Tugce Tunc Acar, Leyla Asker, Hande Kurt Guven, Gozde Yasemin Kurt, Can Ozan Ulusoy, Elif Yilmaz, Zehra Vural Yilmaz
{"title":"妊娠期糖尿病孕妇的胎儿肝动脉多普勒诊断。","authors":"Tugce Tunc Acar, Leyla Asker, Hande Kurt Guven, Gozde Yasemin Kurt, Can Ozan Ulusoy, Elif Yilmaz, Zehra Vural Yilmaz","doi":"10.1002/jcu.24027","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The fetal liver plays a crucial role in growth, with the hepatic artery (HA) supplying 10% of its blood to the liver. The role of HA in fetal growth and pregnancy complications is underexplored. This study investigates HA Doppler in gestational diabetes mellitus (GDM) and its relationship with HbA1c, comparing results to healthy pregnancies.</p><p><strong>Methods: </strong>This prospective case-control study included 63 pregnant women (30 insulin-treated GDM, 33 without GDM) between 32 and 36 weeks gestation (Figure 1). Doppler of the umbilical artery (UA), middle cerebral artery (MCA), ductus venosus (DV), and HA was performed by a high-risk pregnancy specialist.</p><p><strong>Results: </strong>Demographics and lab parameters were similar across groups. GDM cases had higher HA peak systolic velocity (PSV) and lower pulsatility index (PI) versus controls. HA PSV positively correlated with HbA1c.</p><p><strong>Conclusion: </strong>Our findings suggest a link between GDM and HA Doppler changes. Larger studies are needed to evaluate the implications of these changes on prenatal development.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Fetal Hepatic Artery Doppler in Pregnant Women With Gestational Diabetes Mellitus.\",\"authors\":\"Tugce Tunc Acar, Leyla Asker, Hande Kurt Guven, Gozde Yasemin Kurt, Can Ozan Ulusoy, Elif Yilmaz, Zehra Vural Yilmaz\",\"doi\":\"10.1002/jcu.24027\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>The fetal liver plays a crucial role in growth, with the hepatic artery (HA) supplying 10% of its blood to the liver. The role of HA in fetal growth and pregnancy complications is underexplored. This study investigates HA Doppler in gestational diabetes mellitus (GDM) and its relationship with HbA1c, comparing results to healthy pregnancies.</p><p><strong>Methods: </strong>This prospective case-control study included 63 pregnant women (30 insulin-treated GDM, 33 without GDM) between 32 and 36 weeks gestation (Figure 1). Doppler of the umbilical artery (UA), middle cerebral artery (MCA), ductus venosus (DV), and HA was performed by a high-risk pregnancy specialist.</p><p><strong>Results: </strong>Demographics and lab parameters were similar across groups. GDM cases had higher HA peak systolic velocity (PSV) and lower pulsatility index (PI) versus controls. HA PSV positively correlated with HbA1c.</p><p><strong>Conclusion: </strong>Our findings suggest a link between GDM and HA Doppler changes. Larger studies are needed to evaluate the implications of these changes on prenatal development.</p>\",\"PeriodicalId\":15386,\"journal\":{\"name\":\"Journal of Clinical Ultrasound\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-04-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical Ultrasound\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/jcu.24027\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ACOUSTICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Ultrasound","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/jcu.24027","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ACOUSTICS","Score":null,"Total":0}
Fetal Hepatic Artery Doppler in Pregnant Women With Gestational Diabetes Mellitus.
Purpose: The fetal liver plays a crucial role in growth, with the hepatic artery (HA) supplying 10% of its blood to the liver. The role of HA in fetal growth and pregnancy complications is underexplored. This study investigates HA Doppler in gestational diabetes mellitus (GDM) and its relationship with HbA1c, comparing results to healthy pregnancies.
Methods: This prospective case-control study included 63 pregnant women (30 insulin-treated GDM, 33 without GDM) between 32 and 36 weeks gestation (Figure 1). Doppler of the umbilical artery (UA), middle cerebral artery (MCA), ductus venosus (DV), and HA was performed by a high-risk pregnancy specialist.
Results: Demographics and lab parameters were similar across groups. GDM cases had higher HA peak systolic velocity (PSV) and lower pulsatility index (PI) versus controls. HA PSV positively correlated with HbA1c.
Conclusion: Our findings suggest a link between GDM and HA Doppler changes. Larger studies are needed to evaluate the implications of these changes on prenatal development.
期刊介绍：
The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography.
The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents.
JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.
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