Evidence map›Paper›PMID 37510141›Full record

ReviewDiagnostics (Basel, Switzerland)2023

Ultrasonographic Signs of Cytomegalovirus Infection in the Fetus-A Systematic Review of the Literature.

Magda Rybak-Krzyszkowska, Joanna Górecka, Hubert Huras, Magdalena Staśkiewicz, Adrianna Kondracka, Jakub Staniczek, Wojciech Górczewski, Dariusz Borowski, Mariusz Grzesiak, Waldemar Krzeszowski and 2 more

Abstract readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Cytomegalovirus and Pregnancy: A Narrative Review.Journal of clinical medicine · 2024
    Review
  9. Maternal Cytomegalovirus (CMV) Serology: The Diagnostic Limitations of CMV IgM and IgG Avidity in Detecting Congenital CMV Infection.Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society
    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

12 authors.

Magda Rybak-KrzyszkowskaDepartment of Obstetrics and Perinatology, University Hospital, 30-551 Krakow, Poland.ORCID 0000-0002-6993-8078
Joanna GóreckaDepartment of Obstetrics and Perinatology, University Hospital, 30-551 Krakow, Poland.
Hubert HurasDepartment of Obstetrics and Perinatology, University Hospital, 30-551 Krakow, Poland.
Magdalena StaśkiewiczDepartment of Obstetrics and Perinatology, University Hospital, 30-551 Krakow, Poland.
Adrianna KondrackaDepartment of Obstetrics and Pathology of Pregnancy, Medical University of Lublin, 20-081 Lublin, Poland.
Jakub StaniczekDepartment of Gynecology, Obstetrics and Gynecologic Oncology, Medical University of Silesia, 40-055 Katowice, Poland.ORCID 0000-0002-0740-7167
Wojciech GórczewskiObstetrics and Gynecology Ward, Independent Public Healthcare Institution in Bochnia, The Blessed Marta Wiecka District Hospital, 32-700 Bochnia, Poland.
Dariusz BorowskiProvincial Combined Hospital in Kielce, Clinic of Obstetrics and Gynaecology, 25-736 Kielce, Poland.
Mariusz GrzesiakDepartment of Perinatology, Obstetrics and Gynecology, Polish Mother's Memorial Hospital-Research Institute in Lodz, 93-338 Lodz, Poland.ORCID 0000-0002-6900-4347
Waldemar KrzeszowskiDepartment of Perinatology, Obstetrics and Gynecology, Polish Mother's Memorial Hospital-Research Institute in Lodz, 93-338 Lodz, Poland.
Magdalena Massalska-WolskaClinical Department of Gynecological Endocrinology and Gynecology, University Hospital, 30-551 Krakow, Poland.ORCID 0009-0001-2951-3358
Renata JaczyńskaDepartment of Obstetrics, Perinatology and Gynecology, Medical University of Warsaw, 02-091 Warsaw, Poland.ORCID 0000-0002-2830-0633

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundcongenital cytomegalovirus (cCMV) infection during pregnancy is a significant risk factor for fetal and neonatal morbidity and mortality. CMV detection is based on the traditional ultrasound (US) and MRI (magnetic resonance) approach.

methodsthe present review used the PRISMA protocol for identification of studies associated with CMV infection and sonographic analysis. Various search terms were created using keywords which were used to identify references from Medline, Pubmed, PsycInfo, Scopus and Web of Science.

resultssonographic analysis of the cCMV infection identified several of the key features associated with fetuses. The presence of abnormal patterns of periventricular echogenicity, ventriculomegaly and intraparenchymal calcifications is indicative of CMV infection in the fetus. Hyperechogenic bowels were seen frequently. These results correlate well with MRI data, especially when targeted transvaginal fetal neurosonography was carried out.

conclusionsultrasonography is a reliable indicator of fetal anomalies, due to cCMV. Fetal brain and organ changes are conclusive indications of infection, but many of the ultrasonographic signs of fetal abnormality could be due to any viral infections; thus, further research is needed to demarcate CMV infection from others, based on the ultrasonographic approach. CMV infection should always be an indication for targeted fetal neurosonography, optimally by the transvaginal approach.

Indexed as

cytomegalovirus (CMV)fetal neurosonographyimmuno assaysreal-time PCRultrasonography

Identifiers

PMID37510141
PMCPMC10378321

What OpenQuestion holds

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Registered trials

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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.