 (IQR: 1.2), p < 0.001, respectively. Resistive index was significantly higher in children with PFV versus RD: 1 (IQR: 0) versus 0.6 (IQR: 0.1), p < 0.001. Area under curves (AUCs) were of 0.94, 0.99 and 1, respectively. No differences between PFV and RD were observed on structural ultrasound or qualitative analysis of colour Doppler.
Conclusion
Quantitative colour Doppler flow imaging has an excellent accuracy in distinguishing PFV from RD in children. It may help to improve management and treatment.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33629492</pmid><doi>10.1111/aos.14793</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-6847-8882</orcidid><orcidid>https://orcid.org/0000-0003-3576-3203</orcidid><orcidid>https://orcid.org/0000-0001-7869-1815</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Anesthesia Blood Flow Velocity Children colour Diagnosis Diagnosis, Differential diagnostic doppler Doppler effect Female Fetuses Humans imaging Infant Male persistent hyperplastic primary vitreous Persistent Hyperplastic Primary Vitreous - diagnostic imaging Persistent Hyperplastic Primary Vitreous - pathology Retina Retinal detachment Retinal Detachment - diagnostic imaging Retinal Detachment - pathology Retrospective Studies ROC Curve ultrasonography Ultrasonography, Doppler, Color - standards Vascularization Velocity |
| title | Diagnostic accuracy of Quantitative Colour Doppler Flow imaging in distinguishing Persistent Fetal Vasculature from Retinal Detachment |
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