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新生儿胼胝体的生物测量参考范围:一项观察性研究。

Biometry reference range of the corpus callosum in neonates: An observational study.

作者信息

Gao Yanyan, Yan Kai, Yang Lin, Cheng Guoqiang, Zhou Wenhao

机构信息

Ultrasonography Unit Department of Neonatology Clinical Genetic Center, Children's Hospital of Fudan University, Shanghai, China.

出版信息

Medicine (Baltimore). 2018 Jun;97(24):e11071. doi: 10.1097/MD.0000000000011071.

Abstract

This study aims to present the reference range of corpus callosum by ultrasound imaging in neonates and to develop a clinically feasible screening method for congenital abnormalities of corpus callosum.An observational study was conducted between January 2015 and July 2016; 2D and 3D ultrasound evaluations were conducted and virtural organ computer-aided analysis was applied in the volume calculation of corpus callosum. The following parameters were measured: thickness of the rostum, thickness of the genu, thickness of the body, thickness of the splenium, anterior-posterior distance, true length of the corpus callosum and the volume of the corpus callosum. Inter- and intraobserver agreement was also evaluated. The corrected gestational age was between 38+0 and 47+2 weeks. The least-mean-square method was used to create the growth curve for each parameter.Complete data sets were available in 317 neonates, ranging from 0 to 28 days of age. Reference values from the 1st to 99th percentiles were provided. All parameters showed a nonlinear growth trend with age. Inter- and intraobserver agreement was excellent for 2D and 3D parameters.Our results suggested that computer techniques can assist in the volume assessment of corpus callosum. The 2D and 3D ultrasound data of 7 morphologic parameters may facilitate the identification of corpus callosum anomalies based on a large population.

摘要

本研究旨在通过超声成像呈现新生儿胼胝体的参考范围,并开发一种临床上可行的先天性胼胝体异常筛查方法。2015年1月至2016年7月进行了一项观察性研究;进行了二维和三维超声评估,并将虚拟器官计算机辅助分析应用于胼胝体的体积计算。测量了以下参数:嘴部厚度、膝部厚度、体部厚度、压部厚度、前后距离、胼胝体的实际长度和胼胝体的体积。还评估了观察者间和观察者内的一致性。校正后的胎龄在38+0至47+2周之间。采用最小二乘法为每个参数创建生长曲线。317例年龄在0至28天的新生儿获得了完整的数据集。提供了第1至99百分位数的参考值。所有参数均显示出随年龄的非线性增长趋势。二维和三维参数的观察者间和观察者内一致性极佳。我们的结果表明,计算机技术可辅助胼胝体的体积评估。7个形态学参数的二维和三维超声数据可能有助于基于大量人群识别胼胝体异常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b599/6024229/73ae47d511a2/medi-97-e11071-g001.jpg

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