Evidence map›Paper›PMID 33032557›Full record

ArticleBMC musculoskeletal disorders2020

Prenatal diagnosis of fetal skeletal dysplasia using 3-dimensional computed tomography: a prospective study.

Miyoko Waratani, Fumitake Ito, Yukiko Tanaka, Aki Mabuchi, Taisuke Mori, Jo Kitawaki

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Current Overview of Osteogenesis Imperfecta.Medicina (Kaunas, Lithuania) · 2021
    Review
  11. 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

6 authors at 1 institution in 1 country.

Miyoko WarataniDepartment of Obstetrics and Gynecology, Kyoto Prefectural University of Medicine, 645 Kaijii-cho, Kamigyo-ku, Kyoto, 602-8566, Japan. mwara@koto.kpu-m.ac.jp.ORCID http://orcid.org/0000-0003-3353-6410
Fumitake ItoDepartment of Obstetrics and Gynecology, Kyoto Prefectural University of Medicine, 645 Kaijii-cho, Kamigyo-ku, Kyoto, 602-8566, Japan.
Yukiko TanakaDepartment of Obstetrics and Gynecology, Kyoto Prefectural University of Medicine, 645 Kaijii-cho, Kamigyo-ku, Kyoto, 602-8566, Japan.
Aki MabuchiDepartment of Obstetrics and Gynecology, Kyoto Prefectural University of Medicine, 645 Kaijii-cho, Kamigyo-ku, Kyoto, 602-8566, Japan.
Taisuke MoriDepartment of Obstetrics and Gynecology, Kyoto Prefectural University of Medicine, 645 Kaijii-cho, Kamigyo-ku, Kyoto, 602-8566, Japan.
Jo KitawakiDepartment of Obstetrics and Gynecology, Kyoto Prefectural University of Medicine, 645 Kaijii-cho, Kamigyo-ku, Kyoto, 602-8566, Japan.
Kyoto Prefectural University of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFetal skeletal dysplasia (FSD) comprises a complex group of systemic bone and cartilage disorders. Many FSD phenotypes have indistinct definitions, making definitive prenatal diagnosis difficult. The condition is typically diagnosed using sonography; however, three-dimensional computed tomography (3D-CT) also aids in making a prenatal diagnosis. This study aimed to examine the efficacy of 3D-CT in the prenatal diagnosis of FSD by comparing the diagnostic accuracy of fetal sonography and 3D-CT.

methodsOn suspicion of FSD based on ultrasound examination, we performed 3D-CT prenatally to obtain detailed skeletal information on FSD. To minimize exposure of the fetuses to radiation without compromising image quality, we used predetermined 3D-CT settings for volume acquisition.

resultsNineteen fetuses were suspected of having skeletal dysplasia based on ultrasonography findings. Of these, 17 were diagnosed with FSD using 3D-CT. All 17 fetuses diagnosed with FSD prenatally were confirmed postnatally to have the condition. The postnatal diagnosis (campomelic dysplasia) differed from the prenatal diagnosis (osteogenesis imperfecta) in only one infant. Sixteen cases (94.1%) were diagnosed both prenatally and postnatally with FSD. Five infants had lethal skeletal dysplasia; one died in utero, and four died as neonates. We determined the appropriate delivery method for each infant based on the prenatal diagnosis.

conclusions3D-CT is a valuable tool for augmenting ultrasound examinations in the diagnosis of FSD. While improving the diagnostic tool of sonography is essential in cases of suspected FSD, 3D-CT imaging is indispensable for diagnosis and classification, enabling better planning for resuscitation of the infant after birth.

trial registrationUniversity Hospital Medical Information Network (UMIN) Center trial registration number is UMIN000034744 . Registered 1 October, 2018 - Retrospectively registered.

Indexed as

Imaging, Three-DimensionalPrenatal DiagnosisFemaleFetusHumansInfant, NewbornPregnancyProspective StudiesTomography, X-Ray Computed3D-CTFetal diagnosisFetal skeletal dysplasiaGene expressionShortening of long bones

Identifiers

PMID33032557
PMCPMC7545947
OpenAlexW3091863488

What OpenQuestion holds

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LicenceCC BY
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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.