Ultrasound in Obstetrics & Gynecology最新文献

{"title":"Near-miss criteria for stillbirth in global research: the 'In Utero' consensus.","authors":"S J Gordijn, A T Papageorghiou, A L David, S Ali, W Ganzevoort","doi":"10.1002/uog.29120","DOIUrl":"10.1002/uog.29120","url":null,"abstract":"","PeriodicalId":23454,"journal":{"name":"Ultrasound in Obstetrics & Gynecology","volume":" ","pages":"5-8"},"PeriodicalIF":6.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prediction of vesicouterine adhesions by transvaginal sonographic sliding sign technique: validation study.","authors":"N Min, J van Keizerswaard, R H Visser, N B Burger, J W T Rake, J W M Aarts, T Van den Bosch, M Leonardi, J A F Huirne, R A de Leeuw","doi":"10.1002/uog.29128","DOIUrl":"10.1002/uog.29128","url":null,"abstract":"<p><strong>Objective: </strong>Adhesions between the uterus, bladder and anterior abdominal wall are associated with clinical sequelae, including chronic pelvic pain and dyspareunia, and can also yield complications during surgery. The transvaginal sonographic (TVS) sliding bladder sign is a minimally invasive diagnostic tool to evaluate the presence of vesicouterine adhesions. This study aimed to determine the predictive value and intra- and interobserver variation of the TVS sliding bladder sign in the assessment of vesicouterine adhesions.</p><p><strong>Methods: </strong>This was a prospective observational double-blind diagnostic accuracy study conducted at the Amsterdam University Medical Center. Patients scheduled for gynecological laparoscopic surgery for a benign disorder between January 2020 and December 2022 were included consecutively. All patients underwent preoperative TVS, including a dynamic sliding bladder sign examination in our outpatient clinic. Videoclips of the TVS scans were stored for offline assessment and used as an index test. The recordings of both TVS and laparoscopy were evaluated for diagnostic characteristics of vesicouterine adhesions by independent assessors, who were blinded to the clinical situation in addition to the laparoscopic findings when assessing recordings of TVS and vice versa. The presence of adhesions on laparoscopy was used as the reference standard. The positive predictive value (PPV), negative predictive value (NPV), specificity and sensitivity of the sliding bladder sign were calculated. In addition, inter- and intraobserver variability of the sliding bladder sign on TVS were assessed.</p><p><strong>Results: </strong>Of 116 included women, 57 had a negative sliding bladder sign on TVS, while on laparoscopy, 51 women had mild and 28 had severe vesicouterine adhesions. A negative sliding bladder sign had a PPV of 94.7% (95% CI, 88.9-100%) for the presence of any vesicouterine adhesions, and a positive sliding bladder sign had a specificity of 91.9% (95% CI, 83.1-100%). For severe adhesions, the negative sliding bladder sign had a sensitivity of 89.3% (95% CI, 77.8-100%) and a positive sliding bladder sign had a NPV of 94.9% (95% CI, 89.3-100%). When using Cohen's kappa coefficient, inter- and intraobserver agreement between assessors was good.</p><p><strong>Conclusions: </strong>Sliding bladder sign evaluation using TVS is a reliable diagnostic tool for the prediction of vesicouterine adhesions on laparoscopy. A negative sliding bladder sign indicates the presence of vesicouterine adhesions, while a positive sliding bladder sign makes the presence of severe adhesions unlikely. Establishing vesicouterine adhesions by TVS may optimize preoperative planning, and can be used for future studies to evaluate the relationship between symptomatology and vesicouterine adhesions and, subsequently, the effect of adhesion-prevention interventions. © 2024 The Authors. Ultrasound in Obstetrics & Gynecology publis","PeriodicalId":23454,"journal":{"name":"Ultrasound in Obstetrics & Gynecology","volume":" ","pages":"114-121"},"PeriodicalIF":6.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11693815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retroperitoneal cyst with iliac stent involvement as primary manifestation of cystic echinococcosis.","authors":"E Teodorico, F Moro, A Santoro, G Scaglione, A Infante, C Silvi, M Granata, G Zannoni, G Scambia, A C Testa","doi":"10.1002/uog.27672","DOIUrl":"10.1002/uog.27672","url":null,"abstract":"","PeriodicalId":23454,"journal":{"name":"Ultrasound in Obstetrics & Gynecology","volume":" ","pages":"128-129"},"PeriodicalIF":6.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prenatal diagnosis of rare case of macrostomia initially suspected as retrognathia.","authors":"M S Scalia, A Traunero, L Travan, F Cossovel, L Lo Bello, T Stampalija","doi":"10.1002/uog.27683","DOIUrl":"10.1002/uog.27683","url":null,"abstract":"","PeriodicalId":23454,"journal":{"name":"Ultrasound in Obstetrics & Gynecology","volume":" ","pages":"123-125"},"PeriodicalIF":6.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of interindividual follicular size variation at ovulation in natural-cycle frozen embryo transfer.","authors":"J Edades, E Kalafat, B Ata, R Del Gallego, H Fatemi, B Lawrenz","doi":"10.1002/uog.29123","DOIUrl":"10.1002/uog.29123","url":null,"abstract":"","PeriodicalId":23454,"journal":{"name":"Ultrasound in Obstetrics & Gynecology","volume":" ","pages":"125-127"},"PeriodicalIF":6.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critical procedural steps in intrauterine transfusion: Delphi survey of international experts.","authors":"E Moise, K J Moise, M Nwokocha, K Lowry, E Hutson, D P de Winter","doi":"10.1002/uog.29151","DOIUrl":"https://doi.org/10.1002/uog.29151","url":null,"abstract":"<p><strong>Objective: </strong>To determine consensus, using Delphi methodology, on the critical procedural steps for intravascular intrauterine transfusion (IUT) for the treatment of fetal anemia.</p><p><strong>Methods: </strong>We conducted a two-part Delphi survey of international experts in fetal intervention. The first round of the survey proposed 32 potentially critical steps for the IUT procedure. Participants were asked to rate all steps on a Likert scale ranging from 1 (not important) to 5 (absolutely essential). We calculated the mean Likert score and 95% CI for all steps. Procedural steps were determined to be critical if the lower bound of the 95% CI was ≥ 3.0 and were excluded if the upper bound of the 95% CI was ≤ 3.5. In the second round of the survey, participants were asked specific questions regarding parameters associated with the procedural steps determined to be critical in the first round.</p><p><strong>Results: </strong>Overall, 49 individuals from 24 different countries (six continents) participated in both rounds of the Delphi survey. The median length of experience in fetal medicine was 21 (range, 4-38) years. The median number of IUT procedures performed annually per respondent was 20 (range, 2-80). Of the 32 proposed procedural steps, 20 were determined to be critical and 12 non-critical procedural steps were excluded. Respondents indicated that an individual should perform a median of 20 (range, 10-50) IUT procedures during training to attain competency, and that the median number of IUT procedures required annually to maintain competency was 10 (range, 5-20). There was marked variation between respondents in how they performed the following critical IUT procedural steps: preparation of donor blood, preoperative medication, maternal anesthesia, site chosen for cordocentesis, use of fetal paralysis, method for determining fetal hematocrit, postoperative care and decision to schedule a subsequent IUT.</p><p><strong>Conclusions: </strong>The findings of this international Delphi survey can be used to standardize the approach to performing IUT. An experienced fetal interventionist should perform the procedure, and in centers in which IUT is performed infrequently, referral to a more experienced center should be considered. Calculating the specific volume of blood to transfuse at the start of the procedure and undertaking continuous fetal heart-rate monitoring once the gestational-age threshold for viability is reached were ranked highest in the intra- and postoperative phases of the procedure, respectively. © 2024 International Society of Ultrasound in Obstetrics and Gynecology.</p>","PeriodicalId":23454,"journal":{"name":"Ultrasound in Obstetrics & Gynecology","volume":"65 1","pages":"78-84"},"PeriodicalIF":6.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hypoplastic left heart complex with restrictive foramen ovale: challenges in predicting clinical outcome.","authors":"B T Haughian, L C Mills, L K Hornberger","doi":"10.1002/uog.29146","DOIUrl":"10.1002/uog.29146","url":null,"abstract":"","PeriodicalId":23454,"journal":{"name":"Ultrasound in Obstetrics & Gynecology","volume":" ","pages":"122-123"},"PeriodicalIF":6.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re: Role of artificial-intelligence-assisted automated cardiac biometrics in prenatal screening for coarctation of aorta.","authors":"G R DeVore","doi":"10.1002/uog.29158","DOIUrl":"https://doi.org/10.1002/uog.29158","url":null,"abstract":"","PeriodicalId":23454,"journal":{"name":"Ultrasound in Obstetrics & Gynecology","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply.","authors":"K Mikolaj, C A Taksøe-Vester, O B B Petersen, N G Vejlstrup, A N Christensen, A Feragen, M Nielsen, M B S Svendsen, M G Tolsgaard","doi":"10.1002/uog.29160","DOIUrl":"https://doi.org/10.1002/uog.29160","url":null,"abstract":"","PeriodicalId":23454,"journal":{"name":"Ultrasound in Obstetrics & Gynecology","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do some levator avulsions improve over time?","authors":"H P Dietz, K L Shek, J Descallar","doi":"10.1002/uog.27702","DOIUrl":"10.1002/uog.27702","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether the sonographic appearance of levator ani muscle avulsion after vaginal birth can improve significantly over the first few years postpartum.</p><p><strong>Methods: </strong>This was a retrospective study of women seen in the context of two prospective perinatal imaging studies. All subjects had undergone an interview, clinical examination and four-dimensional translabial ultrasound on average 4.3 months and 3.1 years postpartum. Volume datasets were analyzed at a later date, with the examiner blinded against all other data. The number of abnormal slices at both timepoints was compared using the Mann-Whitney U-test. Patients in whom findings had changed over time were reviewed separately, in parallel, in order to reduce the impact of differences in slice location and imaging settings. The symmetry test was used to analyze changes between the two postnatal visits.</p><p><strong>Results: </strong>Of 1148 women recruited originally, 315 attended at least two postnatal visits. Forty-two were excluded, leaving 273 women for the final analysis. The mean time of first follow-up was 4.3 (range, 2.6-9.8) months after their first birth and the mean time of last follow-up was 3.1 (range, 1.4-8.0) years postpartum. Cohen's κ for the category of avulsion (normal, partial avulsion and full avulsion) at the two assessments was 0.89, with agreement in 97% (264/273) of cases. At the first visit, full levator ani muscle avulsion was diagnosed in 20, partial avulsion in 32 and no avulsion in 221 women. While seven partial avulsions appeared sonographically normal at the second visit, there were no statistically significant changes in avulsion category between visits (P = 0.4).</p><p><strong>Conclusions: </strong>Tomographic pelvic floor imaging obtained 3-10 months after childbirth may be used as a proxy for long-term outcomes. Ultrasound findings at a mean of 3.1 years postpartum showed 97% agreement with findings obtained on imaging at a mean of 4.3 months postpartum. There was a non-significant reduction in abnormal slices at the second follow-up visit, affecting at most 3/12 slices. This may be explained by compensatory hypertrophy of the remaining intact muscle. Sonographic normalization of full levator ani muscle avulsion was not observed. © 2024 International Society of Ultrasound in Obstetrics and Gynecology.</p>","PeriodicalId":23454,"journal":{"name":"Ultrasound in Obstetrics & Gynecology","volume":" ","pages":"818-823"},"PeriodicalIF":6.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141065780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}