Evaluation and screening ultrasonic signs in the diagnosis of fetal biliary cystic malformation. (22nd November 2015)

• Record Type: Journal Article
• Authors: Cong, Xiang; Sun, Xiubin; Liu, Shaoping
• Is Part Of: Journal of maternal-fetal & neonatal medicine. Volume 28:Number 17(2015)
• Page Start: 2100
• Page End: 2105
• Publication Date: 2015-11-22
• Subjects: Biliary cystic malformation -- choledochal cyst -- cystic biliary atresia -- diagnostic test -- prenatal diagnosis; Obstetrics -- Periodicals; Perinatology -- Periodicals; Infants (Newborn) -- Diseases -- Periodicals; Neonatology -- Periodicals; 618.2
• DOI: 10.3109/14767058.2014.979148
• Languages: English
• ISSNs: 1476-7058

Abstract

Abstract: Objective : To evaluate and screen for fetal biliary cystic malformation (BCM) associated-ultrasonic key signs or sign-combinations. Methods : Thirty cases of fetal abdominal cysts were investigated, followed up and divided into BCM and non-BCM groups. Expression rates of seven fetal BCM-associated ultrasonic signs in the two groups (A: the cyst was located in the right upper quadrant of the abdomen, B: located beneath the porta hepatis, C: having no septum, D: not the gallbladder, E: connected to the gallbladder, F: connected to the hepatic ducts, G: its inferior portion ended in the epigastric region, anterior to the spinal column) were compared. The diagnostic efficacy of single signs and sign-combinations was evaluated by diagnostic test. Results : The expressions of Sign A and Sign D had no statistically significant differences between the two groups. Single sign of B, F and G had diagnostic efficacy. The diagnostic index of B reached 1.8571. The diagnostic index of the sign-combinations B and D, F or G, and E or F or G reached 2.0000. Conclusion : When the fetal cyst was located beneath the porta hepatis and was not the gallbladder, BCM could be diagnosed. Sign G might be another significant ultrasonic sign in BCM prenatal diagnosis.