Analysis of Quality of Nuchal Translucency Measurements
作者： Mónica Echevarria , Carmen Comas , Bernat Serra , Ignacio Rodríguez , Joan Sabrià
DOI: 10.5005/JP-JOURNALS-10009-1187
关键词: CUSUM 、 Nuclear medicine 、 Prenatal screening 、 Nuchal translucency 、 Nuchal Translucency Measurement 、 Medicine 、 Pediatrics 、 Fetal medicine
摘要: Objective: Quantitative analysis of the quality nuchal translucency (NT) measurements.Methods: This is a retrospective single-center study. NT was measured according to Fetal Medicine Foundation (FMF) criteria by 20trained obstetricians (October 2003-November 2009). The performance measurements analyzed with regard severalquality control standards. Accuracy experience, professional profile, crown-rump length (CRL) values and FMF certificationwas statistically tested.Results: A total 14,978 were assessed. (1) mean operator-specific median NT-MoM 0.98. (2) Meanpercentage cases >95th 60 mm had statistical impact improving thesestandards.Conclusion: Overall standards show optimal in our unit. Experience dedicated profile fetal medicineultrasound, CRL over certification has significant positive on
jaypeejournals.com参考文章(21)
George J Knight, Glenn E Palomaki, Epidemiologic monitoring of prenatal screening for neural tube defects and Down syndrome. Clinics in Laboratory Medicine. ,vol. 23, pp. 531- 551 ,(2003) , 10.1016/S0272-2712(03)00023-4
Glenn E Palomaki, Jo Ellen S Lee, Jacob A Canick, Geraldine A McDowell, Alan E Donnenfeld, ACMG Laboratory Quality Assurance Committee, None, Technical standards and guidelines: Prenatal screening for Down syndrome that includes first-trimester biochemistry and/or ultrasound measurements Genetics in Medicine. ,vol. 11, pp. 669- 681 ,(2009) , 10.1097/GIM.0B013E3181AD5246
A. Herman, R. Maymon, E. Dreazen, E. Caspi, I. Bukovsky, Z. Weinraub, Nuchal translucency audit: a novel image-scoring method Ultrasound in Obstetrics and Gynecology. ,vol. 12, pp. 398- 403 ,(1998) , 10.1046/J.1469-0705.1998.12060398.X
R. J. M. Snijders, E. A. Thom, J. M. Zachary, L. D. Platt, N. Greene, L. G. Jackson, R. E. Sabbagha, K. Filkins, R. K. Silver, W. A. Hogge, N. A. Ginsberg, S. Beverly, P. Morgan, K. Blum, P. Chilis, L. M. Hill, J. Hecker, R. J. Wapner, First-trimester trisomy screening: nuchal translucency measurement training and quality assurance to correct and unify technique. Ultrasound in Obstetrics & Gynecology. ,vol. 19, pp. 353- 359 ,(2002) , 10.1046/J.1469-0705.2002.00637.X
D. J. Biau, R. Porcher, L. J. Salomon, CUSUM: a tool for ongoing assessment of performance Ultrasound in Obstetrics & Gynecology. ,vol. 31, pp. 252- 255 ,(2008) , 10.1002/UOG.5270
Mark Evans, David Krantz, Terry Hallahan, John Sherwin, 357: Skewed to the left: under-measurement of NT's and implications for screening efficiency American Journal of Obstetrics and Gynecology. ,vol. 201, ,(2009) , 10.1016/J.AJOG.2009.10.372
L. H. KORNMAN, L. P. MORSSINK, J. R. BEEKHUIS, B. T. H. M. DE WOLF, M. P. HERINGA, A. MANTINGH, Nuchal translucency cannot be used as a screening test for chromosomal abnormalities in the first trimester of pregnancy in a routine ultrasound practice. Prenatal Diagnosis. ,vol. 16, pp. 797- 805 ,(1996) , 10.1002/(SICI)1097-0223(199609)16:9<797::AID-PD948>3.0.CO;2-M
Laurent J Salomon, Yves Ville, The science and art of quality in obstetric ultrasound Current Opinion in Obstetrics and Gynecology. ,vol. 21, pp. 153- 160 ,(2009) , 10.1097/GCO.0B013E3283294862
K. O. Kagan, D. Wright, A. Etchegaray, Y. Zhou, K. H. Nicolaides, Effect of deviation of nuchal translucency measurements on the performance of screening for trisomy 21. Ultrasound in Obstetrics & Gynecology. ,vol. 33, pp. 657- 664 ,(2009) , 10.1002/UOG.6370
Glenn E Palomaki, Louis M Neveux, Alan Donnenfeld, Jo Ellen S Lee, Geraldine McDowell, Jacob A Canick, Anne Summers, Geralyn Lambert-Messerlian, Leonard H Kellner, Arthur Zebelman, James E Haddow, Quality assessment of routine nuchal translucency measurements: a North American laboratory perspective. Genetics in Medicine. ,vol. 10, pp. 131- 138 ,(2008) , 10.1097/GIM.0B013E3181616BF8