Evidence map›Paper›PMID 28342715›Full record

ArticleAmerican journal of obstetrics and gynecology2017

Prediction of neonatal respiratory morbidity by quantitative ultrasound lung texture analysis: a multicenter study.

Montse Palacio, Elisenda Bonet-Carne, Teresa Cobo, Alvaro Perez-Moreno, Joan Sabrià, Jute Richter, Marian Kacerovsky, Bo Jacobsson, Raúl A García-Posada, Fernando Bugatto and 21 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in American journal of obstetrics and gynecology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 55 citations in OpenAlex.

  1. Trial
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  4. AI-Driven Fetal Liver Echotexture Analysis: A New Frontier in Predicting Neonatal Insulin Imbalance.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
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  20. Timing of elective pre-labour caesarean section: A decision analysis.The Australian & New Zealand journal of obstetrics & gynaecology · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors at 18 institutions in 11 countries.

Montse PalacioBCNatal, Barcelona Center for Maternal-Fetal and Neonatal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), IDIBAPS, University of Barcelona, Barcelona, Spain; Centre for Biomedical Research on Rare Diseases (Centro de Investigación Biomédica en Red Enfermedades Raras), Barcelona, Spain. Electronic address: mpalacio@clinic.cat.
Elisenda Bonet-CarneTransmural Biotech SL, Barcelona, Spain.
Teresa CoboBCNatal, Barcelona Center for Maternal-Fetal and Neonatal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), IDIBAPS, University of Barcelona, Barcelona, Spain; Centre for Biomedical Research on Rare Diseases (Centro de Investigación Biomédica en Red Enfermedades Raras), Barcelona, Spain.
Alvaro Perez-MorenoTransmural Biotech SL, Barcelona, Spain.
Joan SabriàBCNatal, Barcelona Center for Maternal-Fetal and Neonatal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), IDIBAPS, University of Barcelona, Barcelona, Spain.
Jute RichterDepartment of Obstetrics and Gynaecology, University Hospitals Leuven, and Academic Department of Development and Regeneration, Organ System Cluster, KU Leuven, Leuven, Belgium.
Marian KacerovskyDepartment of Obstetrics and Gynecology, University Hospital Hradec Kralove, and Charles University in Prague, Faculty of Medicine in Hradec Kralove, Hradec Kralove, Czech Republic.
Bo JacobssonDepartment of Obstetrics and Gynecology, Sahlgrenska University Hospital/Ostra, Gothenburg University, Gothenburg, Sweden; Department of Genetics and Bioinformatics, Area of Health Data and Digitalization, Norwegian Institute of Public Health, Oslo, Norway.
Raúl A García-PosadaClínica del Prado. Medellín, Antioquía, Colombia.
Fernando BugattoDivision of Fetal-Maternal Medicine, Department of Obstetrics and Gynecology, University Hospital Puerta del Mar, Cadiz, Spain.
Ramon SantisteveAlthaia Xarxa Assistencial Universitària de Manresa, Hospital de Sant Joan de Déu, Manresa, Spain.
Àngels VivesDepartment of Obstetrics and Gynaecology, Consorci Sanitari de Terrassa, Terrassa, Spain.
Mauro Parra-CorderoMaternal-Fetal Medicine Unit, Department of Obstetrics and Gynecology, University of Chile Hospital, Santiago de Chile, Chile.
Edgar Hernandez-AndradePerinatology Research Branch, Program for Perinatal Research and Obstetrics, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, and Detroit, MI; Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Wayne State University Detroit, MI.
José Luis BarthaDivision of Maternal and Fetal Medicine, University Hospital La Paz, Madrid, Spain.
Pilar Carretero-LucenaMaternal-Fetal Medicine Unit, Department of Obstetrics and Gynaecology, University Hospital of Granada (CHUG), Granada, Spain.
Kai Lit TanDepartment of Maternal-Fetal Medicine, KK Women's and Children's Hospital, Singapore.
Rogelio Cruz-MartínezFetal Medicine Research Unit, Children's and Women's Specialty Hospital of Queretaro, Unidad de Investigación en Neurodesarrollo, Instituto de Neurobiología, UNAM-Juriquilla, Queretaro, Mexico.
Minke BurkeRoyal Prince Alfred Hospital Sydney, University of Sydney, Sydney, New South Wales, Australia.
Suseela VavilalaFernández Hospital, Hyberabad, India.
Igor IruretagoyenaDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, University of Wisconsin, Madison, WI.
Juan Luis DelgadoFetal Medicine Unit, Clinic University Hospital, Virgen de la Arrixaca, Murcia, Spain.
Mauro SchenoneDepartment of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, TN.
Josep VilanovaHospital Nostra Senyora de Meritxell, Escaldes-Engordany, Andorra.
Francesc BotetBCNatal, Barcelona Center for Maternal-Fetal and Neonatal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), IDIBAPS, University of Barcelona, Barcelona, Spain; Centre for Biomedical Research on Rare Diseases (Centro de Investigación Biomédica en Red Enfermedades Raras), Barcelona, Spain.
George S H YeoDepartment of Maternal-Fetal Medicine, KK Women's and Children's Hospital, Singapore.
Jon HyettRoyal Prince Alfred Hospital Sydney, University of Sydney, Sydney, New South Wales, Australia.
Jan DeprestDepartment of Obstetrics and Gynaecology, University Hospitals Leuven, and Academic Department of Development and Regeneration, Organ System Cluster, KU Leuven, Leuven, Belgium.
Roberto RomeroPerinatology Research Branch, Program for Perinatal Research and Obstetrics, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, and Detroit, MI; Center for Molecular Medicine and Genetics, Wayne State University Detroit, MI; Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI; Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI.
Eduard GratacosBCNatal, Barcelona Center for Maternal-Fetal and Neonatal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), IDIBAPS, University of Barcelona, Barcelona, Spain; Centre for Biomedical Research on Rare Diseases (Centro de Investigación Biomédica en Red Enfermedades Raras), Barcelona, Spain.
Fetal Lung Texture Team
Hospital Sant Joan de Déu Barcelona · ESKU Leuven · BEKK Women's and Children's Hospital · SGNational Institutes of Health · USThe University of Sydney · AUCharles University · CZClínica Somer · COUniversity of Tennessee Health Science Center · USAlthaia · ESConsorci Sanitari de Terrassa · ESHospital Universitario La Paz · ESHospital Universitario Puerta del Mar · ESHospital Universitario Virgen de la Arrixaca · ESNorwegian Institute of Public Health · NOUniversidad de Granada · ESUniversity of Chile · CLUniversity of Wisconsin–Madison · USFernandez Hospital · IN

Funding

Prenatal Diagnosis Of Congenital AnomaliesZIAHD002401 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI ROMERO, ROBERTO · 2009 to 2025
$81.1M
NICHD NIH HHS HHSN275201300006CNICHD NIH HHS N01 HD023342
6 · The paper itself

Abstract

backgroundPrediction of neonatal respiratory morbidity may be useful to plan delivery in complicated pregnancies. The limited predictive performance of the current diagnostic tests together with the risks of an invasive procedure restricts the use of fetal lung maturity assessment.

objectiveThe objective of the study was to evaluate the performance of quantitative ultrasound texture analysis of the fetal lung (quantusFLM) to predict neonatal respiratory morbidity in preterm and early-term (<39.0 weeks) deliveries. STUDY

designThis was a prospective multicenter study conducted in 20 centers worldwide. Fetal lung ultrasound images were obtained at 25.0-38.6 weeks of gestation within 48 hours of delivery, stored in Digital Imaging and Communication in Medicine format, and analyzed with quantusFLM. Physicians were blinded to the analysis. At delivery, perinatal outcomes and the occurrence of neonatal respiratory morbidity, defined as either respiratory distress syndrome or transient tachypnea of the newborn, were registered. The performance of the ultrasound texture analysis test to predict neonatal respiratory morbidity was evaluated.

resultsA total of 883 images were collected, but 17.3% were discarded because of poor image quality or exclusion criteria, leaving 730 observations for the final analysis. The prevalence of neonatal respiratory morbidity was 13.8% (101 of 730). The quantusFLM predicted neonatal respiratory morbidity with a sensitivity, specificity, positive and negative predictive values of 74.3% (75 of 101), 88.6% (557 of 629), 51.0% (75 of 147), and 95.5% (557 of 583), respectively. Accuracy was 86.5% (632 of 730) and positive and negative likelihood ratios were 6.5 and 0.3, respectively.

conclusionThe quantusFLM predicted neonatal respiratory morbidity with an accuracy similar to that previously reported for other tests with the advantage of being a noninvasive technique.

Indexed as

Ultrasonography, PrenatalAdultFemaleHumansInfant, NewbornLungMaleMorbidityPredictive Value of TestsPregnancyProspective StudiesRespiratory Distress Syndrome, NewbornTachypneaamniocentesisamniotic fluid analysisbiomarkercomputational methodsdiagnostic indicesfetal lung maturityneonatal respiratory morbiditypredictive valuesquantitative texture analysisrespiratory distress syndromesonographytransient tachypneaultrasound

Identifiers

PMID28342715
PMCPMC5625293
OpenAlexW2566424368

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.