Prenatal diagnosis of pulmonary sequestration using three-dimensional power Doppler ultrasound

Rodrigo Ruano, A. Benachi, M. C. Aubry, Y. Revillon, S. Emond, Y. Dumez, M. Dommergues

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Objective: To investigate the contribution of three-dimensional power Doppler ultrasound to the prenatal diagnosis of pulmonary sequestration. Methods: Prenatal three-dimensional power Doppler ultrasound was used to screen for an abnormal pulmonary blood supply in eight fetuses with hyperechogenic lung lesions and to image the pulmonary blood supply in 50 normal controls. A comparison was made with postnatal findings. Results: Postnatally the eight pulmonary lesions were found to be an isolated pulmonary sequestration (n = 3), a microcystic congenital adenomatoid malformation (n = 4), and a mixed (macrocystic and microcystic) congenital adenomatoid malformation (n = 1). Prenatal three-dimensional power Doppler ultrasound demonstrated an abnormal blood supply in all cases of pulmonary sequestration and in none of the other cases. Among the three cases that turned out to be pulmonary sequestrations, conventional two-dimensional ultrasound failed to identify the feeding vessel in one case and identified it at a later stage of gestation than did three-dimensional power Doppler in the other two. Conclusion: Prenatal three-dimensional power Doppler ultrasound may be useful in identifying the feeding vessel and thus establishing the diagnosis of pulmonary sequestration in the presence of a hyperechogenic pulmonary lesion, allowing its differentiation from congenital cystic adenomatoid malformation.

Original languageEnglish (US)
Pages (from-to)128-133
Number of pages6
JournalUltrasound in Obstetrics and Gynecology
Volume25
Issue number2
DOIs
StatePublished - Feb 1 2005
Externally publishedYes

Fingerprint

Bronchopulmonary Sequestration
Doppler Ultrasonography
pulmonary lesions
Prenatal Diagnosis
blood
Lung
vessels
fetuses
lungs
lesions
Congenital Cystic Adenomatoid Malformation of Lung
Fetus
Pregnancy

Keywords

  • Color power Doppler
  • Congenital adenomatoid malformation
  • Fetal lung
  • Prenatal diagnosis
  • Pulmonary sequestration
  • Three-dimensional color power Doppler
  • Three-dimensional ultrasound

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Reproductive Medicine
  • Acoustics and Ultrasonics

Cite this

Prenatal diagnosis of pulmonary sequestration using three-dimensional power Doppler ultrasound. / Ruano, Rodrigo; Benachi, A.; Aubry, M. C.; Revillon, Y.; Emond, S.; Dumez, Y.; Dommergues, M.

In: Ultrasound in Obstetrics and Gynecology, Vol. 25, No. 2, 01.02.2005, p. 128-133.

Research output: Contribution to journalArticle

Ruano, Rodrigo ; Benachi, A. ; Aubry, M. C. ; Revillon, Y. ; Emond, S. ; Dumez, Y. ; Dommergues, M. / Prenatal diagnosis of pulmonary sequestration using three-dimensional power Doppler ultrasound. In: Ultrasound in Obstetrics and Gynecology. 2005 ; Vol. 25, No. 2. pp. 128-133.
@article{6d81cbf59f4b4dc5935bcc08392c7926,
title = "Prenatal diagnosis of pulmonary sequestration using three-dimensional power Doppler ultrasound",
abstract = "Objective: To investigate the contribution of three-dimensional power Doppler ultrasound to the prenatal diagnosis of pulmonary sequestration. Methods: Prenatal three-dimensional power Doppler ultrasound was used to screen for an abnormal pulmonary blood supply in eight fetuses with hyperechogenic lung lesions and to image the pulmonary blood supply in 50 normal controls. A comparison was made with postnatal findings. Results: Postnatally the eight pulmonary lesions were found to be an isolated pulmonary sequestration (n = 3), a microcystic congenital adenomatoid malformation (n = 4), and a mixed (macrocystic and microcystic) congenital adenomatoid malformation (n = 1). Prenatal three-dimensional power Doppler ultrasound demonstrated an abnormal blood supply in all cases of pulmonary sequestration and in none of the other cases. Among the three cases that turned out to be pulmonary sequestrations, conventional two-dimensional ultrasound failed to identify the feeding vessel in one case and identified it at a later stage of gestation than did three-dimensional power Doppler in the other two. Conclusion: Prenatal three-dimensional power Doppler ultrasound may be useful in identifying the feeding vessel and thus establishing the diagnosis of pulmonary sequestration in the presence of a hyperechogenic pulmonary lesion, allowing its differentiation from congenital cystic adenomatoid malformation.",
keywords = "Color power Doppler, Congenital adenomatoid malformation, Fetal lung, Prenatal diagnosis, Pulmonary sequestration, Three-dimensional color power Doppler, Three-dimensional ultrasound",
author = "Rodrigo Ruano and A. Benachi and Aubry, {M. C.} and Y. Revillon and S. Emond and Y. Dumez and M. Dommergues",
year = "2005",
month = "2",
day = "1",
doi = "10.1002/uog.1797",
language = "English (US)",
volume = "25",
pages = "128--133",
journal = "Ultrasound in Obstetrics and Gynecology",
issn = "0960-7692",
publisher = "John Wiley and Sons Ltd",
number = "2",

}

TY - JOUR

T1 - Prenatal diagnosis of pulmonary sequestration using three-dimensional power Doppler ultrasound

AU - Ruano, Rodrigo

AU - Benachi, A.

AU - Aubry, M. C.

AU - Revillon, Y.

AU - Emond, S.

AU - Dumez, Y.

AU - Dommergues, M.

PY - 2005/2/1

Y1 - 2005/2/1

N2 - Objective: To investigate the contribution of three-dimensional power Doppler ultrasound to the prenatal diagnosis of pulmonary sequestration. Methods: Prenatal three-dimensional power Doppler ultrasound was used to screen for an abnormal pulmonary blood supply in eight fetuses with hyperechogenic lung lesions and to image the pulmonary blood supply in 50 normal controls. A comparison was made with postnatal findings. Results: Postnatally the eight pulmonary lesions were found to be an isolated pulmonary sequestration (n = 3), a microcystic congenital adenomatoid malformation (n = 4), and a mixed (macrocystic and microcystic) congenital adenomatoid malformation (n = 1). Prenatal three-dimensional power Doppler ultrasound demonstrated an abnormal blood supply in all cases of pulmonary sequestration and in none of the other cases. Among the three cases that turned out to be pulmonary sequestrations, conventional two-dimensional ultrasound failed to identify the feeding vessel in one case and identified it at a later stage of gestation than did three-dimensional power Doppler in the other two. Conclusion: Prenatal three-dimensional power Doppler ultrasound may be useful in identifying the feeding vessel and thus establishing the diagnosis of pulmonary sequestration in the presence of a hyperechogenic pulmonary lesion, allowing its differentiation from congenital cystic adenomatoid malformation.

AB - Objective: To investigate the contribution of three-dimensional power Doppler ultrasound to the prenatal diagnosis of pulmonary sequestration. Methods: Prenatal three-dimensional power Doppler ultrasound was used to screen for an abnormal pulmonary blood supply in eight fetuses with hyperechogenic lung lesions and to image the pulmonary blood supply in 50 normal controls. A comparison was made with postnatal findings. Results: Postnatally the eight pulmonary lesions were found to be an isolated pulmonary sequestration (n = 3), a microcystic congenital adenomatoid malformation (n = 4), and a mixed (macrocystic and microcystic) congenital adenomatoid malformation (n = 1). Prenatal three-dimensional power Doppler ultrasound demonstrated an abnormal blood supply in all cases of pulmonary sequestration and in none of the other cases. Among the three cases that turned out to be pulmonary sequestrations, conventional two-dimensional ultrasound failed to identify the feeding vessel in one case and identified it at a later stage of gestation than did three-dimensional power Doppler in the other two. Conclusion: Prenatal three-dimensional power Doppler ultrasound may be useful in identifying the feeding vessel and thus establishing the diagnosis of pulmonary sequestration in the presence of a hyperechogenic pulmonary lesion, allowing its differentiation from congenital cystic adenomatoid malformation.

KW - Color power Doppler

KW - Congenital adenomatoid malformation

KW - Fetal lung

KW - Prenatal diagnosis

KW - Pulmonary sequestration

KW - Three-dimensional color power Doppler

KW - Three-dimensional ultrasound

UR - http://www.scopus.com/inward/record.url?scp=14544292447&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=14544292447&partnerID=8YFLogxK

U2 - 10.1002/uog.1797

DO - 10.1002/uog.1797

M3 - Article

C2 - 15685645

AN - SCOPUS:14544292447

VL - 25

SP - 128

EP - 133

JO - Ultrasound in Obstetrics and Gynecology

JF - Ultrasound in Obstetrics and Gynecology

SN - 0960-7692

IS - 2

ER -