{"title":"I型持续性左上腔静脉的产前诊断与分型。","authors":"Tian-gang Li MD, Chuan-min Wei MD, Wen-rui Wu MD, Yu-Wu Sheng MD","doi":"10.1002/jum.16663","DOIUrl":null,"url":null,"abstract":"<div>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>This study aimed to assess the utility of two-dimensional (2D) ultrasonography in diagnosing and classifying fetal type I persistent left superior vena cava (PLSVC).</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>The diameter (D<sub>1</sub>) of the coronary sinus (CS) was measured in the four-chamber view and the diameter (D<sub>2</sub>) of the PLSVC was measured in the three-vessel trachea view; the ratio of the diameter of CS to PLSVC (D<sub>1</sub>/D<sub>2</sub>) and the ratio of gestational week (GA)/D<sub>1</sub> and GA/D<sub>2</sub> were calculated to analyze the correlation between measurement and classification of type I PLSVC.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Compared the parameter of Ia and Ib Group, the differences in D<sub>1</sub>, D<sub>2</sub>, GA/D<sub>1</sub>, and GA/D<sub>2</sub> were statistically significant (<i>P</i> < .05). D<sub>1</sub> and D<sub>2</sub> are independent factors for the differential diagnosis of type I PLSVC, with odds ratios (OR) of 5.397 and 2.661, respectively, and both are statistically significant (<i>P</i> < .05). The nomogram model exhibited superior performance in diagnosing type I PLSVC, with the highest AUC value of 0.853, a sensitivity of 96.55%, and a specificity of 66.25%.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The combination of D<sub>1</sub>, D<sub>2</sub>, GA/D<sub>1</sub>, and GA/D<sub>2</sub> is valuable for diagnosing and classifying fetal type I PLSVC, demonstrating significant clinical application value.</p>\n </section>\n </div>","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":"44 6","pages":"1033-1043"},"PeriodicalIF":2.1000,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prenatal Diagnosis and Classification of Type I Persistent Left Superior Vena Cava\",\"authors\":\"Tian-gang Li MD, Chuan-min Wei MD, Wen-rui Wu MD, Yu-Wu Sheng MD\",\"doi\":\"10.1002/jum.16663\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>This study aimed to assess the utility of two-dimensional (2D) ultrasonography in diagnosing and classifying fetal type I persistent left superior vena cava (PLSVC).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>The diameter (D<sub>1</sub>) of the coronary sinus (CS) was measured in the four-chamber view and the diameter (D<sub>2</sub>) of the PLSVC was measured in the three-vessel trachea view; the ratio of the diameter of CS to PLSVC (D<sub>1</sub>/D<sub>2</sub>) and the ratio of gestational week (GA)/D<sub>1</sub> and GA/D<sub>2</sub> were calculated to analyze the correlation between measurement and classification of type I PLSVC.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Compared the parameter of Ia and Ib Group, the differences in D<sub>1</sub>, D<sub>2</sub>, GA/D<sub>1</sub>, and GA/D<sub>2</sub> were statistically significant (<i>P</i> < .05). D<sub>1</sub> and D<sub>2</sub> are independent factors for the differential diagnosis of type I PLSVC, with odds ratios (OR) of 5.397 and 2.661, respectively, and both are statistically significant (<i>P</i> < .05). The nomogram model exhibited superior performance in diagnosing type I PLSVC, with the highest AUC value of 0.853, a sensitivity of 96.55%, and a specificity of 66.25%.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>The combination of D<sub>1</sub>, D<sub>2</sub>, GA/D<sub>1</sub>, and GA/D<sub>2</sub> is valuable for diagnosing and classifying fetal type I PLSVC, demonstrating significant clinical application value.</p>\\n </section>\\n </div>\",\"PeriodicalId\":17563,\"journal\":{\"name\":\"Journal of Ultrasound in Medicine\",\"volume\":\"44 6\",\"pages\":\"1033-1043\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-02-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Ultrasound in Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/jum.16663\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ACOUSTICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Ultrasound in Medicine","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/jum.16663","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ACOUSTICS","Score":null,"Total":0}
Prenatal Diagnosis and Classification of Type I Persistent Left Superior Vena Cava
Objective
This study aimed to assess the utility of two-dimensional (2D) ultrasonography in diagnosing and classifying fetal type I persistent left superior vena cava (PLSVC).
Methods
The diameter (D1) of the coronary sinus (CS) was measured in the four-chamber view and the diameter (D2) of the PLSVC was measured in the three-vessel trachea view; the ratio of the diameter of CS to PLSVC (D1/D2) and the ratio of gestational week (GA)/D1 and GA/D2 were calculated to analyze the correlation between measurement and classification of type I PLSVC.
Results
Compared the parameter of Ia and Ib Group, the differences in D1, D2, GA/D1, and GA/D2 were statistically significant (P < .05). D1 and D2 are independent factors for the differential diagnosis of type I PLSVC, with odds ratios (OR) of 5.397 and 2.661, respectively, and both are statistically significant (P < .05). The nomogram model exhibited superior performance in diagnosing type I PLSVC, with the highest AUC value of 0.853, a sensitivity of 96.55%, and a specificity of 66.25%.
Conclusion
The combination of D1, D2, GA/D1, and GA/D2 is valuable for diagnosing and classifying fetal type I PLSVC, demonstrating significant clinical application value.
期刊介绍：
The Journal of Ultrasound in Medicine (JUM) is dedicated to the rapid, accurate publication of original articles dealing with all aspects of medical ultrasound, particularly its direct application to patient care but also relevant basic science, advances in instrumentation, and biological effects. The journal is an official publication of the American Institute of Ultrasound in Medicine and publishes articles in a variety of categories, including Original Research papers, Review Articles, Pictorial Essays, Technical Innovations, Case Series, Letters to the Editor, and more, from an international bevy of countries in a continual effort to showcase and promote advances in the ultrasound community.
Represented through these efforts are a wide variety of disciplines of ultrasound, including, but not limited to:
-Basic Science-
Breast Ultrasound-
Contrast-Enhanced Ultrasound-
Dermatology-
Echocardiography-
Elastography-
Emergency Medicine-
Fetal Echocardiography-
Gastrointestinal Ultrasound-
General and Abdominal Ultrasound-
Genitourinary Ultrasound-
Gynecologic Ultrasound-
Head and Neck Ultrasound-
High Frequency Clinical and Preclinical Imaging-
Interventional-Intraoperative Ultrasound-
Musculoskeletal Ultrasound-
Neurosonology-
Obstetric Ultrasound-
Ophthalmologic Ultrasound-
Pediatric Ultrasound-
Point-of-Care Ultrasound-
Public Policy-
Superficial Structures-
Therapeutic Ultrasound-
Ultrasound Education-
Ultrasound in Global Health-
Urologic Ultrasound-
Vascular Ultrasound
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