Pang B, Pan JJ, Li Q, Zhang X. Accuracy of ultrasonography in diagnosis of fetal central nervous system malformation. World J Clin Cases 2021; 9(27): 8027-8034 [PMID: 34621859 DOI: 10.12998/wjcc.v9.i27.8027]
Corresponding Author of This Article
Xia Zhang, MHSc, Chief Physician, Department of Ultrasound, The First Affiliated Hospital of Wannan Medical College, No. 2 Zheshan West Road, Wuhu 241000, Anhui Province, China. yjsusd@163.com
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 26, 2021; 9(27): 8027-8034 Published online Sep 26, 2021. doi: 10.12998/wjcc.v9.i27.8027
Accuracy of ultrasonography in diagnosis of fetal central nervous system malformation
Bo Pang, Jing-Jing Pan, Qin Li, Xia Zhang
Bo Pang, Xia Zhang, Department of Ultrasound, The First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui Province, China
Jing-Jing Pan, Department of Neurosurgery, The Second People’s Hospital of Wuhu, Wuhu 241000, Anhui Province, China
Qin Li, Department of Gynaecology and Obstetrics, The First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui Province, China
Author contributions: Pang B and Zhang X designed this retrospective study; Pan JJ wrote this paper; Li Q was responsible for sorting the data.
Supported bythe Research Project on Application of Commonweal Technology in Anhui Province, No. 1704f0804048.
Institutional review board statement: The study was reviewed and approved by The First Affiliated Hospital of Wannan Medical College Institutional Review Board.
Informed consent statement: Informed consent was obtained from the patient.
Conflict-of-interest statement: No conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xia Zhang, MHSc, Chief Physician, Department of Ultrasound, The First Affiliated Hospital of Wannan Medical College, No. 2 Zheshan West Road, Wuhu 241000, Anhui Province, China. yjsusd@163.com
Received: April 15, 2021 Peer-review started: April 15, 2021 First decision: May 11, 2021 Revised: May 18, 2021 Accepted: July 23, 2021 Article in press: July 23, 2021 Published online: September 26, 2021
Abstract
BACKGROUND
Prenatal examination is an important measure for the screening and diagnosis of fetal malformations.
AIM
To investigate the accuracy of ultrasonography in the diagnosis of fetal central nervous system (CNS) malformations.
METHODS
One hundred and thirteen pregnant women suspected of having fetal CNS malformations were examined at our hospital from December 2018 to October 2020 using two-dimensional ultrasonography and three-dimensional ultrasonography, respectively.
RESULTS
According to the pathological results, there were 79 cases of CNS malformations and 34 cases of non-CNS malformations among the 113 pregnant women suspected of having fetal CNS malformation. Fifty-one cases of CNS malformation and 26 cases of non-CNS malformation were detected by two-dimensional ultrasonography, and 73 cases of CNS malformation and 30 cases of non-CNS malformation were detected by three-dimensional ultrasonography. The diagnostic sensitivity (92.41%) and accuracy (91.15%) of three-dimensional ultrasonography were higher than those of two-dimensional ultrasonography (64.56% and 68.14%, respectively) (P = 0.000). The specificity of three-dimensional ultrasonography (88.24%) was higher than that of two-dimensional ultrasonography (76.47%); however, the difference was not significant (P = 0.203).
CONCLUSION
Three-dimensional ultrasonography has high application value in the diagnosis of fetal CNS malformations. In addition, the image quality is clear, and the diagnostic sensitivity and accuracy are high.
Core Tip: Three-dimensional ultrasonography can show fetal morphology and structure and detect fetal intrauterine conditions, and has good repeatability and high sensitivity. This study selected 113 pregnant women suspected of having fetal central nervous system malformations with the aim to determine the application value of ultrasonography examination.
