Spina bifida diagnostic study of choice: Difference between revisions
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{{CMG}}; {{AE}} {{MMJ}} | {{CMG}}; {{AE}} {{MMJ}} | ||
== Overview == | == Overview == | ||
=== Study of choice === | |||
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 anomalies|Vertebral defect]], splayed [[Vertebral|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 === | === Study of choice === | ||
*Ultrasound is the imaging modality of choice for characterisation of the open spina bifida spinal lesions.<ref name="pmid24373566" /> | *Ultrasound is the imaging modality of choice for characterisation of the open spina bifida spinal lesions.<ref name="pmid24373566">{{cite journal |vauthors=Trudell AS, Odibo AO |title=Diagnosis of spina bifida on ultrasound: always termination? |journal=Best Pract Res Clin Obstet Gynaecol |volume=28 |issue=3 |pages=367–77 |date=April 2014 |pmid=24373566 |doi=10.1016/j.bpobgyn.2013.10.006 |url=}}</ref> | ||
*On two and tree-dimensional ultrasound, spina bifida is characterized by:<ref name="pmid12054297" /> | *On two and tree-dimensional ultrasound, spina bifida is characterized by:<ref name="pmid12054297">{{cite journal |vauthors=Lee W, Chaiworapongsa T, Romero R, Williams R, McNie B, Johnson A, Treadwell M, Comstock CH |title=A diagnostic approach for the evaluation of spina bifida by three-dimensional ultrasonography |journal=J Ultrasound Med |volume=21 |issue=6 |pages=619–26 |date=June 2002 |pmid=12054297 |doi= |url=}}</ref> | ||
**[[Vertebral anomalies|Vertebral defect]] | **[[Vertebral anomalies|Vertebral defect]] | ||
**Splayed [[Vertebral|vertebral pedicles]] | **Splayed [[Vertebral|vertebral pedicles]] | ||
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===== Sequence of Diagnostic Studies ===== | ===== Sequence of Diagnostic Studies ===== | ||
The [[ultrasound]] must be performed when a positive [[alpha-fetoprotein]] is detected in the triple screening test | 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. | ||
==References== | ==References== | ||
Revision as of 17:45, 29 January 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
Study of choice
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
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]
- Vertebral defect
- Splayed vertebral pedicles
- Disrupted vertebrae
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.
References
- ↑ 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. PMID 24373566.
- ↑ 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. PMID 12054297.