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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.
Objective:
This system review and meta-analysis was aim to evaluate the accuracy of prenatal ultrasound in diagnosing cleft palates (CPs) during first trimester.
Data Source:
We systematically searched the databases of PubMed, Embase, and Cochrane Library for the articles, which assessed the accuracy of CPs diagnosed by ultrasound during first trimester.
Review Method:
The characteristics of the included studies were recorded. The quality of included studies was assessed by QUADAS-2. The pooled sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR), and the area under the curve (AUC) were calculated using Meta-Disc software version 1.4. The publication bias was assessed by Stata software version 12.0.
Results:
This meta-analysis included 13 studies with 39 806 fetuses. The pooled sensitivity, specificity, PLR, NLR were 0.874, 0.999, 689.84, and 0.161, respectively. The DOR and AUC were 6651.3 and 0.9084, respectively.
Conclusion:
The overall detection rate was 0.874, which indicated high value of first trimester ultrasound in diagnosing CPs.
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