First-trimester 3-dimensional power Doppler of the uteroplacental circulation space

A potential screening method for preeclampsia

Pe'er Dar, Juliana Gebb, Laura Reimers, Peter S. Bernstein, Cynthia Chazotte, Irwin R. Merkatz

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44 Citations (Scopus)

Abstract

Objective: The objective of the study was to compare 3-dimensional power Doppler (3DPD) of the uteroplacental circulation space (UPCS) in the first trimester between women who develop preeclampsia (PEC) and those who do not and to assess the 3DPD method as a screening tool for PEC. Study Design: This was a prospective observational study of singleton pregnancies at 10 weeks 4 days to 13 weeks 6 days. The 3DPD indices, vascularization index (VI), flow index (FI), and vascularization flow index (VFI), were determined on a UPSC sphere biopsy with the virtual organ computer-aided analysis (VOCAL) program. Results: Of 277 women enrolled, 24 developed PEC. The 3DPD indices were lower in women who developed PEC. The area under the receiver-operating characteristics curve for the prediction of PEC was 78.9%, 77.6%, and 79.6% for VI, FI, and VFI, respectively. Conclusion: Patients who develop PEC have lower 3DPD indices of their UPCS during the first trimester. Our findings suggest that this ultrasonographic tool has the potential to predict the development of PEC.

Original languageEnglish (US)
JournalAmerican Journal of Obstetrics and Gynecology
Volume203
Issue number3
DOIs
StatePublished - Sep 2010

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Placental Circulation
First Pregnancy Trimester
Pre-Eclampsia
ROC Curve
Observational Studies
Prospective Studies
Biopsy
Pregnancy

Keywords

  • 3-dimensional power Doppler
  • preeclampsia
  • screening tool
  • uteroplacental circulation space

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

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abstract = "Objective: The objective of the study was to compare 3-dimensional power Doppler (3DPD) of the uteroplacental circulation space (UPCS) in the first trimester between women who develop preeclampsia (PEC) and those who do not and to assess the 3DPD method as a screening tool for PEC. Study Design: This was a prospective observational study of singleton pregnancies at 10 weeks 4 days to 13 weeks 6 days. The 3DPD indices, vascularization index (VI), flow index (FI), and vascularization flow index (VFI), were determined on a UPSC sphere biopsy with the virtual organ computer-aided analysis (VOCAL) program. Results: Of 277 women enrolled, 24 developed PEC. The 3DPD indices were lower in women who developed PEC. The area under the receiver-operating characteristics curve for the prediction of PEC was 78.9{\%}, 77.6{\%}, and 79.6{\%} for VI, FI, and VFI, respectively. Conclusion: Patients who develop PEC have lower 3DPD indices of their UPCS during the first trimester. Our findings suggest that this ultrasonographic tool has the potential to predict the development of PEC.",
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AU - Bernstein, Peter S.

AU - Chazotte, Cynthia

AU - Merkatz, Irwin R.

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