Please use this identifier to cite or link to this item: http://cmuir.cmu.ac.th/jspui/handle/6653943832/53748
Title: Prenatal ultrasound evaluation of fetal Hb Bart's disease among pregnancies at risk at 11 to 14weeks of gestation
Authors: Supatra Sirichotiyakul
Suchaya Luewan
Kasemsri Srisupundit
Fuanglada Tongprasert
Theera Tongsong
Keywords: Medicine
Issue Date: 1-Mar-2014
Abstract: Objective: The objective of this article is to evaluate the efficacy of the first trimester sonomarkers (11-14weeks) in predicting hemoglobin (Hb) Bart's disease among fetuses at risk Materials and Methods: Prospective analysis was conducted on pregnancies at risk of fetal Hb Bart's disease at 11 to 14weeks of gestation. Sonographic markers including cardiothoracic (CT) ratio, peak systolic velocity of the middle cerebral artery (MCA-PSV), placental thickness, and nuchal translucency were prospectively assessed and recorded. The definite diagnosis of fetal Hb Bart's disease was based on DNA analysis (chorionic villus sampling) or subsequent fetal Hb typing (high-performance liquid chromatography; cordocentesis). Results: Among 104 pregnancies at risk with complete sonographic assessment at 11 to 14weeks of gestation, 30 fetuses were finally proven to be affected. The CT ratio gave the highest sensitivity, 93.3%, with specificity of 93.2%, followed by placental thickness and MCA-PSV, respectively. Nuchal translucency had a very low sensitivity of 16.7%. The combination of CT ratio and MCA-PSV increased the sensitivity to 96.7% but somewhat compromise specificity. Conclusions: At 11 to 14weeks of gestation, sonographic markers can effectively differentiate affected from unaffected pregnancies. The most sensitive marker was CT ratio plus MCA-PSV. Of couples at risk with no any sonographic markers, the risk of having an affected fetus is nearly eliminated. © 2013 John Wiley & Sons, Ltd.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84896722739&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/53748
ISSN: 10970223
01973851
Appears in Collections:CMUL: Journal Articles

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