The efficacy assessment of thigh volume in predicting intrauterine fetal growth restriction by three-dimensional ultrasound

Chang, Cheng-Yen; Chen, Yu; Ko, Huei Chen; Chen, Chu Ling; Chang, Feng-Cheng

doi:10.1016/j.ultrasmedbio.2005.04.006

Cited by 14 publications

(11 citation statements)

References 32 publications

(40 reference statements)

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“…3D ultrasound has been used to quantify soft tissue and assess limb volume. Earlier studies measured the entire extremity volume, which was time consuming [17,18]. FLV is a sonographic tool that has been used to assess the fetal nutritional status.…”

Section: Discussionmentioning

confidence: 99%

Fractional Limb Volume in Spina Bifida Fetuses as an Assessment Tool for Postnatal Ambulation

et al. 2019

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Background: Prenatal fractional limb volume (FLV) can be used to assess muscle atrophy in fetuses with myelomeningocele. Objective: We hypothesize that FLV in fetal myelomeningocele (fMMC) repair is different from postnatal repair (PNR). Assessing intrauterine muscle development can predict ambulation. Methods: A prospective observational study was performed from July 2012 to April 2016. Demographics, clinical outcomes, and FLV of the fetal thigh were assessed by ultrasound. Ambulation videos were collected from patients over 30 months of age. FLV was compared between the fMMC and PNR groups and between ambulators and non-ambulators. Two-sample t test, ANOVA, Spearman's rho correlation, and Bland-Altman plots were used for analysis. A p value < 0.05 was used for statistical significance. Results: Fifty-nine patients were included, 24 had fMMC and 35 had PNR. Videos were obtained in 47 cases (73%). There was no difference in baseline demographics between the groups. There was no significant change in the fMMC group between the FLV at initial presentation and the repeat at 34 weeks gestation (54.5 ± 28.2 and 62.2% ± 16.4; p = 0.6). In contrast, the FLV in the PNR decreased between the initial evaluation and the repeat at 34 weeks (54.1 ± 27.7 to 35.8 ± 34.1%; p = 0.04). FLV at 34 weeks gestation was higher in the fMMC group as compared to the PNR group (62.2 ± 16.4 vs. 35.8 ± 34.1%; p = 0.02). There was no difference in FLV between ambulators and non-ambulators either at initial evaluation (p = 0.8) or at 34 weeks gestation (p = 0.6). Conclusion: Lower FLV in the PNR group compared to fMMC may suggest in utero muscle atrophy. No correlation was seen between FLV and subsequent ambulation; however, future larger studies may be needed.

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Section: Discussionmentioning

confidence: 99%

Fractional Limb Volume in Spina Bifida Fetuses as an Assessment Tool for Postnatal Ambulation

et al. 2019

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“…In this study, fetal RV assessment using 3-D US provides more new evidence. Furthermore, from our previous studies, the organ volume assessment by 3-D US is very useful in prenatal detection of FGR (Chang et al 2005a(Chang et al , 2005b(Chang et al , 2006a(Chang et al , 2006b(Chang et al , 2007, and in this series, RV assessment using 3-D US is proved to be a new tool in the prenatal diagnosis of FGR.…”

Section: Discussionmentioning

confidence: 66%

“…Moreover, precise quantitative measurement of fetal organ dimensions becomes possible when the 3-D volume is retrieved (Lee et al 1994;Merz et al 1995). Since our first report of primary application of 3-D US in obstetrics (Kuo et al 1992), we have published a series of fetal organ volume assessment using 3-D US, including fetal liver, heart, cerebellum, adrenal gland, lung, brain, thigh and humerus from early second trimester to third trimester, and we obtained more precise results than using 2-D US (Chang et al 2005a(Chang et al , 2005b(Chang et al , 2006a(Chang et al , 2006b(Chang et al , 2007Chang et al 1997).…”

Section: Introductionmentioning

confidence: 88%

Predicting Fetal Growth Restriction With Renal Volume Using 3-D Ultrasound: Efficacy Evaluation

Chang

Tsai

Chen

et al. 2008

Ultrasound in Medicine & Biology

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“…Recent publications have reported that upper-arm and thigh volumes are better at predicting FGR than conventional 2DUS parameters such as BPD, occipito-frontal diameter, HC, AC, FL and estimated fetal weight [20,21]. Table I.…”

Section: Discussionmentioning

confidence: 99%

Prediction of birth weight using fetal thigh and upper-arm volumes by three-dimensional ultrasonography in a Brazilian population

Nardozza

Vieira

Júnior

et al. 2010

The Journal of Maternal-Fetal & Neonatal Medicine

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The efficacy assessment of thigh volume in predicting intrauterine fetal growth restriction by three-dimensional ultrasound

Cited by 14 publications

References 32 publications

Fractional Limb Volume in Spina Bifida Fetuses as an Assessment Tool for Postnatal Ambulation

Fractional Limb Volume in Spina Bifida Fetuses as an Assessment Tool for Postnatal Ambulation

Predicting Fetal Growth Restriction With Renal Volume Using 3-D Ultrasound: Efficacy Evaluation

Prediction of birth weight using fetal thigh and upper-arm volumes by three-dimensional ultrasonography in a Brazilian population

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