Evidence map›Paper›PMID 40875703›Full record

ArticleFetal diagnosis and therapy2026

Fetal Dilated Jugular Lymphatic Sacs on First-Trimester Ultrasound and Their Implications in Antenatal Screening.

Ruxanda Rusu, Daniel L Rolnik, Valentina De Robertis, Maurizio Guido, Tamara Stampalija, Paolo Volpe, Ilaria Fantasia

Abstract readMulticenter Study
In one paragraph

Article in Fetal diagnosis and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Ruxanda RusuDepartment of Obstetrics and Gynaecology, Monash University, Melbourne, Victoria, Australia.
Daniel L RolnikDepartment of Obstetrics and Gynaecology, Monash University, Melbourne, Victoria, Australia, daniel.rolnik@monash.edu.
Valentina De RobertisFetal Medicine Unit, Di Venere and Sarcone Hospitals, Bari, Italy.
Maurizio GuidoDepartment of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Tamara StampalijaUnit of Fetal Medicine and Prenatal Diagnosis, Institute for Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.
Paolo VolpeFetal Medicine Unit, Di Venere and Sarcone Hospitals, Bari, Italy.
Ilaria FantasiaFetal Medicine Unit, Di Venere and Sarcone Hospitals, Bari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

<p>Introduction: The aim of this study was to investigate clinical significance, rate of genetic anomalies, and fetal malformations in fetuses with dilated jugular lymphatic sacs (JLS) in the first trimester, overall and according to nuchal translucency (NT) thickness.

methodsThis is a retrospective multicenter cohort study of fetuses with dilated JLS at the first-trimester scan. NT thickness, genetic evaluation, and fetal malformation data were collected. Logistic regression analysis was performed to evaluate impact of NT measurement on adverse outcomes.

resultsEighty-four fetuses were included. Dilated JLS was associated with an increased NT in 75 (89.3%) fetuses; fetal structural malformations in 38 (45.2%); and genetic anomalies in 49 (64.5%). NT measurement remains the strongest predictor of genetic or structural abnormalities (OR 1.567, 95% confidence interval: 1.226-2.124; p = 0.001). Significantly fewer live births observed in the group with NT >99th percentile (p < 0.001). Among cases with isolated JLS, a normal postnatal outcome was reported in 6 (66.7%).

conclusionThe first-trimester dilated JLS are highly associated with genetic disorders and/or fetal malformations, but an increased NT remains the most important predictive factor. In cases with normal NT, dilated JLS is mostly a transient finding but approximately one-third of cases are at increased risk of adverse outcomes. </p>.

Indexed as

Ultrasonography, PrenatalAdultFemaleHumansNuchal Translucency MeasurementPregnancyPregnancy Trimester, FirstRetrospective StudiesGenetic abnormalitiesJugular lymphatic sacsNuchal translucencyStructural abnormalities

Identifiers

PMID40875703
PMCPMC12503795

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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.