Assessment of lung area in fetuses with congenital diaphragmatic hernia

Jani, J.; Peralta, C. F. A.; Benachi, A.; Deprest, J.; Nicolaides, K. H.

doi:10.1002/uog.4051

Cited by 76Congenital Diaphragmatic Hernia StudiesCongenital Anomalies and Fetal SurgeryCongenital Heart Disease Studies

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Assessment of lung area in fetuses with congenital diaphragmatic hernia

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Jani, J., Peralta, C. F. A., Benachi, A., Deprest, J., Nicolaides, K. H.·2007·Ultrasound in Obstetrics & Gynecology

DOI 10.1002/uog.4051

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Abstract

OBJECTIVE: To compare the intra- and interobserver agreement of three different methods of measuring lung area in fetuses with congenital diaphragmatic hernia (CDH). METHODS: In 71 fetuses with isolated CDH at 21-33 weeks' gestation, the area of the contralateral lung was assessed by firstly, manual tracing of lung borders, secondly, multiplication of the longest diameter of the lung by its widest perpendicular diameter, and thirdly, multiplication of the anteroposterior (AP) diameter of the lung at the mid-clavicular line by the perpendicular diameter at the midpoint of the AP diameter (AP method). In 30 fetuses the measurements were made by two observers and Bland-Altman analysis was used to compare the measurement agreement and bias for each observer and between the two observers. RESULTS: The area obtained by the AP method was similar to that obtained by the manual tracing method, but the area by the longest diameter approach was bigger by 34.4% (95% CI, - 2.4% to 71.1%). The 95% confidence intervals of the difference in paired measurements of lung areas by the same observer and by two different observers were narrower in the manual tracing method than in the multiplying diameters methods. CONCLUSIONS: In CDH the most reproducible measurement of fetal lung area is provided by manual tracing of the limits of the lungs, rather than by multiplication of lung diameters.

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Assessment of fetal lungs in terms of texture and volume can be relevant for prenatal diagnosis, risk classification, prediction of prognosis, and therapy planning in fetal congenital diaphragmatic hernia, profiting from the combination of US and MRI.
“the assessment of fetal lungs in terms of texture and volume can be relevant for prenatal diagnosis, risk classification, prediction of prognosis, and therapy planning in fetal congenital diaphragmatic hernia, profiting from the combination of the imaging modalities of US and MRI [228,232].”
From Evolving the Era of 5D Ultrasound? A Systematic Literature Review on the Applications for Artificial Intelligence Ultrasound Imaging in Obstetrics and Gynecology (2023) · cites this paper as [232]

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OC32: Assessment of lung area in fetuses with congenital diaphragmatic hernia — a comparison of techniques
Jani, J. C., Peralta, C. F. A., Nicolaides, K. H., Benachi, A., & Deprest, J. A. (2006) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.2892 · Cited by 1
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OP04.01: Interobserver variability of sonographic lung size measurement in congenital diaphragmatic hernia (CDH) across the NAFTNet* FETO Consortium
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Relationship between lung area at ultrasound examination and lung volume assessment with magnetic resonance imaging in isolated congenital diaphragmatic hernia
Jani, J. C., Cannie, M., Doné, E., Mieghem, T. V., Schoubroeck, D. V., Gucciardo, L., Dymarkowski, S., & Deprest, J. A. (2007) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.5168 · Cited by 53
Self-citation

Authors: Jani, J., Peralta, C. F. A., Benachi, A., Deprest, J., & Nicolaides, K. H.
Affiliations: Universitair Ziekenhuis Leuven (BE)
King's College Hospital (GB)
Hôpital Necker-Enfants Malades (FR)
Corresponding author: Nicolaides, K. H.
ORCID: Jani, J.
Peralta, C. F. A.
Benachi, A.
Deprest, J.
Nicolaides, K. H.
Venue: Ultrasound in Obstetrics & Gynecology
Publisher: Wiley
Published: 2007-06-22
Volume: 30
Issue: 1
Pages: 72-76
ISSN: 0960-7692 (ISSN-L)
1469-0705
DOI: 10.1002/uog.4051
OpenAlex: W2010436889
Cited by: 76
References: 8
Citations by year: 2026: 3 · 2025: 3 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 4 · 2019: 5 · 2018: 5 · 2017: 5 · 2016: 5 · 2015: 2 · 2014: 4 · 2013: 3 · 2012: 3
FWCI: 4.99
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Ultrasound in Obstetrics and Gynecology (publishedVersion)
PubMed (publishedVersion)
Research Portal (King's College London) (submittedVersion)
Funders: European Commission
Topics: Health Sciences › Medicine › Surgery › Congenital Diaphragmatic Hernia Studies
Health Sciences › Medicine › Surgery › Congenital Anomalies and Fetal Surgery
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Congenital Heart Disease Studies
Keywords: congenital diaphragmatic hernia, interobserver agreement, intraobserver agreement, fetal lung ultrasound, prenatal diagnosis
MeSH terms: Cross-Sectional Studies, Female, Fetal Diseases, Gestational Age, Head, Hernia, Diaphragmatic, Humans, Lung, Lung Volume Measurements, Predictive Value of Tests, Pregnancy, Regression Analysis, Observer Variation, Ultrasonography, Prenatal, Hernias, Diaphragmatic, Congenital

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Assessment of lung area in fetuses with congenital diaphragmatic hernia

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