Sybil Rose, S. Y. Farooq, M. Fatima, Syed Amir Gilani, Athar Shams Rana, Iqra Ramzan
{"title":"Correlation Between Fetal Umbilical Artery and Middle Cerebral Artery Doppler Indices in Preeclamptic and Normotensive Pregnancies","authors":"Sybil Rose, S. Y. Farooq, M. Fatima, Syed Amir Gilani, Athar Shams Rana, Iqra Ramzan","doi":"10.1177/87564793231225447","DOIUrl":"https://doi.org/10.1177/87564793231225447","url":null,"abstract":"To assess the correlation between fetal umbilical artery (UA) and middle cerebral artery (MCA) Doppler indices in a cohort of preeclamptic and normotensive pregnancies. This cross-sectional analytical study recruited 70 pregnant women (28–40 weeks of gestation) using a non-probability convenient technique. The study included 33 patients with preeclampsia and 37 normotensive participants. In the normotensive group, a significant ( P = .00) strong correlation ( r = 0.72) was observed between UA velocity, systolic/diastolic (S/D) ratio, and pulsatility index (PI), and MCA velocity; a significant ( P = .00) correlation ( r = 0.56) between UA, S/D ratio, and the MCA resistive index (RI); a significant ( P = .00) moderate correlation ( r = 0.66) between S/D ratio, UA velocity, and MCA velocity; a significant ( P = .00) negative correlation ( r = −0.50) between UA velocity, RI, and MCA PI; a significant ( P = .01) negative correlation ( r = −0.44) between UA velocity, RI, and MCA S/D ratio. In contrast, in the preeclamptic group, we observed a substantial ( P = .01) moderate correlation ( r = 0.43) between UA, PI, and MCA velocity; a significant ( P = .04) correlation ( r = 0.368) between UA, RI, and MCA PI; a significant ( P = .05) moderate correlation ( r = 0.35) between UA, PI, and MCA RI; a significant ( P = .00) strong correlation ( r = 0.83) between UA S/D ratio UA and MCA velocity. This study suggests potential diagnostic value in Doppler measurements for assessing preeclampsia-related vascular changes. However, caution is warranted owing to a split sample and limited statistical power, necessitating further research for validation.","PeriodicalId":504375,"journal":{"name":"Journal of Diagnostic Medical Sonography","volume":"51 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139857497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Outlet Ventricular Septal Defect: A Case Report on the Importance of Multi-Window Sonographic Assessment","authors":"Eric Kallstrom","doi":"10.1177/87564793231223126","DOIUrl":"https://doi.org/10.1177/87564793231223126","url":null,"abstract":"Congenital heart disease (CHD) is the existence of structural heart problems since the formation of the heart prebirth. There are different categories of CHD, all having their own unique frequency and severity characteristics. One type of CHD is a ventricular septal defect (VSD), more specifically outlet VSD. A VSD is the most common congenital heart defect; however, their presentation can be quite complex. Color and spectral Doppler transthoracic echocardiography (TTE) are valuable tools used in the diagnosis of VSDs. The often-challenging presentation of these defects requires sonographers to confirm their existence through the parasternal long-axis, parasternal short-axis, apical four chamber, apical three chamber, and apical five chamber scanning windows. Although VSDs are the most common congenital heart defect, their wide-ranging uniqueness and location along the interventricular septum (IVS) to assess all areas along the IVS on all exams, specifically those that demonstrate left-to-right shunting. The objective of this case report was to stress the importance of multi-window assessment during the sonographer’s interrogation of outlet VSDs, due to the potential implications on adjacent anatomy and the potential for surgical intervention.","PeriodicalId":504375,"journal":{"name":"Journal of Diagnostic Medical Sonography","volume":"10 31","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139523627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kosar Jafari, S. M. Abedi, Mahboubeh Jafari Sarouei, Seyedeh Mahsa Salehpour, Atekeh Hadinezhad Makrani, Marziyeh Taji, Hamid Mohammadjafari
{"title":"The Role of Varied Sonographic Criteria for Predicting Treatment and Prognosis of Antenatal Hydronephrosis: A Retrospective Cohort Study","authors":"Kosar Jafari, S. M. Abedi, Mahboubeh Jafari Sarouei, Seyedeh Mahsa Salehpour, Atekeh Hadinezhad Makrani, Marziyeh Taji, Hamid Mohammadjafari","doi":"10.1177/87564793231221735","DOIUrl":"https://doi.org/10.1177/87564793231221735","url":null,"abstract":"This study aimed to compare the Society of Fetal Urology (SFU) guidelines, the anteroposterior pelvic diameter (APD), and the urinary tract dilation (UTD) classification criteria for predicting the prognosis of antenatal hydronephrosis (AH). This was a retrospective analysis of the relationship among the three classification criteria and their contribution to the diagnosis and prognosis of possible AH in a cohort of neonates. This study was a retrospective review of 290 neonates. The mean age was 16.4 ± 9.0 days, and 33% of the study population comprised female babies. An image review demonstrated that 35% of the patients had severe vesicoureteral reflux (VUR), 22% exhibited severe obstruction, 40% had transient hydronephrosis, and 9% required surgery. The antenatal SFU grading criteria demonstrated a significant relationship with severe obstruction, and the postnatal SFU grading was related to the severity of VUR. The highest sensitivity for the presence of VUR for surgical intervention was obtained for prenatal SFU-1 (100%). The highest specificity was for prenatal SFU-4 (96%) for the presence of VUR, prenatal SFU-4 (99%), and postnatal SFU-4 (94%) for surgical intervention. No reliable sonographic findings were found to predict VUR or severe ureteropelvic junction obstruction. The SFU grading during the postnatal period may predict VUR with low sensitivity and specificity. However, all three classification criteria contributed to the evaluation of the need for treatment in this cohort.","PeriodicalId":504375,"journal":{"name":"Journal of Diagnostic Medical Sonography","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139524554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Arthur Babayan, Rivka Hellmann, I. Struk, Marie-Claire Roberts
{"title":"The Effects of Placental Location on Maternal and Neonatal Outcomes: A Retrospective Cohort Study","authors":"Arthur Babayan, Rivka Hellmann, I. Struk, Marie-Claire Roberts","doi":"10.1177/87564793231221754","DOIUrl":"https://doi.org/10.1177/87564793231221754","url":null,"abstract":"Published research exists that investigates placental location, as well as maternal and fetal outcomes. It is posited that placental location could be an indicator of subsequent maternal and or infant outcomes that could be identified and proactively treated. The aim of this study was to determine whether indeed there is an association between placental location and specific maternal or fetal outcomes. A retrospective chart review was conducted on 361 women, who delivered and had obstetric sonograms in a New York academic hospital, between June 2019 and December 2020. The study variables compared to placental location were maternal demographics, substance use during pregnancy, body mass index, blood type, parity, prenatal care, rupture of membranes, mode of delivery, postpartum hemorrhage, systolic/diastolic (S/D) ratio of the umbilical artery, placental location, gestational age at delivery, birth weight, Apgar scores (1 and 5 minutes), and fetal gender. Statistical significance was appreciated in the 5-minute Apgar score category between anterior and posterior placentas ( P = .03). Further prospective research is needed to determine whether different placental locations indeed has an effect on maternal or neonatal outcomes, in which case women may benefit from more intensive pregnancy monitoring.","PeriodicalId":504375,"journal":{"name":"Journal of Diagnostic Medical Sonography","volume":"13 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139444079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yuya Kobayashi, Y. Kondo, Kanji Yamamoto, Yoshiki Sekijima
{"title":"Transesophageal Echocardiography Utilization to Visualize Thrombi in the Pulmonary Vein Stump, Post Lung Lobectomy","authors":"Yuya Kobayashi, Y. Kondo, Kanji Yamamoto, Yoshiki Sekijima","doi":"10.1177/87564793231219010","DOIUrl":"https://doi.org/10.1177/87564793231219010","url":null,"abstract":"Lung lobectomy can cause a cerebral infarction due to thrombus formation in the pulmonary vein (PV). While contrast-enhanced computed tomography (CT) has commonly been used to detect thrombi, the utility of transesophageal echocardiography (TEE) for thrombus visualization, in the PV stump, is less known. Herein, a series of cases are provided, in which TEE was able to detect a thrombus in the PV stump, as an embolic source of a cerebral infarction. Transesophageal echocardiography is a powerful imaging technique for evaluating thrombi mobility and properties, which are impossible with enhanced CT. Thus, TEE can contribute to identifying the cause of stroke when the embolic source is unknown.","PeriodicalId":504375,"journal":{"name":"Journal of Diagnostic Medical Sonography","volume":"24 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139457875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}