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超声评估正常食蟹猴胎儿生物测量及胎盘血流动力学。

Ultrasound evaluation of normal rhesus macaque fetal biometry and uteroplacental hemodynamics.

机构信息

Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Oregon Health and Science University, Portland, Oregon, USA.

Division of Reproductive and Developmental Sciences, Oregon National Primate Research Center, Oregon Health and Science University, Beaverton, Oregon, USA.

出版信息

Am J Primatol. 2023 Jul;85(7):e23504. doi: 10.1002/ajp.23504. Epub 2023 May 11.

Abstract

Nonhuman primates are important preclinical models for translational, reproductive, and developmental science. Clinical evaluation of human fetal development is performed using standard sonographic-derived fetal biometry, assessments of amniotic fluid, and uteroplacental hemodynamics. These noninvasive in utero measurements provide important information regarding fetal growth and pregnancy well-being. Abnormalities in fetal growth, amniotic fluid volume, or placental vascular function are associated with placental insufficiency and adverse perinatal outcomes including stillbirth. The fetal biometric parameters most commonly assessed are biparietal diameter, head circumference, abdominal circumference, and femur diaphysis length. Evaluation of amniotic fluid volume includes measuring the fluid in four quadrants of the uterus to generate an Amniotic Fluid Index. Measures of uteroplacental hemodynamics typically include doppler assessment of the umbilical artery and ductus venosus, but can also include interrogation of the uterine artery and umbilical vein. In this study, we compile prenatal ultrasound data of fetal biometry, amniotic fluid measurements, and uteroplacental hemodynamics obtained from pregnancy studies conducted at the Oregon National Primate Research Center. The data included are from control unperturbed pregnant animals who have not undergone in utero experimental manipulations. This is the first report of comprehensive sonographic measurements following standardized clinical obstetric protocols utilized in rhesus macaques. The outcome is a large, prenatal ultrasound resource to be used by laboratory animal researchers in future nonhuman primate pregnancy studies for antenatal assessment.

摘要

非人类灵长类动物是转化医学、生殖医学和发育科学的重要临床前模型。人类胎儿发育的临床评估采用标准超声衍生的胎儿生物测量、羊水评估和胎盘血流动力学评估。这些非侵入性的宫内测量提供了关于胎儿生长和妊娠健康的重要信息。胎儿生长、羊水体积或胎盘血管功能异常与胎盘功能不全和不良围产儿结局相关,包括死胎。最常评估的胎儿生物测量参数是双顶径、头围、腹围和股骨骨干长度。羊水体积的评估包括测量子宫四个象限的羊水以生成羊水指数。胎盘血流动力学的测量通常包括脐动脉和静脉导管的多普勒评估,但也可以包括对子宫动脉和脐静脉的检查。在这项研究中,我们编译了来自俄勒冈国家灵长类动物研究中心进行的妊娠研究的胎儿生物测量、羊水测量和胎盘血流动力学的产前超声数据。这些数据来自未进行宫内实验操作的未受干扰的正常妊娠动物。这是首次报告恒河猴标准化临床产科方案后全面的超声测量结果。该研究的结果是一个大型的产前超声资源,供未来非人类灵长类动物妊娠研究中的实验室动物研究人员用于产前评估。

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