Passos Ana Paula, Araujo Júnior Edward, Bruns Rafael Frederico, Nardozza Luciano Marcondes Machado, Moron Antonio Fernandes
Department of Obstetrics, Federal University of São Paulo, São Paulo-SP, Brazil.
Department of Obstetrics, Federal University of São Paulo, São Paulo-SP, Brazil
J Child Neurol. 2015 Feb;30(2):209-15. doi: 10.1177/0883073814535496. Epub 2014 May 19.
This study aimed to establish reference values for the length and area of the fetal cisterna magna using the multiplanar mode of 3-dimensional ultrasonography. A cross-sectional study including 224 normal pregnant women between 17 weeks 0 days and 29 weeks 6 days of gestation was carried out. The area and length of the fetal cisterna magna were measured in the axial plane at the level of the cerebellar transverse diameter. Reliability was determined by intraclass correlation coefficient. The mean length and area of the fetal cisterna magna ranged from 0.50 ± 0.10 to 0.79 ± 0.18 cm and 0.95 ± 0.18 to 3.09 ± 0.62 cm(2), respectively. Intraobserver reliability for the length and area (intraclass coefficients: 0.86 and 0.91, respectively) and interobserver reliability (intraclass coefficients: 0.64 and 0.82, respectively) were good. Three-dimensional ultrasonography using the multiplanar mode is a reliable method for the determination of reference values for the length and area of the fetal cisterna magna.
本研究旨在利用三维超声多平面模式建立胎儿小脑延髓池长度和面积的参考值。开展了一项横断面研究,纳入224例妊娠17周0天至29周6天的正常孕妇。在小脑横径水平的轴平面上测量胎儿小脑延髓池的面积和长度。通过组内相关系数确定可靠性。胎儿小脑延髓池的平均长度和面积分别为0.50±0.10至0.79±0.18厘米和0.95±0.18至3.09±0.62平方厘米。长度和面积的观察者内可靠性(组内系数分别为0.86和0.91)以及观察者间可靠性(组内系数分别为0.64和0.82)均良好。使用多平面模式的三维超声是确定胎儿小脑延髓池长度和面积参考值的可靠方法。