American Journal of Obstetrics & Gynecology
Volume 200, Issue 4 , Pages 397.e1-397.e3 , April 2009

Angle correction can be used to measure peak systolic velocity in the fetal middle cerebral artery

  • Michael S. Ruma, MD, MPH

      Affiliations

    • Perinatal Associates of New Mexico, Ltd, Albuquerque, NM
    • Corresponding Author InformationReprints: Michael S. Ruma, MD, MPH, Perinatal Associates of New Mexico, Ltd, 201 Cedar SE, Suite 405, Albuquerque, NM 87106
    • ,
  • Anthony E. Swartz, RT(R), RDMS

      Affiliations

    • WakeMed Maternal-Fetal Medicine, Raleigh, NC
    • ,
  • Eunhee Kim

      Affiliations

    • Department of Biostatistics, School of Public Health, University of North Carolina, Chapel Hill, NC
    • ,
  • Amy H. Herring, ScD

      Affiliations

    • Department of Biostatistics, School of Public Health, University of North Carolina, Chapel Hill, NC
    • Carolina Population Center, University of North Carolina, Chapel Hill, NC
    • ,
  • M. Kathryn Menard, MD, MPH

      Affiliations

    • Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC
    • ,
  • Kenneth J. Moise Jr, MD

      Affiliations

    • Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Baylor College of Medicine, and the Texas Children's Fetal Center, Texas Children's Hospital, Houston, TX

Received 20 June 2008 ,Revised 1 October 2008 ,Accepted 5 November 2008.

References 

  1. Moise KJ. The usefulness of middle cerebral artery Doppler assessment in the treatment of the fetus at risk for anemia. Am J Obstet Gynecol. 2008;198:161.e1–161.e4
  2. Mari G, Andrignolo A, Abuhamad AZ, et al. Diagnosis of fetal anemia with Doppler ultrasound in the pregnancy complicated by maternal blood group immunization. Ultrasound Obstet Gynecol. 1995;5:400–405
  3. Mari G Collaborative Group for Doppler Assessment for the Blood Velocity in Anemic Fetuses. Noninvasive diagnosis by Doppler ultrasonography of fetal anemia due to maternal red-cell alloimmunization. N Engl J Med. 2000;342:9–14
  4. Abel DE, Grambow SC, Brancazio LR, Hertzberg BS. Ultrasound assessment of the fetal middle cerebral artery peak systolic velocity: a comparison of the near-field versus far-field vessel. Am J Obstet Gynecol. 2003;189:986–989
  5. Zimmerman R, Durig P, Carpenter RJ, Mari G. Longitudinal measurement of peak systolic velocity in the fetal middle cerebral artery for monitoring pregnancies complicated by red cell alloimmunisation; a prospective multicentre trial with intention-to-treat. BJOG. 2002;109:746–752
  6. Diggle P, Heagerty P, Liang KY, Zeger S. Analysis of longitudinal data. Oxford, UK: Oxford University Press; 2002;
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  8. Littell RC, Milliken GA, Stroup WW, Wolfinger RD. SAS system for mixed models. Cary, NC: SAS Institute; 1996;
  9. Littell RC, Pendergast J, Natarajan R. Tutorial in biostatistics: modeling covariance structure in the analysis of repeated measures data. Statist Med. 2000;19:1793–1819
  10. Oepkes D, Seaward PG, Vandenbussche FP, et al. Doppler ultrasonography versus amniocentesis to predict fetal anemia. N Engl J Med. 2006;355:156–164
  11. Mari G, Abuhamad AZ, Cosmi E, et al. Middle cerebral artery peak systolic velocity technique and variability. J Ultrasound Med. 2005;24:425–430

 This study was supported in part by the Bowes/Cefalo Young Researcher Award-Center for Maternal and Infant Health, University of North Carolina, and the Medical Alumni Endowment Fund, University of North Carolina, Chapel Hill, NC.

 Cite this article as: Ruma MS, Swartz AE, Kim E, et al. Angle correction can be used to measure peak systolic velocity in the fetal middle cerebral artery. Am J Obstet Gynecol 2009;200:397.e1-397.e3.

PII: S0002-9378(08)02202-3

doi: 10.1016/j.ajog.2008.11.002

American Journal of Obstetrics & Gynecology
Volume 200, Issue 4 , Pages 397.e1-397.e3 , April 2009

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