[The value of obstetrical continuous-wave Doppler sonography: effect of various study modifications on the diagnosis of fetal growth retardation].
In a comparative study on 484 pregnant women the influence of different modifications of the examination by continuous wave (cw)--Doppler was tested. The aim was to improve the detection rate of foetal growth retardation (IUGR): 1. Among different definitions of normal ranges the mathematical "smoothing" of normal values by regression analysis improves the results. 2. Of the most commonly used flow indices the A/B ratio is more reliable than the resistance and the pulsatility index. 3. Comparing the results of one to three examinations of the same patient in the course of pregnancy the relation of sensitivity to specificity is best after two examinations. 4. On evaluating the examinations of the umbilical arteries and the arcuate arteries, an intolerably false positive rate was found in the evaluation of arcuate arteries by cw Doppler.
Pfeiffer
K H
KH
Universitäts-Frauenklinik Tübingen.
Rageth
C
C
D005189:False Positive Reactions; D005260:Female; D005317:Fetal Growth Retardation / Q000000981:diagnostic imaging*; D006801:Humans; D011247:Pregnancy; D012016:Reference Values; D012039:Regional Blood Flow; D012044:Regression Analysis; D012680:Sensitivity and Specificity; D012815:Signal Processing, Computer-Assisted; D014463:Ultrasonography / Q000379:methods*; D014469:Umbilical Arteries / Q000000981:diagnostic imaging
Zur Validität der geburtshilflichen CW-Dopplersonographie: Einfluss verschiedener Untersuchungsmodifikationen auf die Diagnostik der fetalen Retardierung.