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Obstetric Ultrasound: The Most Patient-Friendly Technique to Detect Fetal Abnormalities...
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Obstetric Ultrasound: The Most Patient-Friendly Technique to Detect Fetal Abnormalities and Obstetric Complications

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: 30 June 2024 | Viewed by 2382

Special Issue Editor

Prof. Dr. Antonella Vimercati

E-Mail Website
Guest Editor
Obstetrics and Gynecology Unit, Department of Biomedical Sciences and Human Oncology, University of Bari “Aldo Moro”, Piazza Giulio Cesare 11, 70124 Bari, Italy
Interests: obstetric delivery; endometriosis; prenatal diagnosis; prenatal ultrasonography; fetal medicine; fetal growth retardation; fetal diseases; doppler ultrasonography; obstetric labor; pregnancy complication

Special Issue Information

Dear Colleagues,

Since its introduction in the late 1950s, ultrasound contributes immensely to obstetrical practice and its application is increasingly widespread worldwide, mainly thanks to its noninvasive nature.

Starting from the B mode, real-time and gray-scale, Doppler and sophisticated color Doppler versions then arriving at three dimensional/four-dimensional ultrasound and all the other novel methods, such as Fetal HQ Technology, the increasingly optimal resolution of ultrasound results in an improvement in the quality of prenatal diagnosis of fetal abnormalities and other pregnancy complications.

Based on this background, this Special Issue aims to present papers focusing on ultrasound prenatal diagnoses of fetal abnormalities, especially those related to twin pregnancies and pregnancy infections such as cytomegalovirus and toxoplasmosis, or the more recent SARS-CoV-2 infection. Other potential topics include ultrasound detection of intra partum and postpartum complications.

Prof. Dr. Antonella Vimercati
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Diagnostics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • obstetric ultrasound
  • prenatal diagnosis
  • fetal abnormalities
  • twin pregnancy
  • pregnancy infection
  • pregnancy complications
  • intra partum complications
  • postpartum complications

Published Papers (2 papers)

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Article
Improving Prenatal Diagnosis Precision for Congenital Clubfoot by Using Three-Dimensional Ultrasonography
by Yoo-min Kim, Ji Su Seong, Ji Hoi Kim, Na Mi Lee, In Ho Choi, Yejin Jo, Gina Nam and Gwang Jun Kim
Diagnostics 2024, 14(1), 117; https://doi.org/10.3390/diagnostics14010117 - 04 Jan 2024
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Abstract
Prenatal diagnosis of clubfoot traditionally relied on two-dimensional ultrasonography. To enhance diagnosis and predict postnatal outcomes, we examined the parameters that differentiate pathological clubfoot using three-dimensional ultrasonography. In our retrospective study, we examined the findings of prenatal ultrasound and the postnatal outcomes of [...] Read more.
Prenatal diagnosis of clubfoot traditionally relied on two-dimensional ultrasonography. To enhance diagnosis and predict postnatal outcomes, we examined the parameters that differentiate pathological clubfoot using three-dimensional ultrasonography. In our retrospective study, we examined the findings of prenatal ultrasound and the postnatal outcomes of pregnancies with suspected congenital clubfoot between 2018 and 2021. Based on the three-dimensional perspective, we measured the angles of varus, equinus, calcaneopedal block, and forefoot adduction and compared the sonographic variables between the postnatal treated and non-treated groups. We evaluated 31 pregnancies (47 feet) with suspected clubfoot using three-dimensional ultrasonography. After delivery, a total of 37 feet (78.7%) underwent treatment involving serial casting only or additional Achilles tenotomy. The treated group showed significantly greater hindfoot varus deviation (60.5° vs. 46.6°, p = 0.026) and calcaneopedal block deviation (65.6° vs. 26.6°, p < 0.05) compared to the non-treated group. The calcaneopedal block had an area under the curve of 0.98 with a diagnostic threshold of 46.2 degrees (sensitivity of 97%, specificity of 90%, positive predictive value of 97%, and negative predictive value of 90%). During prenatal evaluation of clubfoot using three-dimensional ultrasonography, the calcaneopedal block deviation has the potential to predict postnatal treatment. Full article
(This article belongs to the Special Issue Obstetric Ultrasound: The Most Patient-Friendly Technique to Detect Fetal Abnormalities and Obstetric Complications)
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17 pages, 12353 KiB  
Case Report
“The Strange Case of Dr Pump and Mr Acardiac”: The Twin Reversed Arterial Perfusion (TRAP) Sequence in Two Monochorionic Monoamniotic (MCMA) Twin Pregnancies—Diagnosis, Prognosis and Management: Review of Literature
by Pierpaolo Nicolì, Gianluca Raffaello Damiani, Maria Gaetani, Miriam Dellino, Amerigo Vitagliano, Antonio Malvasi, Gerardo Cazzato, Eliano Cascardi, Andrea Marzullo, Raffaello Alfonso, Ettore Cicinelli and Antonella Vimercati
Diagnostics 2023, 13(19), 3109; https://doi.org/10.3390/diagnostics13193109 - 30 Sep 2023
Viewed by 1146
Abstract
The Twin Reversed Arterial Perfusion (TRAP) Sequence is an extremely rare complication of monochorionic twin pregnancies, with one severely malformed twin (the “acardiac”) lacking autonomous placental blood supply and being perfused by the co-twin (the “pump”), through arterio-arterial (and sometimes also veno-venous) vascular [...] Read more.
The Twin Reversed Arterial Perfusion (TRAP) Sequence is an extremely rare complication of monochorionic twin pregnancies, with one severely malformed twin (the “acardiac”) lacking autonomous placental blood supply and being perfused by the co-twin (the “pump”), through arterio-arterial (and sometimes also veno-venous) vascular anastomoses located on the placental surface. The prognosis is poor: mortality is 100% in the acardiac twin because of its severe malformations and about 50–55% in the pump twin, mainly due to heart failure and prematurity. So, the goal of perinatal management of the TRAP twin pregnancy is to deliver a healthy and near-term pump twin without heart failure or fetal hydrops. Intuitively, the earlier the diagnosis, the better the outcome. Herein, we report two cases of monochorionic monoamniotic (MCMA) twin pregnancies complicated by the TRAP Sequence, which are of interest since the objective of early diagnosis was achieved by means of transvaginal and 3D ultrasound, two techniques which revealed themselves as being useful to this purpose but are underused in the literature. The second aim of this study is to provide an overview of literature data about the diagnosis, prognosis establishment, and management of this rare condition, which are still debated and unclear due to negligible poor-quality evidence. Full article
(This article belongs to the Special Issue Obstetric Ultrasound: The Most Patient-Friendly Technique to Detect Fetal Abnormalities and Obstetric Complications)
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