Using three-dimensional ultrasound in predicting complex gastroschisis: A longitudinal, prospective, multicenter cohort study

Annelieke Hijkoop; Chiara C.M.M. Lap; Moska Aliasi; Eduard J.H. Mulder; William L.M. Kramer; Hens A.A. Brouwers; Robertine van Baren; Eva Pajkrt; Anton H. van Kaam; Caterina M. Bilardo; Lourens R. Pistorius; Gerard H.A. Visser; René M.H. Wijnen; Dick Tibboel; Gwendolyn T.R. Manten; Titia E. Cohen-Overbeek

doi:10.1002/pd.5568

Using three-dimensional ultrasound in predicting complex gastroschisis: A longitudinal, prospective, multicenter cohort study

Annelieke Hijkoop^*, Chiara C.M.M. Lap, Moska Aliasi, Eduard J.H. Mulder, William L.M. Kramer, Hens A.A. Brouwers, Robertine van Baren, Eva Pajkrt, Anton H. van Kaam, Caterina M. Bilardo, Lourens R. Pistorius, Gerard H.A. Visser, René M.H. Wijnen, Dick Tibboel, Gwendolyn T.R. Manten, Titia E. Cohen-Overbeek

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

OBJECTIVE: To determine whether complex gastroschisis (ie, intestinal atresia, perforation, necrosis, or volvulus) can prenatally be distinguished from simple gastroschisis by fetal stomach volume and stomach-bladder distance, using three-dimensional (3D) ultrasound.

METHODS: This multicenter prospective cohort study was conducted in the Netherlands between 2010 and 2015. Of seven university medical centers, we included the four centers that performed longitudinal 3D ultrasound measurements at a regular basis. We calculated stomach volumes (n = 223) using Sonography-based Automated Volume Count. The shortest stomach-bladder distance (n = 241) was determined using multiplanar visualization of the volume datasets. We used linear mixed modelling to evaluate the effect of gestational age and type of gastroschisis (simple or complex) on fetal stomach volume and stomach-bladder distance.

RESULTS: We included 79 affected fetuses. Sixty-six (84%) had been assessed with 3D ultrasound at least once; 64 of these 66 were liveborn, nine (14%) had complex gastroschisis. With advancing gestational age, stomach volume significantly increased, and stomach-bladder distance decreased (both P < .001). The developmental changes did not differ significantly between fetuses with simple and complex gastroschisis, neither for fetal stomach volume (P = .85), nor for stomach bladder distance (P = .78).

CONCLUSION: Fetal stomach volume and stomach-bladder distance, measured during pregnancy using 3D ultrasonography, do not predict complex gastroschisis.

Original language	English
Pages (from-to)	1204-1212
Number of pages	9
Journal	Prenatal Diagnosis
Volume	39
Issue number	13
DOIs	https://doi.org/10.1002/pd.5568
Publication status	Published - Dec 2019

Keywords

Adult
Female
Gastroschisis/diagnostic imaging
Humans
Imaging, Three-Dimensional
Longitudinal Studies
Pregnancy
Prospective Studies
Stomach/diagnostic imaging
Ultrasonography, Prenatal
Young Adult

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Hijkoop, A., Lap, C. C. M. M., Aliasi, M., Mulder, E. J. H., Kramer, W. L. M., Brouwers, H. A. A., van Baren, R., Pajkrt, E., van Kaam, A. H., Bilardo, C. M., Pistorius, L. R., Visser, G. H. A., Wijnen, R. M. H., Tibboel, D., Manten, G. T. R., & Cohen-Overbeek, T. E. (2019). Using three-dimensional ultrasound in predicting complex gastroschisis: A longitudinal, prospective, multicenter cohort study. Prenatal Diagnosis, 39(13), 1204-1212. https://doi.org/10.1002/pd.5568

@article{d1b681f87d844828911291a3e4fa57f4,

title = "Using three-dimensional ultrasound in predicting complex gastroschisis: A longitudinal, prospective, multicenter cohort study",

abstract = "OBJECTIVE: To determine whether complex gastroschisis (ie, intestinal atresia, perforation, necrosis, or volvulus) can prenatally be distinguished from simple gastroschisis by fetal stomach volume and stomach-bladder distance, using three-dimensional (3D) ultrasound.METHODS: This multicenter prospective cohort study was conducted in the Netherlands between 2010 and 2015. Of seven university medical centers, we included the four centers that performed longitudinal 3D ultrasound measurements at a regular basis. We calculated stomach volumes (n = 223) using Sonography-based Automated Volume Count. The shortest stomach-bladder distance (n = 241) was determined using multiplanar visualization of the volume datasets. We used linear mixed modelling to evaluate the effect of gestational age and type of gastroschisis (simple or complex) on fetal stomach volume and stomach-bladder distance.RESULTS: We included 79 affected fetuses. Sixty-six (84%) had been assessed with 3D ultrasound at least once; 64 of these 66 were liveborn, nine (14%) had complex gastroschisis. With advancing gestational age, stomach volume significantly increased, and stomach-bladder distance decreased (both P < .001). The developmental changes did not differ significantly between fetuses with simple and complex gastroschisis, neither for fetal stomach volume (P = .85), nor for stomach bladder distance (P = .78).CONCLUSION: Fetal stomach volume and stomach-bladder distance, measured during pregnancy using 3D ultrasonography, do not predict complex gastroschisis.",

keywords = "Adult, Female, Gastroschisis/diagnostic imaging, Humans, Imaging, Three-Dimensional, Longitudinal Studies, Pregnancy, Prospective Studies, Stomach/diagnostic imaging, Ultrasonography, Prenatal, Young Adult",

author = "Annelieke Hijkoop and Lap, {Chiara C.M.M.} and Moska Aliasi and Mulder, {Eduard J.H.} and Kramer, {William L.M.} and Brouwers, {Hens A.A.} and {van Baren}, Robertine and Eva Pajkrt and {van Kaam}, {Anton H.} and Bilardo, {Caterina M.} and Pistorius, {Lourens R.} and Visser, {Gerard H.A.} and Wijnen, {Ren{\'e} M.H.} and Dick Tibboel and Manten, {Gwendolyn T.R.} and Cohen-Overbeek, {Titia E.}",

note = "{\textcopyright} 2019 The Authors. Prenatal Diagnosis published by John Wiley & Sons Ltd.",

year = "2019",

month = dec,

doi = "10.1002/pd.5568",

language = "English",

volume = "39",

pages = "1204--1212",

journal = "Prenatal Diagnosis",

issn = "0197-3851",

publisher = "John Wiley & Sons Inc.",

number = "13",

}

Hijkoop, A, Lap, CCMM, Aliasi, M, Mulder, EJH, Kramer, WLM, Brouwers, HAA, van Baren, R, Pajkrt, E, van Kaam, AH, Bilardo, CM, Pistorius, LR, Visser, GHA, Wijnen, RMH, Tibboel, D, Manten, GTR & Cohen-Overbeek, TE 2019, 'Using three-dimensional ultrasound in predicting complex gastroschisis: A longitudinal, prospective, multicenter cohort study', Prenatal Diagnosis, vol. 39, no. 13, pp. 1204-1212. https://doi.org/10.1002/pd.5568

TY - JOUR

T1 - Using three-dimensional ultrasound in predicting complex gastroschisis

T2 - A longitudinal, prospective, multicenter cohort study

AU - Hijkoop, Annelieke

AU - Lap, Chiara C.M.M.

AU - Aliasi, Moska

AU - Mulder, Eduard J.H.

AU - Kramer, William L.M.

AU - Brouwers, Hens A.A.

AU - van Baren, Robertine

AU - Pajkrt, Eva

AU - van Kaam, Anton H.

AU - Bilardo, Caterina M.

AU - Pistorius, Lourens R.

AU - Visser, Gerard H.A.

AU - Wijnen, René M.H.

AU - Tibboel, Dick

AU - Manten, Gwendolyn T.R.

AU - Cohen-Overbeek, Titia E.

PY - 2019/12

Y1 - 2019/12

N2 - OBJECTIVE: To determine whether complex gastroschisis (ie, intestinal atresia, perforation, necrosis, or volvulus) can prenatally be distinguished from simple gastroschisis by fetal stomach volume and stomach-bladder distance, using three-dimensional (3D) ultrasound.METHODS: This multicenter prospective cohort study was conducted in the Netherlands between 2010 and 2015. Of seven university medical centers, we included the four centers that performed longitudinal 3D ultrasound measurements at a regular basis. We calculated stomach volumes (n = 223) using Sonography-based Automated Volume Count. The shortest stomach-bladder distance (n = 241) was determined using multiplanar visualization of the volume datasets. We used linear mixed modelling to evaluate the effect of gestational age and type of gastroschisis (simple or complex) on fetal stomach volume and stomach-bladder distance.RESULTS: We included 79 affected fetuses. Sixty-six (84%) had been assessed with 3D ultrasound at least once; 64 of these 66 were liveborn, nine (14%) had complex gastroschisis. With advancing gestational age, stomach volume significantly increased, and stomach-bladder distance decreased (both P < .001). The developmental changes did not differ significantly between fetuses with simple and complex gastroschisis, neither for fetal stomach volume (P = .85), nor for stomach bladder distance (P = .78).CONCLUSION: Fetal stomach volume and stomach-bladder distance, measured during pregnancy using 3D ultrasonography, do not predict complex gastroschisis.

AB - OBJECTIVE: To determine whether complex gastroschisis (ie, intestinal atresia, perforation, necrosis, or volvulus) can prenatally be distinguished from simple gastroschisis by fetal stomach volume and stomach-bladder distance, using three-dimensional (3D) ultrasound.METHODS: This multicenter prospective cohort study was conducted in the Netherlands between 2010 and 2015. Of seven university medical centers, we included the four centers that performed longitudinal 3D ultrasound measurements at a regular basis. We calculated stomach volumes (n = 223) using Sonography-based Automated Volume Count. The shortest stomach-bladder distance (n = 241) was determined using multiplanar visualization of the volume datasets. We used linear mixed modelling to evaluate the effect of gestational age and type of gastroschisis (simple or complex) on fetal stomach volume and stomach-bladder distance.RESULTS: We included 79 affected fetuses. Sixty-six (84%) had been assessed with 3D ultrasound at least once; 64 of these 66 were liveborn, nine (14%) had complex gastroschisis. With advancing gestational age, stomach volume significantly increased, and stomach-bladder distance decreased (both P < .001). The developmental changes did not differ significantly between fetuses with simple and complex gastroschisis, neither for fetal stomach volume (P = .85), nor for stomach bladder distance (P = .78).CONCLUSION: Fetal stomach volume and stomach-bladder distance, measured during pregnancy using 3D ultrasonography, do not predict complex gastroschisis.

KW - Adult

KW - Female

KW - Gastroschisis/diagnostic imaging

KW - Humans

KW - Imaging, Three-Dimensional

KW - Longitudinal Studies

KW - Pregnancy

KW - Prospective Studies

KW - Stomach/diagnostic imaging

KW - Ultrasonography, Prenatal

KW - Young Adult

UR - http://www.scopus.com/inward/record.url?scp=85074558805&partnerID=8YFLogxK

U2 - 10.1002/pd.5568

DO - 10.1002/pd.5568

M3 - Article

C2 - 31600419

AN - SCOPUS:85074558805

SN - 0197-3851

VL - 39

SP - 1204

EP - 1212

JO - Prenatal Diagnosis

JF - Prenatal Diagnosis

IS - 13

ER -

Using three-dimensional ultrasound in predicting complex gastroschisis: A longitudinal, prospective, multicenter cohort study

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