Antenatal diagnosis of chorioamnionitis: A review of the potential role of fetal and placental imaging.
Journal
Prenatal diagnosis
ISSN: 1097-0223
Titre abrégé: Prenat Diagn
Pays: England
ID NLM: 8106540
Informations de publication
Date de publication:
07 2022
07 2022
Historique:
revised:
09
05
2022
received:
18
01
2022
accepted:
17
05
2022
pubmed:
8
6
2022
medline:
20
7
2022
entrez:
7
6
2022
Statut:
ppublish
Résumé
Chorioamnionitis is present in up to 70% of spontaneous preterm births. It is defined as an acute inflammation of the chorion, with or without involvement of the amnion, and is evidence of a maternal immunological response to infection. A fetal inflammatory response can coexist and is diagnosed on placental histopathology postnatally. Fetal inflammatory response syndrome (FIRS) is associated with poorer fetal and neonatal outcomes. The only antenatal diagnostic test is amniocentesis which carries risks of miscarriage or preterm birth. Imaging of the fetal immune system, in particular the thymus and the spleen, and the placenta may give valuable information antenatally regarding the diagnosis of fetal inflammatory response. While ultrasound is largely limited to structural information, MRI can complement this with functional information that may provide insight into the metabolic activities of the fetal immune system and placenta. This review discusses fetal and placental imaging in pregnancies complicated by chorioamnionitis and their potential future use in achieving non-invasive antenatal diagnosis.
Identifiants
pubmed: 35670265
doi: 10.1002/pd.6188
pmc: PMC9543023
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1049-1058Subventions
Organisme : Wellcome/EPSRC Centre for Medical Engineering
ID : WT203148/Z/16/Z
Organisme : NIH Human Placenta Project
ID : 1U01HD087202-01
Organisme : Wellcome Trust, Sir Henry Wellcome Fellowship
ID : 201374/Z/16/Z
Organisme : UKRI, FLF
ID : MR/T018119/1
Organisme : Health Education England/National Institute for health Research
ID : 301664
Informations de copyright
© 2022 The Authors. Prenatal Diagnosis published by John Wiley & Sons Ltd.
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