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Spina bifida diagnostic study of choice

Introduction

Overview

Overview

Ultrasound is the imaging modality of choice for characterisation of the open spina bifida spinal lesions. On two and tree-dimensional ultrasound, spina bifida is characterized by: Vertebral defect, splayed vertebral pedicles and disrupted vertebrae. The ultrasound must be performed when a positive alpha-fetoprotein is detected in the triple screening test between the 15th and 20th week of pregnancy to confirm the diagnosis.

Diagnostic Study of Choice

Diagnostic Study of Choice

Study of choice

  • Ultrasound is the imaging modality of choice for characterisation of the open spina bifida spinal lesions.[1]
  • On two and tree-dimensional ultrasound, spina bifida is characterized by:[2]
Sequence of Diagnostic Studies

The ultrasound must be performed when a positive alpha-fetoprotein is detected in the triple screening test between the 15th and 20th week of pregnancy to confirm the diagnosis.[3][4][5][6]

References

References

  1. ↑ Trudell AS, Odibo AO (April 2014). “Diagnosis of spina bifida on ultrasound: always termination?”. Best Pract Res Clin Obstet Gynaecol. 28 (3): 367–77. doi:10.1016/j.bpobgyn.2013.10.006. PMIDΒ 24373566.
  2. ↑ Lee W, Chaiworapongsa T, Romero R, Williams R, McNie B, Johnson A, Treadwell M, Comstock CH (June 2002). “A diagnostic approach for the evaluation of spina bifida by three-dimensional ultrasonography”. J Ultrasound Med. 21 (6): 619–26. PMIDΒ 12054297.
  3. ↑ PΓ©ron FG, McCarthy JL, Guerra F (April 1966). “Further studies on corticosteroidogenesis. IV. Inhibition of utilization of biological substrates for corticoid synthesis by high calcium concentrations. Possible role of transhydrogenase in corticosteroidogenesis”. Biochim. Biophys. Acta. 117 (2): 450–69. PMIDΒ 4381295.
  4. ↑ Hu Z, Liu X, Li L, Jia C, Li D, Liu R (October 2014). “[Predictive value of abnormal second-trimester maternal serum triple screening markers for adverse pregnancy outcomes]”. Zhonghua Fu Chan Ke Za Zhi (in Chinese). 49 (10): 749–53. PMIDΒ 25537246.
  5. ↑ Wyshak G, Haase JV (November 1976). “Profile of dental hygienists”. Dent Hyg (Chic). 50 (11): 497–501. PMIDΒ 1071059.
  6. ↑ Shcherbukhin VV, Khramtsov AV, Zemskov VM, Filatov AV (April 1987). “[Poisson equalization of multicomponent cytofluorograms]”. Tsitologiia (in Russian). 29 (4): 497–502. PMIDΒ 3111043.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]