PMID- 28651459 OWN - NLM STAT- MEDLINE DCOM- 20170817 LR - 20170817 IS - 0030-6002 (Print) IS - 0030-6002 (Linking) VI - 158 IP - 26 DP - 2017 Jul TI - [Examination of placental three-dimensional power Doppler indices and perinatal outcome in pregnancies complicated by intrauterine growth restriction]. PG - 1008-1013 LID - 10.1556/650.2017.30784 [doi] AB - INTRODUCTION: Development of intrauterine growth restriction (IUGR) can be traced back to maternal or fetal factors, but in many cases we find placental factors (reduced placental circulation) in the background. AIM: Our aim was to examine whether the reduced placental bloodperfusion and vascularity show any correlation with cesarean section frequency and the clinical outcome in IUGR pregnancies. The aim of the present study was also to use a properly calibrated and reproducible method for evaluating placental blood flow, that can later be incorporated into the routine examination. METHOD: 254 women were recruited in our prospective case-control study. The 3 dimensional power Doppler (3DPD) ultrasound indices; vascularisation index (VI), flow index (FI) and vascularization flow index (VFI) were measured on each participant. RESULTS: Median VI was 3.7% (interquartile range [IQR] 3.2%-4.2%) in the IUGR group and 10.1% (IQR 8.6%-10.9%) in the control group (p = 0.001). Median FI value was 40.0 (IQR 39.7-42.5) in the IUGR group and 45.1 (IQR 44.1-53.1) in the control group (p = 0.012). Median VFI was 2.2 (IQR 2.1-2.4) in the IUGR group and 4.8 (IQR 4.4-5.3) in the control. CONCLUSIONS: The 3DPD indices may be useful for examining changes in circulation in IUGR pregnancies to characterize the underlying pathology. Orv Hetil. 2017; 158(26): 1008-1013. FAU - Molnar, Andras AU - Molnar A AD - Altalanos Orvostudomanyi Kar, Szuleszeti es Nogyogyaszati Klinika, Szegedi Tudomanyegyetem Szeged, Semmelweis u. 1., 6725. FAU - Suranyi, Andrea AU - Suranyi A AD - Altalanos Orvostudomanyi Kar, Szuleszeti es Nogyogyaszati Klinika, Szegedi Tudomanyegyetem Szeged, Semmelweis u. 1., 6725. FAU - Jako, Maria AU - Jako M AD - Altalanos Orvostudomanyi Kar, Szuleszeti es Nogyogyaszati Klinika, Szegedi Tudomanyegyetem Szeged, Semmelweis u. 1., 6725. FAU - Nyari, Tibor AU - Nyari T AD - Orvosi Fizika es Informatikai Tanszek, Szegedi Tudomanyegyetem Szeged. FAU - Nemeth, Gabor AU - Nemeth G AD - Altalanos Orvostudomanyi Kar, Szuleszeti es Nogyogyaszati Klinika, Szegedi Tudomanyegyetem Szeged, Semmelweis u. 1., 6725. LA - hun PT - Journal Article TT - A haromdimenzios power Doppler-indexek es a perinatalis kimenetel vizsgalata mehen beluli novekedesi restrikcioval szovodott terhessegekben. PL - Hungary TA - Orv Hetil JT - Orvosi hetilap JID - 0376412 SB - IM MH - Case-Control Studies MH - Female MH - Fetal Growth Retardation/*diagnostic imaging MH - Humans MH - Imaging, Three-Dimensional/*statistics & numerical data MH - Placenta/blood supply/*diagnostic imaging MH - Placental Circulation MH - Pregnancy MH - Pregnancy Outcome MH - Prospective Studies MH - Ultrasonography, Doppler/methods MH - Ultrasonography, Prenatal/*methods OTO - NOTNLM OT - body mass index OT - haromdimenzios power Doppler-ultrahang OT - intrauterine growth restriction OT - mehen beluli novekedesbeli restrikcio OT - mehlepeny-vascularisatio OT - perinatal outcome OT - perinatalis klinikai kep OT - placental vascularization OT - pregnancy care OT - terhesgondozas OT - testtomegindex OT - three-dimensional power Doppler indices OT - ultrasonography EDAT- 2017/06/28 06:00 MHDA- 2017/08/18 06:00 CRDT- 2017/06/28 06:00 PHST- 2017/06/28 06:00 [entrez] PHST- 2017/06/28 06:00 [pubmed] PHST- 2017/08/18 06:00 [medline] AID - 10.1556/650.2017.30784 [doi] PST - ppublish SO - Orv Hetil. 2017 Jul;158(26):1008-1013. doi: 10.1556/650.2017.30784.