New scoring system for fetal neurobehavior assessed by three- and four-dimensional sonography

Kurjak, Asım; Mišković, Berivoj; Stanojević, Milan; Amiel‐Tison, Claudine; Ahmed, Badreldeen; Azumendi, Guillermo; Vasilj, Oliver; Andonotopo, Wiku; Turudic, Tanja; Salihagič-Kadić, Aida

doi:10.1515/jpm.2008.007

Cited by 148 publications

(179 citation statements)

References 38 publications

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“…Although several were important, none of them was implemented in daily practice. 22,2527 KANET is the first prenatal neurological screening test based on 4D US technique and the first results are encouraging.…”

Section: Resultsmentioning

confidence: 99%

“…3 For evaluation of fetal behavior, Kurjak et al intro duced and described original scoring system called Kurjak's antenatal neurological test (KANET). 22 The parameters used in the test arose from a multi center survey results conducted earlier on fetal neuro behavioral assessed by 2D ultrasound (2D US) and combined with neonatal signs suggested by Amiel Tison. 21,23,24 The primary goal of this pilot study test was to see the feasibility of using KANET in highrisk and low risk pregnancies in Brazil, to develop and test adequacy of research instruments, assessing the possibility of a fullscale study in a reference hospital and designing a research protocol.…”

Section: Introductionmentioning

confidence: 99%

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KANET in Brazil: First Experience

Neto¹

2015

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Objective: The goal of this pilot test is to compare Kurjak's antenatal neurological test (KANET) results between high and low-risk pregnancies and see the feasibility of using this test on a larger scale in Brazil. Methods:We applied KANET test in high-risk (n = 17) and low-risk (n = 34) pregnancies and compared the results.Results: There was a significant difference between groups of high-risk and low-risk pregnancies for all parameters in KANET score 2. For KANET score 0, 5 out of 8 parameters where significant different: isolated head anteflexion, cranial sutures and head circumference, isolated hand movement or hand to face movements, isolated leg movement and fingers movements. All abnormal KANET result came from high-risk pregnancies (17.6%). No low-risk pregnancies presented KA-NET score 0. Efficacy and effectiveness were not evaluated due to the imprecision inherent in data from small samples. Conclusion:This successful preliminary study of KANET in Brazil showed important differences in fetal behavior between the low and high-risk pregnancies, and can be used as information of feasibility and identify modifications needed in the design of a larger testing study.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

KANET in Brazil: First Experience

Neto¹

2015

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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“…A landmark in the study of fetal movements is certainly the creation of Kurjak Antenatal Neurodevelopmental Test (KANET). 51 KANET evaluates eight fetal parameters and estimates variability, complexity, and fluency of isolated and general movements (for example isolated head anteflexion, hand to face movement, etc.) which hopefully will give insights into CNS maturation, as well as into functional and structural abnormalities.…”

Section: Present Status Of Fetal Brain Assessment By Ultrasoundmentioning

confidence: 99%

Past, Present and Future of Fetal Brain Assessment

Saling¹,

Honemeyer²

2013

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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The fetal brain as focus of scientific interest could not emerge before the 20th century. This was only possible after a long history of parallel advances in the fields of anatomy, physiology, pathology and imaging techniques. Some of these are presented in this article. We are providing (1) a historical overview about 'the brain in science' in general, (2) a historic overview about fetal brain assessment and (3) an overview of the present and reflections about the future of fetal brain assessment.

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“…A landmark in the study of fetal movements is certainly the creation of KANET [21] , as a result of longitudinal evaluation of typical fetal movements in all three trimesters, and as a review of the existing knowledge about links between abnormal fetal movements and functional and structural CNS abnormalities [15,22,23] .…”

Section: Fetal Behaviormentioning

confidence: 99%

“…To assess fetal behavior, we used a new neurobehavioral test, the Kurjak Antenatal Neurodevelopmental Test (KANET), to characterize the motor performance of the fetuses in low-and high-risk pregnancies in relation to fetal hemodynamic changes assessed by Doppler. The test and the fi rst reports on its clinical value are described in detail elsewhere [21] .…”

Section: Introductionmentioning

confidence: 99%

Comparison between antenatal neurodevelopmental test and fetal Doppler in the assessment of fetal well being

Kurjak

Talić

Honemeyer

et al. 2012

Journal of Perinatal Medicine

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Aims: The primary aim of this study was to compare circulatory changes in the fetal brain under certain pathological conditions with alterations in fetal behavior. Patients and methods: A prospective longitudinal cohort study on fetal behavior of fetuses from singleton pregnancies between the 28 th and 38 th gestational week in the period from March 2009 to October 2011 was undertaken. There were 596 fetuses in the high-risk group and 273 fetuses in the low-risk group. Elevated umbilical artery Doppler pulsatility index and reduced middle cerebral artery pulsatility index obtained in the absence of fetal movements were considered abnormal. The Kurjak Antenatal Neurodevelopmental Test (KANET) was used to assess fetal behavior. Results: Statistically signifi cant differences in the distribution of normal, abnormal, and borderline KANET scores between low-risk and high-risk groups were found. Furthermore, 596 fetuses from the high-risk group were subdivided into subgroups according to the risk factor. The largest proportion of abnormal KANET scores (23.9 % ) was in the subgroup of fetuses whose mothers had an offspring diagnosed with cerebral palsy (23.9 % ), followed by the proportion of borderline KANET scores in the subgroup of fetuses from febrile mothers (12.7 % ). Fetal behavior was signifi cantly different between the normal group and the following subgroups of fetuses: fetal growth restriction (FGR), gestational diabetes mellitus, threatened preterm birth, antepartal hemorrhage, maternal fever, sibling with cerebral palsy, and polyhydramnios. Conclusions: A new clinical application of the KANET test in early identifi cation of fetuses at risk for adverse neurological outcome was demonstrated.

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New scoring system for fetal neurobehavior assessed by three- and four-dimensional sonography

Abstract: A new scoring system for the assessment of neurological status for antenatal application is proposed, similar to the neonatal optimality test of Amiel-Tison. This preliminary work may help in detecting fetal brain and neurodevelopmental alterations due to in utero brain impairment.

Cited by 148 publications

References 38 publications

KANET in Brazil: First Experience

KANET in Brazil: First Experience

Past, Present and Future of Fetal Brain Assessment

Comparison between antenatal neurodevelopmental test and fetal Doppler in the assessment of fetal well being

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