Article (Scientific journals)
Vascularization of the placenta and the sub-placental myometrium: feasibility and reproducibility of a three-dimensional power Doppler ultrasound quantification technique. A pilot study.
Morel, O.; Grange, G.; Fresson, J. et al.
2011In Journal of Maternal-Fetal and Neonatal Medicine, 24 (2), p. 284-290
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Keywords :
3D-ultrasound; Doppler; placenta; myometrium; reproducibility
Abstract :
[en] Objective. To assess the feasibility of placental and myometrial vascularization quantification using 3D power Doppler ultrasonography. Methods. 3D standardized acquisition was performed in the mid part of the utero-placental unit, once, in 38 patients undergoing normal pregnancies between 15 and 39 weeks. Vascularization parameters (VI, FI, and VFI) of placentae and myometrium were measured. Intra and inter-observer, as well as inter-acquisition reproducibility were evaluated. Results. Intra-class Correlation Coefficient of vascularization measurements were at least 0.94 for intra-observer, 0.92 for inter-observer, and 0.56 for inter-acquisition reproducibility. There was no significant difference for placental measurements for VI, FI and VFI between the second trimester and the third trimester pregnancies. Concerning the myometrium, we observed no significant difference between second and third trimester for FI. However, VI (28.090 vs. 19.374) and VFI (17.691 vs. 11.336) was significantly lower in the third trimester (p < 0.01). Conclusion. 3D quantification of placental and myometrial vascular parameters is feasible with a high intra and inter-observer reproducibility. Evaluating a potential myometrial vascular impairment appears to be as relevant as studying the placenta alone and might be of great clinical interest. We believe that this technique should therefore be evaluated in clinical observational studies.
Disciplines :
Reproductive medicine (gynecology, andrology, obstetrics)
Author, co-author :
Morel, O.
Grange, G.
Fresson, J.
Schaaps, Jean-Pierre ;  Centre Hospitalier Universitaire de Liège - CHU > Gynécologie-Obstétrique CHR
Foidart, Jean-Michel ;  Université de Liège - ULiège > Département des sciences cliniques > Gynécologie - Obstétrique - Labo de biologie des tumeurs et du développement
Cabrol, D.
Tsatsaris, V.
Language :
English
Title :
Vascularization of the placenta and the sub-placental myometrium: feasibility and reproducibility of a three-dimensional power Doppler ultrasound quantification technique. A pilot study.
Publication date :
2011
Journal title :
Journal of Maternal-Fetal and Neonatal Medicine
ISSN :
1476-7058
eISSN :
1476-4954
Publisher :
Taylor & Francis Ltd
Volume :
24
Issue :
2
Pages :
284-290
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 18 January 2011

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