Rev Bras Ginecol Obstet
. 2022 Apr;44(4):435-441.
doi: 10.1055/s-0041-1740296. Epub 2022 May 27. https://pubmed.ncbi.nlm.nih.gov/35623622/
Imaging Assessment of Prognostic Parameters in Cases of Isolated Congenital Diaphragmatic Hernia: Integrative Review
Juliana da-Costa-Santos 1, João Renato Bennini 1
Affiliations expand
- PMID: 35623622
- DOI: 10.1055/s-0041-1740296
Free article
Abstract in English, Portuguese
Objective: Antenatal recognition of severe cases of congenital diaphragmatic hernia (CDH) by ultrasound (US) and magnetic resonance imaging (MRI) may aid decisions regarding the indication of fetal endoscopic tracheal occlusion.
Methods: An integrative review was performed. Searches in MEDLINE and EMBASE used terms related to CDH, diagnosis, MRI, and US. The inclusion criteria were reviews and guidelines approaching US and MRI markers of severity of CDH published in English in the past 10 years.
Results: The search retrieved 712 studies, out of which 17 publications were included. The US parameters were stomach and liver positions, lung-to-head ratio (LHR), observed/expected LHR (o/e LHR), and quantitative lung index. The MRI parameters were total fetal lung volume (TFLV), observed/expected TFLV, relative fetal or percent predicted lung volumes, liver intrathoracic ratio, and modified McGoon index. None of the parameters was reported to be superior to the others.
Conclusion: The most mentioned parameters were o/e LHR, LHR, liver position, o/e TFLV, and TFLV.
Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).
