Angle of progression measurements of fetal head at term: a systematic comparison between open magnetic resonance imaging and transperineal ultrasound

被引:17
作者
Bamberg, Christian [1 ]
Scheuermann, Saskia
Fotopoulou, Christina
Slowinski, Torsten [2 ]
Dueckelmann, Anna M.
Teichgraeber, Ulf [3 ]
Streitparth, Florian [3 ]
Henrich, Wolfgang
Dudenhausen, Joachim W.
Kalache, Karim D.
机构
[1] Charite, Campus Virchow Klinikum, Dept Obstet, D-13353 Berlin, Germany
[2] Charite, Dept Nephrol, D-13353 Berlin, Germany
[3] Charite, Dept Radiol, D-13353 Berlin, Germany
关键词
angle of progression; labor; open magnetic resonance imaging; translabial ultrasound; transperineal ultrasound; ultrasonography; TRANSVAGINAL DIGITAL EXAMINATION; 2ND-STAGE; STATION; LABOR; POSITION; AGREEMENT; QUESTION; SCANNER; DESCENT;
D O I
10.1016/j.ajog.2011.10.867
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: During labor, transperineal sonography is increasingly used to evaluate fetal head descent. The aim of this study was to compare the angle of progression assessed by open magnetic resonance imaging (MRI) vs transperineal ultrasound. STUDY DESIGN: A total of 31 pregnant women at term (>37 weeks), who were not in labor, underwent MRI in an open 1.0-T system. A midsagittal plane of the maternal pelvis was stored. Immediately after, without changing the supine position, a transperineal ultrasound was performed. The angle of progression was measured offline by transperineal ultrasound and MRI. RESULTS: The angles of progression measured by transperineal ultrasound (mean, 79.05 degrees; SD 11.44) and MRI (mean, 80.48 degrees; SD 11.06) correlated significantly (P < .001). The intraclass correlation coefficient between the 2 methods was 0.89 (95% confidence interval, 0.78-0.94). CONCLUSION: The angle of progression measurements obtained by transperineal ultrasound and open MRI showed very good agreement.
引用
收藏
页码:161.e1 / 161.e5
页数:5
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