The performance of first-trimester ultrasound in diagnosing fetal cleft palate: Meta-analysis and systematic review

Dongmei Yu1, Nan Zhang1, Hui Sun2

  • 1Department of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao, China.

Insights

First-trimester prenatal ultrasound demonstrates high accuracy in diagnosing cleft palates (CPs), with an overall detection rate of 0.874. This finding highlights its significant value in early fetal anomaly detection.

Area of Science:

  • Prenatal diagnostics
  • Fetal medicine
  • Medical imaging

Background:

  • Cleft palate (CP) is a common congenital anomaly.
  • Early diagnosis of CP is crucial for planning and management.
  • First-trimester ultrasound offers an opportunity for early detection.

Approach:

  • Systematic review and meta-analysis of 13 studies.
  • Inclusion of 39,806 fetuses.
  • Assessment of diagnostic accuracy using pooled sensitivity, specificity, and likelihood ratios.

Key Points:

  • Pooled sensitivity for CP detection was 0.874.
  • Pooled specificity was 0.999, indicating high reliability.
  • Diagnostic odds ratio (DOR) of 6651.3 and AUC of 0.9084 confirm strong diagnostic performance.

Conclusions:

  • First-trimester ultrasound is a valuable tool for diagnosing cleft palates.
  • The high accuracy supports its routine use in early prenatal screening.
  • Further research may refine ultrasound protocols for even earlier detection.
Abstract

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