Can three-dimensional ultrasound be used for the assessment of the fetal lung volume in cases of congenital diaphragmatic hernia?

Rodrigo Ruano, Alexandra Benachi, Jéléna Martinovic, Anne Gaëlle Grebille, Marie Cécile Aubry, Yves Dumez, Marc Dommergues

Research output: Contribution to journalArticle

60 Scopus citations

Abstract

We report on 2 fetuses with congenital diaphragmatic hernia (CDH) in whom the fetal lung volumes were estimated by three-dimensional ultrasound and the results compared with the postmortem lung volume measurements. Both examiners (sonographer and pathologist) were blinded to each other's results. The 1st case was a right CDH diagnosed at 20 weeks of gestation. The 2nd case was a left CDH diagnosed at 22 weeks of gestation. Both pregnancies were terminated upon request of the parents. Three-dimensional ultrasound estimation of the fetal lung volume was performed 1 day before termination of pregnancy using the technique of rotation of the three perpendicular planes. The left and right lung volumes estimated by three-dimensional ultrasound were 3.88 and 1.87 cm3, respectively, in the 1st case and 0 and 5.52 cm3, respectively, in the 2nd case. On postmortem examination, the left and right lung volumes were 3.0 and 2.2 cm3, respectively, in case 1 and 1.1 and 5.6 cm3, respectively, in case 2. This suggests that a three-dimensional estimation of pulmonary volumes may be correlated with postmortem findings in cases with CDH.

Original languageEnglish (US)
Pages (from-to)87-91
Number of pages5
JournalFetal Diagnosis and Therapy
Volume19
Issue number1
DOIs
StatePublished - Jan 1 2004

Keywords

  • Congenital diaphragmatic hernia, prenatal diagnosis
  • Fetal lung
  • Three-dimensional ultrasound

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Embryology
  • Radiology Nuclear Medicine and imaging
  • Obstetrics and Gynecology

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