Clinical impact of Doppler reference charts on management of small-for-gestational-age fetuses: need for standardization.
Adult
Female
Fetal Development
Fetal Growth Retardation
/ diagnostic imaging
Fetus
/ blood supply
Gestational Age
Growth Charts
Humans
Infant, Newborn
Infant, Small for Gestational Age
Middle Cerebral Artery
/ diagnostic imaging
Placental Circulation
Pregnancy
Pulsatile Flow
Reference Values
Ultrasonography, Doppler
/ standards
Ultrasonography, Prenatal
/ standards
Umbilical Arteries
/ diagnostic imaging
Doppler
Doppler reference values
SGA
cerebroplacental ratio
fetal growth restriction
middle cerebral artery
umbilical artery
Journal
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
ISSN: 1469-0705
Titre abrégé: Ultrasound Obstet Gynecol
Pays: England
ID NLM: 9108340
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
08
03
2019
revised:
09
06
2019
accepted:
17
06
2019
pubmed:
27
6
2019
medline:
15
12
2021
entrez:
26
6
2019
Statut:
ppublish
Résumé
To assess clinical variability in the management of small-for-gestational-age (SGA) fetuses according to different published Doppler reference charts for umbilical artery (UA) and fetal middle cerebral artery (MCA) Doppler indices and cerebroplacental ratio (CPR). We performed a systematic search of MEDLINE, EMBASE, CINAHL and the Web of Science databases from 1954 to 2018 for studies with the sole aim of creating fetal Doppler reference values for UA, MCA and CPR. The top cited articles for each Doppler parameter were included. Variability in Doppler values at the following clinically relevant cut-offs was assessed: UA-pulsatility index (PI) > 95 From a total of 40 studies that met the inclusion criteria, 19 were analyzed (13 for UA-PI, 10 for MCA-PI and five for CPR). Wide discrepancies in reported Doppler reference values at clinically relevant cut-offs were found. MCA-PI showed the greatest variability, with differences of up to 51% in the 5 The choice of Doppler reference chart can result in significant variation in the clinical management of SGA fetuses, which may lead to suboptimal outcomes and inaccurate research conclusions. Therefore, an attempt to standardize fetal Doppler reference ranges is needed. Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
166-172Informations de copyright
Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd.
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