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Prenatal assessment of congenital diaphragmatic hernia at north american fetal therapy network centers: A continued plea for standardization
dc.contributor.authorPerrone, Erin E.
dc.contributor.authorAbbasi, Nimrah
dc.contributor.authorCortes, Magdalena Sanz
dc.contributor.authorUmar, Uzma
dc.contributor.authorRyan, Greg
dc.contributor.authorJohnson, Anthony
dc.contributor.authorLadino‐torres, Maria
dc.contributor.authorRuano, Rodrigo
dc.date.accessioned2021-03-02T21:43:16Z
dc.date.available2022-02-02 16:43:14en
dc.date.available2021-03-02T21:43:16Z
dc.date.issued2021-01
dc.identifier.citationPerrone, Erin E.; Abbasi, Nimrah; Cortes, Magdalena Sanz; Umar, Uzma; Ryan, Greg; Johnson, Anthony; Ladino‐torres, Maria ; Ruano, Rodrigo (2021). "Prenatal assessment of congenital diaphragmatic hernia at north american fetal therapy network centers: A continued plea for standardization." Prenatal Diagnosis 41(2): 200-206.
dc.identifier.issn0197-3851
dc.identifier.issn1097-0223
dc.identifier.urihttps://hdl.handle.net/2027.42/166359
dc.description.abstractIntroductionPrenatal work- up for congenital diaphragmatic hernia (CDH) is important for risk stratification, standardization, counseling, and optimal therapeutic choice. To determine current practice patterns regarding prenatal CDH work- up, including prenatal ultrasound and magnetic resonance imaging (MRI) use, and to identify areas for standardization of such evaluation between fetal centers.MethodsA survey regarding prenatal CDH work- up was sent to each member center of the North American Fetal Therapy Network (NAFTNet) (n = 36).ResultsAll responded. Sonographic measurement of lung- to- head ratio (LHR) was determined by all, 89% (32/36) of which routinely calculate observed- to- expected LHR. The method for measuring LHR varied: 58% (21/36) used a - trace- method, 25% (9/36) used - longest axis,- and 17% (6/36) used an - antero- posterior- method. Fetal MRI was routinely used in 78% (28/36) of centers, but there was significant variability in fetal lung volume measurement. Whereas all generated a total fetal lung volume, the planes, methodology and references values varied significantly. All evaluated liver position, 71% (20/28) evaluated stomach position and 54% (15/28) quantified the degree of liver herniation. More consistency in workup was seen between centers offering fetal intervention.ConclusionPrenatal CDH work- up and management differs considerably among North American fetal diagnostic centers, highlighting a need for its standardization.
dc.publisherJohn Wiley & Sons, Ltd.
dc.titlePrenatal assessment of congenital diaphragmatic hernia at north american fetal therapy network centers: A continued plea for standardization
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelRadiology
dc.subject.hlbsecondlevelWomen’s and Gender Studies
dc.subject.hlbsecondlevelInternal Medicine and Specialties
dc.subject.hlbsecondlevelObstetrics and Gynecology
dc.subject.hlbtoplevelHumanities
dc.subject.hlbtoplevelSocial Sciences
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/166359/1/pd5859_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/166359/2/pd5859.pdf
dc.identifier.doi10.1002/pd.5859
dc.identifier.sourcePrenatal Diagnosis
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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