First trimester supratentorial and infratentorial abnormalities in fetuses with open spina bifida

Acuna, J. G.; Lau, Gilbert; Rad, Steve; Kim, Matthew; Gornbein, Jeffrey; Zoppi, Maria Angelica; Monni, Giovanni; Rotmensch, Siegfried; Solt, Ido

doi:10.1080/14767058.2019.1659772

Cited by 3 publications

(8 citation statements)

References 17 publications

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“…Figure S2 shows the flow diagram of the study selection (see Supplementary material). The initial electronic search yielded 145 citations, from which 23 relevant publications 4,[9][10][11][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] were selected for the meta-analysis. Studies were published between 2009 and 2020, including 69 510 fetuses with 389 cases of OSB and 12 cases of oPBD (five DWM, two BPC, four mega CM and one arachnoid cyst).…”

Section: Discussionmentioning

confidence: 99%

“…This is an important point considering previous methods of analysis of the posterior fossa during the FT. Chaoui and colleagues first described a subjective sign, 4 the nonvisualisation of IT, and since then, several other approaches have been reported, both quantitative and qualitative. [9][10][11][20][21][22][23][24][25][26][27][28][30][31][32][33][34][35][36][37][38] Ten years later, it is clear that there is no real consensus on the best measurement to perform, and the most recent publications 12,33,37,38 have reverted to qualitative signs, including axial sections.…”

Section: Discussionmentioning

confidence: 99%

“…Qualitative evaluation of the axial view of the fetal head is promising and offers a high level of sensitivity and specificity. However, this is based on results from only two publications studying the juxtaposition of the AOS with the OB in cases of OSB 37,38 and must therefore be interpreted with caution.…”

Section: Discussionmentioning

confidence: 99%

“…Our results show that the qualitative approach demonstrated statistically significant higher specificity compared with the quantitative approach for the detection of OSB. This is an important point considering previous methods of analysis of the posterior fossa during the FT. Chaoui and colleagues first described a subjective sign, 4 the non‐visualisation of IT, and since then, several other approaches have been reported, both quantitative and qualitative 9–11,20–28,30–38 . Ten years later, it is clear that there is no real consensus on the best measurement to perform, and the most recent publications 12,33,37,38 have reverted to qualitative signs, including axial sections.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Accuracy of qualitative and quantitative cranial ultrasonographic markers in first‐trimester screening for open spina bifida and other posterior brain defects: a systematic review and meta‐analysis

Macé

Mancini

Gorincour

et al. 2020

BJOG

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Main results Twenty-three studies were included in our metaanalysis. The pooled sensitivity and specificity for qualitative assessment were 76.5% and 99.6%, and for quantitative assessment were 84.5% and 96.3%, respectively; specificity for the qualitative ultrasound signs was significantly higher (P = 0.001). The overall sensitivity of cranial sonographic markers for the screening of oPBD was 76.7% and specificity was 97.5%. Conclusions The qualitative approach demonstrated greater specificity, so this would appear to be more appropriate for daily screening, as a first-line tool, whereas the quantitative approach should be reserved for expert ultrasound.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Accuracy of qualitative and quantitative cranial ultrasonographic markers in first‐trimester screening for open spina bifida and other posterior brain defects: a systematic review and meta‐analysis

Macé

Mancini

Gorincour

et al. 2020

BJOG

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“…Advances in ultrasound technology have paved the way for the identification of first-trimester markers for open spina bifida, 69 including the crash sign, 70 three-line view, 71 brainstem to brainstem/occipital bone distance ratio, 72 and maxilla occipital line. 73 Although open spina bifida may be suspected or confirmed at the time of first-trimester ultrasonographic evaluation, a negative screen should not preclude repeat ultrasonographic assessment in the second trimester.…”

Section: Prenatal Screening and Diagnosismentioning

confidence: 99%

Advances in Fetal Surgical Repair of Open Spina Bifida

Chmait

Monson

Chon

2023

Obstetrics &Amp; Gynecology

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Spina bifida remains a common congenital anomaly of the central nervous system despite national fortification of foods with folic acid, with a prevalence of 2-4 per 10,000 live births. Prenatal screening for the early detection of this condition provides patients with the opportunity to consider various management options during pregnancy. Prenatal repair of open spina bifida, traditionally performed by the open maternal-fetal surgical approach through hysterotomy, has been shown to improve outcomes for the child, including decreased need for cerebrospinal fluid diversion surgery and improved lower neuromotor function. However, the open maternal-fetal surgical approach is associated with relatively increased risk for the patient and the overall pregnancy, as well as future pregnancies. Recent advances in minimally invasive prenatal repair of open spina bifida through fetoscopy have shown similar benefits for the child but relatively improved outcomes for the pregnant patient and future childbearing.

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Perfil Epidemiológico de Nascidos vivos no nordeste brasileiro de 2012 a 2021 com Espinha Bífida

Barros,

Lins,

Yamada

et al. 2023

Braz. J. Implantol. Health Sci.

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Objetivo: Elaborar um estudo epidemiológico de nascidos vivos com Espinha Bífida no nordeste brasileiro de 2012 a 2021. Metodologia: Este estudo analisa casos de Espinha Bífida em nascidos vivos no Brasil (2012-2021), usando dados do SINASC/DATASUS. O objetivo é compreender a ocorrência e distribuição da condição para orientar estratégias de prevenção e gerenciamento. Para embasar o estudo, foram consultadas as bases PUBMED e BVS com descritores específicos. A pesquisa busca fornecer insights valiosos sobre a Espinha Bífida no contexto do Nordeste do Brasil. Resultados: De 2012 a 2021, houve 1776 nascidos vivos com Espinha Bífida no Nordeste brasileiro, com 2021 registrando o pico e 2012 o menor número de casos. A maior prevalência ocorreu em 2021 (0,00027%), a menor em 2012 (0,00016%). A média foi de 0,024 nascidos vivos com Espinha Bífida por 1 nascido vivo, Destaca-se Pernambuco com 26,18% (n = 26,18%) dos casos Por outro lado, o Piauí registrou a menor quantidade, 3,2% (n = 58) O sexo predominante do nascido vivo com Espinha Bífida foi o masculino com 51, 85% (n = 921). Já em relação a cor/etnia, houve um predomínio significante da parda, visto que correspondeu a 74,04% (n = 1315). No quesito idade da mãe, a predominância foi na faixa etária de 20 a 24 anos com 24,32% (n = 432). Conclusão: Pernambuco se destacou com 26,18% dos casos, enquanto o Piauí apresentou menores taxas, com 3,2%. O gênero masculino prevaleceu (51,85%), assim como a cor parda (74,04%) e a faixa etária materna de 20 a 24 anos (24,32%).

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First trimester supratentorial and infratentorial abnormalities in fetuses with open spina bifida

Cited by 3 publications

References 17 publications

Accuracy of qualitative and quantitative cranial ultrasonographic markers in first‐trimester screening for open spina bifida and other posterior brain defects: a systematic review and meta‐analysis

Accuracy of qualitative and quantitative cranial ultrasonographic markers in first‐trimester screening for open spina bifida and other posterior brain defects: a systematic review and meta‐analysis

Advances in Fetal Surgical Repair of Open Spina Bifida

Perfil Epidemiológico de Nascidos vivos no nordeste brasileiro de 2012 a 2021 com Espinha Bífida

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