Indian Journal of Radiology Indian Journal of Radiology  

   Login   | Users online: 4073

Home Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size     

 

OBSTETRIC IMAGING Table of Contents   
Year : 2010  |  Volume : 20  |  Issue : 1  |  Page : 20-25
Color doppler evaluation of cerebral-umbilical pulsatility ratio and its usefulness in the diagnosis of intrauterine growth retardation and prediction of adverse perinatal outcome


1 Department of Radiodiagnosis, Dr. Ram Manohar Lohia Hospital and PGIMER, New Delhi - 110 001, India
2 Lady Hardinge Medical College and associated Hospitals, New Delhi - 110 001, India
3 N.S.C.B. Medical College and Hospital, Jabalpur, Madhya Pradesh - 482 003, India

Correspondence Address:
Shahina Bano
Room No. 204, Doctor's Hostel, Dr. Ram Manohar Lohia Hospital and PGIMER, New Delhi - 110 001
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-3026.59747

Rights and Permissions

Objective: The aim of our study was to evaluate the usefulness of the pulsatility index (PI) of the umbilical artery (UA) and that of the fetal middle cerebral artery (MCA), as well as the ratio of the MCA PI to the UA PI (C/U ratio), in the diagnosis of small-for-gestational-age (SGA) fetuses and in the prediction of adverse perinatal outcome. Materials and Methods: The study population comprised 90 pregnancies of 30-41 weeks gestation that had been diagnosed clinically as intrauterine growth retardation (IUGR) over a period of 1 year. The UA PI and the MCA PI as well as the C/U ratio were calculated. Results: Of the 90 pregnancies in the study, 24 showed abnormal UA PI. Among these, 21 (87.5%) were SGA and 19 (79.2%) had adverse perinatal outcome. Of the four of the 90 pregnancies that showed abnormal MCA PI, all were SGA and had adverse perinatal outcome. Similarly, of the 20 out of 90 pregnancies that showed abnormal C/U ratio (<1.08), all 20 (100%) were SGA and had adverse perinatal outcome. The results were correlated with parameters of fetal outcome. Conclusion: Inferences drawn from the study were: (1) The C/U ratio is a better predictor of SGA fetuses and adverse perinatal outcome than the MCA PI or the UA PI used alone, (2) The UA PI can be used to identify IUGR per se and (3) The MCA PI alone is not a reliable indicator for predicting fetal distress.


[FULL TEXT] [PDF]*
Print this article     Email this article

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
  Citation Manager
 Access Statistics
  Reader Comments
  Email Alert *
  Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed10702    
    Printed269    
    Emailed11    
    PDF Downloaded2619    
    Comments [Add]    
    Cited by others 7    

Recommend this journal