Three-dimensional ultrasonography measurement of fetal nasal bone length during the midtrimester in Taiwanese women

Objective: To evaluate the normal range of the fetal nasal bone length (NBL) in Taiwanese women using three-dimensional (3D) ultrasound, and compare the NBL of normal fetuses with Down syndrome to determine its significance in screening for trisomy 21. Materials and Methods: A total of 102 consecuti...

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Main Authors: Pei-Yin Yang, Joung-Liang Wu, Guang-Perng Yeh, Charles Tsung-Che Hsieh
Format: Article
Language:English
Published: Elsevier 2012-09-01
Series:Taiwanese Journal of Obstetrics & Gynecology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1028455912001209
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author Pei-Yin Yang
Joung-Liang Wu
Guang-Perng Yeh
Charles Tsung-Che Hsieh
author_facet Pei-Yin Yang
Joung-Liang Wu
Guang-Perng Yeh
Charles Tsung-Che Hsieh
author_sort Pei-Yin Yang
collection DOAJ
description Objective: To evaluate the normal range of the fetal nasal bone length (NBL) in Taiwanese women using three-dimensional (3D) ultrasound, and compare the NBL of normal fetuses with Down syndrome to determine its significance in screening for trisomy 21. Materials and Methods: A total of 102 consecutive fetuses and another 7 fetuses with trisomy 21, determined by karyotyping at 15–22 weeks' gestation, were evaluated with 3D ultrasound before amniocentesis at Changhua Christian Hospital between November 2003 and April 2004. Results: The normal range for NBL in the second trimester in the Taiwanese population was investigated, and a linear relationship with gestational age was noted. The NBL increased with advancing gestational age (NBL in cm=0.0264×gestational age in weeks –0.042 (R2=0.2416). The median of the biparietal diameter/nasal bone length ratio had a stable value which tended to change minimally between 15 and 22 weeks of gestation. Chromosomally normal fetuses had statistically longer nasal bones than fetuses with Down syndrome (p=0.014). Conclusion: We present a reference range for 3D ultrasound measurement of the fetal NBL. A short nasal bone at 15 to 22 weeks is associated with a high risk of trisomy 21.
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spelling doaj.art-931d1d97cb374d8f881b0989265cb27e2022-12-21T22:46:34ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592012-09-0151335435810.1016/j.tjog.2012.07.006Three-dimensional ultrasonography measurement of fetal nasal bone length during the midtrimester in Taiwanese womenPei-Yin YangJoung-Liang WuGuang-Perng YehCharles Tsung-Che HsiehObjective: To evaluate the normal range of the fetal nasal bone length (NBL) in Taiwanese women using three-dimensional (3D) ultrasound, and compare the NBL of normal fetuses with Down syndrome to determine its significance in screening for trisomy 21. Materials and Methods: A total of 102 consecutive fetuses and another 7 fetuses with trisomy 21, determined by karyotyping at 15–22 weeks' gestation, were evaluated with 3D ultrasound before amniocentesis at Changhua Christian Hospital between November 2003 and April 2004. Results: The normal range for NBL in the second trimester in the Taiwanese population was investigated, and a linear relationship with gestational age was noted. The NBL increased with advancing gestational age (NBL in cm=0.0264×gestational age in weeks –0.042 (R2=0.2416). The median of the biparietal diameter/nasal bone length ratio had a stable value which tended to change minimally between 15 and 22 weeks of gestation. Chromosomally normal fetuses had statistically longer nasal bones than fetuses with Down syndrome (p=0.014). Conclusion: We present a reference range for 3D ultrasound measurement of the fetal NBL. A short nasal bone at 15 to 22 weeks is associated with a high risk of trisomy 21.http://www.sciencedirect.com/science/article/pii/S1028455912001209fetal nasal bone lengthultrasonography
spellingShingle Pei-Yin Yang
Joung-Liang Wu
Guang-Perng Yeh
Charles Tsung-Che Hsieh
Three-dimensional ultrasonography measurement of fetal nasal bone length during the midtrimester in Taiwanese women
Taiwanese Journal of Obstetrics & Gynecology
fetal nasal bone length
ultrasonography
title Three-dimensional ultrasonography measurement of fetal nasal bone length during the midtrimester in Taiwanese women
title_full Three-dimensional ultrasonography measurement of fetal nasal bone length during the midtrimester in Taiwanese women
title_fullStr Three-dimensional ultrasonography measurement of fetal nasal bone length during the midtrimester in Taiwanese women
title_full_unstemmed Three-dimensional ultrasonography measurement of fetal nasal bone length during the midtrimester in Taiwanese women
title_short Three-dimensional ultrasonography measurement of fetal nasal bone length during the midtrimester in Taiwanese women
title_sort three dimensional ultrasonography measurement of fetal nasal bone length during the midtrimester in taiwanese women
topic fetal nasal bone length
ultrasonography
url http://www.sciencedirect.com/science/article/pii/S1028455912001209
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AT guangperngyeh threedimensionalultrasonographymeasurementoffetalnasalbonelengthduringthemidtrimesterintaiwanesewomen
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