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Screening for fetal abnormalities with ultrasound
1Department of Obstetrics and Gynaecology, Royal College of Surgeons in Ireland, Rotunda Hospital, Dublin, Ireland.
Current Opinion in Obstetrics & Gynecology
|April 5, 2008
Summary
Recent literature highlights advancements in sonographic screening for fetal abnormalities. New markers and refined techniques improve aneuploidy detection, with ongoing evaluation for clinical integration.
Area of Science:
- Perinatology
- Medical Imaging
- Genetics
Background:
- Fetal abnormality screening is crucial for prenatal care.
- Sonographic techniques are continuously evolving.
Purpose of the Study:
- To review recent literature on sonographic screening for fetal abnormalities.
- To identify novel techniques and refined screening tools.
Main Methods:
- Literature review of studies published in the past year.
- Analysis of advancements in first and second-trimester ultrasound screening.
Main Results:
- Growing interest in early fetal anatomy assessment alongside nuchal translucency.
- Tricuspid regurgitation and ductus venosus assessment as beneficial second-line aneuploidy screening tests.
- Exploration of frontomaxillary facial angle and refined nasal bone measurements for aneuploidy detection.
- Evaluation of second-trimester screening for congenital heart defects and trisomy 21.
- Readdressed role of nuchal translucency discordance in monochorionic twins.
Conclusions:
- Fetal abnormality screening is advancing with new techniques.
- Refinement of existing screening tools is ongoing.
- Clinical implementation of these evolving modalities requires further observation.
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