Yamasato Kelly, Zalud Ivica
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J Perinat Med. 2017 Aug 28;45(6):693-700. doi: 10.1515/jpm-2016-0366.
The aim of this review is to discuss three dimensional (3D) power Doppler of the placenta and its clinical applications. There is a strong clinical need to develop noninvasive, simple and widely available methods of evaluating in vivo placental function to assess fetal wellbeing. While conventional ultrasound is a proven tool in the evaluation of fetal structural anomalies and health, its ability to assess placental function, especially prior to the onset of fetal compromise, is the subject of ongoing investigation. Three dimensional power Doppler has the ability to detect vascularity and blood flow with greater detail than conventional ultrasound, which has led to its investigation in preeclampsia, fetal growth restriction, and other placental vascular abnormalities. While more data are needed on the optimal imaging protocol and its predictive ability for clinical outcomes, 3D power Doppler is emerging as a promising new technology that will improve the evaluation of placental function.
本综述的目的是讨论胎盘的三维（3D）能量多普勒及其临床应用。临床上迫切需要开发无创、简单且广泛可用的方法来评估体内胎盘功能，以评估胎儿健康状况。虽然传统超声是评估胎儿结构异常和健康状况的经证实的工具，但其评估胎盘功能的能力，尤其是在胎儿出现窘迫之前，仍是正在研究的课题。三维能量多普勒能够比传统超声更详细地检测血管和血流，这使其在子痫前期、胎儿生长受限及其他胎盘血管异常方面得到了研究。虽然关于最佳成像方案及其对临床结局的预测能力还需要更多数据，但三维能量多普勒正作为一种有前景的新技术出现，它将改善对胎盘功能的评估。
