Sonographic markers for early diagnosis of fetal malformations

• 作者: Antonio Perrone Emanuele Perrone Ernesto Casciaro Francesco Conversano Gian Carlo Di Renzo Marco Di Paola Maria Daniela Renna Paola Pisani Sergio Casciaro
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: PRENATAL diagnosis PRENATAL SONOGRAPHY Chromosome abnormalities NUCHAL TRANSLUCENCY Fetal echocardiography Skeletal dysplasia
• 年，卷（期）: 2013,（10）
• 页码范围: 356-371
• 页数: 16页
• 分类号: R714.5

摘要

Fetal malformations are very frequent in industrialized countries.Although advanced maternal age may affect pregnancy outcome adversely,80%-90%of fetal malformations occur in the absence of a specific risk factor for parents.The only effective approach for prenatal screening is currently represented by an ultrasound scan.However,ultrasound methods present two important limitations:the substantial absence of quantitative parameters and the dependence on the sonographer experience.In recent years,together with the improvement in transducer technology,quantitative and objective sonographic markers highly predictive of fetal malformations have been developed.These markers can be detected at early gestation(11-14 wk)and generally are not pathological in themselves but have an increased incidence in abnormal fetuses.Thus,prenatal ultrasonography during the second trimester of gestation provides a'genetic sonogram',including,for instance,nuchal translucency,short humeral length,echogenic bowel,echogenic intracardiac focus and choroid plexus cyst,that is used to identify morphological features of fetal Down’s syndrome with a potential sensitivity of more than 90%.Other specific and sensitive markers can be seen in the case of cardiac defects and skeletal anomalies.In the future,sonographic markers could limit even more the use of invasive and dangerous techniques of prenatal diagnosis(amniocentesis,etc.).