Volume and vascularity: using ultrasound to unlock the secrets of the first trimester placenta
Fetal growth restriction (FGR) is a major cause of perinatal morbidity and mortality. Identifying which pregnancies are at risk of FGR facilitates enhanced surveillance and early delivery before fetal demise can ensue. However, existing risk stratification strategies yield an unacceptably low detect...
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Format: | Journal article |
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Elsevier
2019
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_version_ | 1797062991739355136 |
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author | Mathewlynn, S Collins, S |
author_facet | Mathewlynn, S Collins, S |
author_sort | Mathewlynn, S |
collection | OXFORD |
description | Fetal growth restriction (FGR) is a major cause of perinatal morbidity and mortality. Identifying which pregnancies are at risk of FGR facilitates enhanced surveillance and early delivery before fetal demise can ensue. However, existing risk stratification strategies yield an unacceptably low detection rate. A robust and reliable first trimester screening test for FGR would not only enable high-risk women to be appropriately monitored but would facilitate future trials for possible interventions to enhance fetal growth. Both the volume and vascularity of the first trimester placenta has been demonstrated to be linked to adverse pregnancy outcomes including FGR and pre-eclampsia. The investigation of novel ultrasound markers for FGR are discussed along with the development of methods for fully automatic placental volume estimation which has the potential for use as part of a multi-variable population-based screening test. |
first_indexed | 2024-03-06T20:53:28Z |
format | Journal article |
id | oxford-uuid:38643b26-d7da-482b-8199-43dcb3cde6c3 |
institution | University of Oxford |
last_indexed | 2024-03-06T20:53:28Z |
publishDate | 2019 |
publisher | Elsevier |
record_format | dspace |
spelling | oxford-uuid:38643b26-d7da-482b-8199-43dcb3cde6c32022-03-26T13:49:43ZVolume and vascularity: using ultrasound to unlock the secrets of the first trimester placentaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:38643b26-d7da-482b-8199-43dcb3cde6c3Symplectic Elements at OxfordElsevier2019Mathewlynn, SCollins, SFetal growth restriction (FGR) is a major cause of perinatal morbidity and mortality. Identifying which pregnancies are at risk of FGR facilitates enhanced surveillance and early delivery before fetal demise can ensue. However, existing risk stratification strategies yield an unacceptably low detection rate. A robust and reliable first trimester screening test for FGR would not only enable high-risk women to be appropriately monitored but would facilitate future trials for possible interventions to enhance fetal growth. Both the volume and vascularity of the first trimester placenta has been demonstrated to be linked to adverse pregnancy outcomes including FGR and pre-eclampsia. The investigation of novel ultrasound markers for FGR are discussed along with the development of methods for fully automatic placental volume estimation which has the potential for use as part of a multi-variable population-based screening test. |
spellingShingle | Mathewlynn, S Collins, S Volume and vascularity: using ultrasound to unlock the secrets of the first trimester placenta |
title | Volume and vascularity: using ultrasound to unlock the secrets of the first trimester placenta |
title_full | Volume and vascularity: using ultrasound to unlock the secrets of the first trimester placenta |
title_fullStr | Volume and vascularity: using ultrasound to unlock the secrets of the first trimester placenta |
title_full_unstemmed | Volume and vascularity: using ultrasound to unlock the secrets of the first trimester placenta |
title_short | Volume and vascularity: using ultrasound to unlock the secrets of the first trimester placenta |
title_sort | volume and vascularity using ultrasound to unlock the secrets of the first trimester placenta |
work_keys_str_mv | AT mathewlynns volumeandvascularityusingultrasoundtounlockthesecretsofthefirsttrimesterplacenta AT collinss volumeandvascularityusingultrasoundtounlockthesecretsofthefirsttrimesterplacenta |