Magnetic resonance fetal right lung volumetry and its efficacy in predicting postnatal short-term outcomes of congenital left-sided diaphragmatic hernia.

作者: Nobuhiro Hidaka , Keisuke Ishii , Yoko Furutake , Ryo Yamamoto , Jun Sasahara

DOI: 10.1111/JOG.12210

关键词: Gestational ageCongenital diaphragmatic herniaSurgeryFetusLeft sidedLung volumesLungNuclear medicineMagnetic resonance imagingMedicineDiaphragmatic hernia

摘要: Aim We aimed to investigate whether the ratio of magnetic resonance imaging (MRI)-measured right lung volume (RLV) ultrasonography-estimated bodyweight (RLV/BW) and observed-to-expected (o/e) RLV are diagnostic value in predicting postnatal outcomes left congenital diaphragmatic hernia (CDH). Material Methods We included 32 CDH patients 34 control subjects. Manually outlined fetal areas on MRI were multiplied by slice thickness added determine entire volume. The association between RLV/BW with gestational age controls was examined using regression analysis. o/e compared surviving non-surviving neonates CDH. Results The expected derived formula (mm3) = 1.717 × (gestational weeks)2.82. In controls, nearly constant during third trimester. 27 survivors had a median 10.7 60.0, whereas five 4.3 22.6; differences statistically significant. Conclusion Assessment lungs volumetry is reliable for clinical use. potential predictors CDH.

参考文章(28)
L. van den Hout, I. Reiss, J.F. Felix, W.C.J. Hop, Pamela A. Lally, Kevin P. Lally, D. Tibboel, , Risk factors for chronic lung disease and mortality in newborns with congenital diaphragmatic hernia. Neonatology. ,vol. 98, pp. 370- 380 ,(2010) , 10.1159/000316974
XIAOBIN WANG, BERNARD GUYER, DAVID M PAIGE, Differences in Gestational Age-Specific Birthweight among Chinese, Japanese and White Americans International Journal of Epidemiology. ,vol. 23, pp. 119- 128 ,(1994) , 10.1093/IJE/23.1.119
Françoise Rypens, Thierry Metens, Nathalie Rocourt, Pascale Sonigo, Francis Brunelle, Marie Pierre Quere, Laurent Guibaud, Brigitte Maugey-Laulom, Chantal Durand, Fred E. Avni, Danièle Eurin, Fetal Lung Volume: Estimation at MR Imaging—Initial Results Radiology. ,vol. 219, pp. 236- 241 ,(2001) , 10.1148/RADIOLOGY.219.1.R01AP18236
Holly L. Hedrick, Enrico Danzer, Aziz Merchant, Michael W. Bebbington, Huaqing Zhao, Alan W. Flake, Mark P. Johnson, Kenneth W. Liechty, Lori J. Howell, R. Douglas Wilson, N. Scott Adzick, Liver position and lung-to-head ratio for prediction of extracorporeal membrane oxygenation and survival in isolated left congenital diaphragmatic hernia American Journal of Obstetrics and Gynecology. ,vol. 197, pp. 422- 423 ,(2007) , 10.1016/J.AJOG.2007.07.001
N. Shinozuka, Fetal biometry and fetal weight estimation: JSUM standardization The Ultrasound Review of Obstetrics & Gynecology. ,vol. 2, pp. 156- 161 ,(2002) , 10.3109/14722240208500478
Keith R. Duncan, Penny A. Gowland, Rachel J. Moore, Philip N. Baker, Ian R. Johnson, Assessment of Fetal Lung Growth in Utero with Echo-planar MR Imaging Radiology. ,vol. 210, pp. 197- 200 ,(1999) , 10.1148/RADIOLOGY.210.1.R99JA42197
C. F. A. Peralta, P. Cavoretto, B. Csapo, H. Vandecruys, K. H. Nicolaides, Assessment of lung area in normal fetuses at 12-32 weeks. Ultrasound in Obstetrics & Gynecology. ,vol. 26, pp. 718- 724 ,(2005) , 10.1002/UOG.2651
G. Gorincour, J. Bouvenot, M.G. Mourot, P. Sonigo, K. Chaumoitre, C. Garel, L. Guibaud, F. Rypens, F. Avni, M. Cassart, B. Maugey-Laulom, B. Bourlière-Najean, F. Brunelle, C. Durand, D. Eurin, Prenatal prognosis of congenital diaphragmatic hernia using magnetic resonance imaging measurement of fetal lung volume Ultrasound in Obstetrics & Gynecology. ,vol. 26, pp. 738- 744 ,(2005) , 10.1002/UOG.2618
Fergus V. Coakley, John B. Lopoo, Ying Lu, Hedvig Hricak, Craig T. Albanese, Michael R. Harrison, Roy A. Filly, Normal and Hypoplastic Fetal Lungs: Volumetric Assessment with Prenatal Single-Shot Rapid Acquisition with Relaxation Enhancement MR Imaging Radiology. ,vol. 216, pp. 107- 111 ,(2000) , 10.1148/RADIOLOGY.216.1.R00JN44107
D. Mahieu-Caputo, P. Sonigo, M. Dommergues, J.C. Fournet, J.C. Thalabard, C. Abarca, A. Benachi, F. Brunelle, Y. Dumez, Fetal lung volume measurement by magnetic resonance imaging in congenital diaphragmatic hernia British Journal of Obstetrics and Gynaecology. ,vol. 108, pp. 863- 868 ,(2001) , 10.1111/J.1471-0528.2001.00184.X