Erschienen in:
04.03.2024 | Commentary
Using MRI derived observed to expected total lung volume to predict lethality in fetal skeletal dysplasia
verfasst von:
Dorothy I. Bulas, Jamie L. Fraser, Kate Cilli
Erschienen in:
Pediatric Radiology
|
Ausgabe 5/2024
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Excerpt
In their recent article in Pediatric Radiology, Mehollin-Ray and colleagues report their experience in two large referral centers assessing fetal MRI lung volumes as an outcome variable in fetuses with skeletal dysplasia [
1]. An observed to expected total lung volume (O/E-TLV) <0.49 was a significant risk factor with a sensitivity of 0.63 and specificity of 0.93. An O/E TLV of <0.38 had a 1.0 specificity for lethality. Companion ultrasounds confirmed that a femur length to abdominal circumference (FL/AC) ratio of <0.129 was also a strong predictor of poor outcome. When a skeletal dysplasia is not clearly diagnosed, total lung volume MR measures may help provide additional data regarding pulmonary hypoplasia, useful when counseling families, and planning deliveries. …