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“辐射效应”:近期超声图像增强技术及其对颈项透明层测量的影响。

The 'Radiant Effect': Recent Sonographic Image-Enhancing Technique and Its Impact on Nuchal Translucency Measurements.

作者信息

Bergsch Arne, Degenhardt Jan, Stressig Rüdiger, Dudwiesus Heiko, Graupner Oliver, Ritgen Jochen

机构信息

Praenatal Plus, Centre for Prenatal Diagnostics and Genetics, 50672 Cologne, Germany.

Arbeitskreis Ultraschallsysteme, DEGUM, 10117 Berlin, Germany.

出版信息

J Clin Med. 2024 Jun 20;13(12):3625. doi: 10.3390/jcm13123625.

DOI:10.3390/jcm13123625
PMID:38930153
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11204609/
Abstract

: This study assesses the effects of the 'Radiant' image enhancement technique on fetal nuchal translucency (NT) measurements during first-trimester sonographic exams. : A retrospective analysis of 263 ultrasound images of first-trimester midsagittal sections was conducted. NT measurements were obtained using a semi-automatic tool. Statistical methods were applied to compare NT measurements with and without 'Radiant' enhancement. An in vitro setup with predefined line distances provided additional data. : Incremental increases in NT measurements were observed with varying levels of 'Radiant' application: an average increase of 0.19 mm with 'Radiant min', 0.24 mm with 'Radiant mid', and 0.30 mm with 'Radiant max.' The in vitro results supported these findings, showing consistent effects on line thickness and measurement accuracy, with the smallest mean deviation occurring at the 'Radiant mid' setting. : 'Radiant' image enhancement leads to significant increases in NT measurements. To avoid systematic biases in clinical assessments, it is advisable to disable 'Radiant' during NT measurement procedures. Further studies are necessary to corroborate these findings and to consider updates to the NT reference tables based on this technology.

摘要

本研究评估了“Radiant”图像增强技术在孕早期超声检查中对胎儿颈部透明带(NT)测量的影响。对263幅孕早期正中矢状切面的超声图像进行了回顾性分析。使用半自动工具获取NT测量值。应用统计方法比较有无“Radiant”增强时的NT测量值。具有预定义线距的体外设置提供了额外的数据。随着“Radiant”应用水平的不同,观察到NT测量值有增量增加:“Radiant min”时平均增加0.19毫米,“Radiant mid”时增加0.24毫米,“Radiant max”时增加0.30毫米。体外结果支持了这些发现,显示对线厚度和测量准确性有一致的影响,在“Radiant mid”设置下平均偏差最小。“Radiant”图像增强导致NT测量值显著增加。为避免临床评估中的系统偏差,建议在NT测量程序中禁用“Radiant”。有必要进行进一步研究以证实这些发现,并考虑基于该技术更新NT参考表。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a5/11204609/857e3d576a8e/jcm-13-03625-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a5/11204609/b2243b312486/jcm-13-03625-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a5/11204609/3db9cec69e8d/jcm-13-03625-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a5/11204609/4f8d1c84fefe/jcm-13-03625-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a5/11204609/a02be7df5156/jcm-13-03625-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a5/11204609/ba9be164abbf/jcm-13-03625-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a5/11204609/ccc53842c7a2/jcm-13-03625-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a5/11204609/857e3d576a8e/jcm-13-03625-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a5/11204609/b2243b312486/jcm-13-03625-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a5/11204609/3db9cec69e8d/jcm-13-03625-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a5/11204609/4f8d1c84fefe/jcm-13-03625-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a5/11204609/a02be7df5156/jcm-13-03625-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a5/11204609/ba9be164abbf/jcm-13-03625-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a5/11204609/ccc53842c7a2/jcm-13-03625-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a5/11204609/857e3d576a8e/jcm-13-03625-g007.jpg

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本文引用的文献

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ISUOG Practice Guidelines (updated): performance of 11-14-week ultrasound scan.国际妇产科超声学会(ISUOG)实践指南(更新版):孕11 - 14周超声检查的实施
Ultrasound Obstet Gynecol. 2023 Jan;61(1):127-143. doi: 10.1002/uog.26106.
2
Antenatal screening for chromosomal abnormalities.产前筛查染色体异常。
Arch Gynecol Obstet. 2022 Apr;305(4):825-835. doi: 10.1007/s00404-022-06477-5. Epub 2022 Mar 13.
3
Diagnostic yield of next-generation sequencing in fetuses with isolated increased nuchal translucency: systematic review and meta-analysis.
孤立性颈项透明层增厚胎儿中应用下一代测序的诊断效能:系统评价和荟萃分析。
Ultrasound Obstet Gynecol. 2022 Jan;59(1):26-32. doi: 10.1002/uog.23746.
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First-trimester contingent screening for trisomies 21, 18 and 13 by fetal nuchal translucency and ductus venosus flow and maternal blood cell-free DNA testing.孕早期通过胎儿颈部透明带厚度、静脉导管血流及孕妇游离DNA检测对21-三体、18-三体和13-三体进行联合筛查。
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A historical and practical review of first trimester aneuploidy screening.早孕期非整倍体筛查的历史和实践回顾。
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Intra- and interoperator reliability of manual and semi-automated measurements of intracranial translucency.颅内透明层手动和半自动测量的操作者内和操作者间可靠性。
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From nuchal translucency to intracranial translucency: towards the early detection of spina bifida.从颈部半透明到颅内半透明:迈向脊柱裂的早期检测
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Tissue harmonic imaging, frequency compound imaging, and conventional imaging: use and benefit in breast sonography.组织谐波成像、频率复合成像与传统成像:在乳腺超声检查中的应用及优势
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