Evidence map›Paper›PMID 39618174›Full record

ArticleActa obstetricia et gynecologica Scandinavica2025

Prevalence and timing of prenatal ultrasound findings in cytomegalovirus-infected pregnancies.

Emma Van den Eede, Bart De Keersmaecker, Katrien Lagrou, Lennart Van der Veeken, Sanne Vanwinkel, Maja Vangoitsenhoven, Michael Aertsen, Luc De Catte

Abstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
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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

8 authors.

Emma Van den EedeDepartment of Development and Regeneration, Biomedical Sciences KU Leuven, Leuven, Belgium.ORCID 0000-0001-8252-2483
Bart De KeersmaeckerDepartment of Development and Regeneration, Biomedical Sciences KU Leuven, Leuven, Belgium.ORCID 0000-0003-0410-3878
Katrien LagrouDepartment of Laboratory Medicine, UZ Leuven, Leuven, Belgium.
Lennart Van der VeekenDepartment of Development and Regeneration, Biomedical Sciences KU Leuven, Leuven, Belgium.ORCID 0000-0002-6551-661X
Sanne VanwinkelDepartment of Obstetrics and Gynecology, University Hospitals Leuven, Leuven, Belgium.
Maja VangoitsenhovenDepartment of Obstetrics and Gynecology, University Hospitals Leuven, Leuven, Belgium.
Michael AertsenDepartment of Radiology, University Hospital Leuven, Leuven, Belgium.ORCID 0000-0003-1994-5365
Luc De CatteDepartment of Development and Regeneration, Biomedical Sciences KU Leuven, Leuven, Belgium.ORCID 0000-0002-5287-9673

Funding

Fonds Wetenschappelijk Onderzoek T004422N
6 · The paper itself

Abstract

introductionTo investigate the prevalence and timing of prenatal neurosonographic abnormalities after primary cytomegalovirus seroconversion by the first trimester of pregnancy. The additional value of magnetic resonance imaging (MRI) and the correlation between cytomegalovirus viral load in amniotic fluid and adverse neonatal outcomes were evaluated. MATERIAL AND

methodsA retrospective study between 2006 and 2022 examined data from 440 women with amniocentesis for periconceptional and first-trimester cytomegalovirus seroconversion. Cases with positive amniocentesis and subsequent follow-up were included. Prenatal neurosonography, MRI, and clinical outcomes were analyzed.

resultsOut of 190 women included, 37% (n = 70) presented with a normal neurosonography. Patients exhibiting abnormal neurosonography findings showed higher viral loads in amniotic fluid compared to those with a normal neurosonography (p = 0.002). In 26% (n = 49) the first abnormal ultrasound sign was already picked up at amniocentesis, and the most common ones were echogenic bowels (49%) and periventricular echogenicity (43%). With increasing gestational age, the likelihood of a new abnormal neurosonography finding decreases. MRI discovered additional abnormalities in 14% (n = 10).

conclusionsThe results highlight the importance of combining diagnostic modalities, from amniocentesis to biweekly ultrasound monitoring and subsequent MRI evaluation, to capture the chronological progression and subsequent outcome of congenital cytomegalovirus.

Indexed as

Cytomegalovirus InfectionsPregnancy Complications, InfectiousUltrasonography, PrenatalAdultAmniocentesisAmniotic FluidCytomegalovirusFemaleHumansInfant, NewbornMagnetic Resonance ImagingPregnancyPregnancy Trimester, FirstPrevalenceRetrospective StudiesViral Loadamniocentesiscongenitalfetal medicineinfectionMRIprognosisultrasound

Identifiers

PMID39618174
PMCPMC11782058

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