References Values of Fetal Heart Myocardial Volume by Three-Dimensional Ultrasound using Spatiotemporal Image Correlation and Virtual Organ Computer-Aided Analysis Methods and Their Applicability in Pregestational Diabetic Women.

Autor: Melo Júnior JF; Department of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, Brazil., Bravo-Valenzuela NJ; Department of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, Brazil., Nardozza LMM; Department of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, Brazil., Peixoto AB; Department of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, Brazil.; Gynecology and Obstetrics Service, Mario Palmério University Hospital, University of Uberaba (UNIUBE), Uberaba, Brazil., Mattar R; Department of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, Brazil., Martins WP; Department of Reproductive Medicine, SEMEAR Fertilidade, Ribeirão Preto, Brazil., Pares DBDS; Department of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, Brazil., Araujo Júnior E; Department of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, Brazil.
Jazyk: angličtina
Zdroj: American journal of perinatology [Am J Perinatol] 2021 Jun; Vol. 38 (7), pp. 721-727. Date of Electronic Publication: 2019 Dec 13.
DOI: 10.1055/s-0039-3400983
Abstrakt: Objective: To determine reference values for myocardial volume of the fetal heart using three-dimensional ultrasound with spatiotemporal image correlation (STIC) and virtual organ computer-aided analysis (VOCAL) and to assess their applicability in women with pregestational diabetes.
Study Design: This retrospective cross-sectional study included 177 normal pregnant women with fetuses between 20 0/7 and 33 6/7 weeks of age. Fetal cardiac volumes were collected using the STIC method, and myocardial volume was obtained by subtraction of the intracavitary volumes using the VOCAL 30-degree method. Intra- and interobserver reproducibility values were determined using the concordance correlation coefficient (CCC). Sixteen women with pregestational diabetes mellitus were evaluated for validation.
Results: There was a strong correlation between fetal myocardial volume and gestational age ( R 2  = 0.82). Intra- and interobserver reproducibility values were excellent and moderate, respectively, with CCCs of 0.99 and 0.83, respectively. There was no significant difference in mean fetal myocardial volume between normal pregnant women and those with pregestational diabetes ( p  = 0.64).
Conclusion: Reference values for myocardial volume of the fetal heart were determined in normal pregnant women and were not statistically different from those in women with pregestational diabetes mellitus.
Competing Interests: None declared.
(Thieme. All rights reserved.)
Databáze: MEDLINE