ACR appropriateness criteria® growth disturbances-risk of intrauterine growth restriction

Carolyn M. Zelop, Marcia C. Javitt, Phyllis Glanc, Theodore Dubinsky, Mukesh G. Harisinghani, Robert D. Harris, Nadia J. Khati, Donald G. Mitchell, Pari V. Pandharipande, Harpreet K. Pannu, Ann E. Podrasky, Thomas D. Shipp, Cary Lynn Siegel, Lynn Simpson, Darci J. Wall, Jade J. Wong-You-Cheong

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Fetal growth disturbances include fetuses at risk for intrauterine growth restriction. These fetuses may have an estimated fetal weight at less than the 10% or demonstrate a plateau of fetal growth with an estimated fetal growth greater than the 10%. Uteroplacental insufficiency may play a major role in the etiology of intrauterine growth restriction. Fetuses at risk for intrauterine fetal growth restriction are susceptible to the potential hostility of the intrauterine environment leading to fetal hypoxia and fetal acidosis. Fetal well-being can be assessed using biophysical profile, Doppler velocimetry, fetal heart rate monitoring, and fetal movement counting.Fetal growth disturbances include fetuses at risk for intrauterine growth restriction. These fetuses may have an estimated fetal weight at less than the 10% or demonstrate a plateau of fetal growth with an estimated fetal growth greater than the 10%. Uteroplacental insufficiency may play a major role in the etiology of intrauterine growth restriction. Fetuses at risk for intrauterine fetal growth restriction are susceptible to the potential hostility of the intrauterine environment leading to fetal hypoxia and fetal acidosis. Fetal well-being can be assessed using biophysical profile, Doppler velocimetry, fetal heart rate monitoring, and fetal movement counting.The ACR Appropriateness Criteria® are evidence-based guidelines for specific clinical conditions that are reviewed every two years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

Original languageEnglish (US)
Pages (from-to)147-151
Number of pages5
JournalUltrasound Quarterly
Volume29
Issue number3
DOIs
StatePublished - Sep 1 2013

Keywords

  • appropriateness criteria
  • fetal growth disturbances
  • risk of intrauterine growth restriction

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Zelop, C. M., Javitt, M. C., Glanc, P., Dubinsky, T., Harisinghani, M. G., Harris, R. D., Khati, N. J., Mitchell, D. G., Pandharipande, P. V., Pannu, H. K., Podrasky, A. E., Shipp, T. D., Siegel, C. L., Simpson, L., Wall, D. J., & Wong-You-Cheong, J. J. (2013). ACR appropriateness criteria® growth disturbances-risk of intrauterine growth restriction. Ultrasound Quarterly, 29(3), 147-151. https://doi.org/10.1097/RUQ.0b013e31829ea221