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Reproducibility of ultrasonic fetal volume blood flow measurements

Brodszki, Jana LU ; Gardiner, H M; Eriksson, A; Stale, Håkan LU and Marsal, Karel LU (1998) In Clinical Physiology 18(5). p.479-485
Abstract
The intraobserver reproducibility of ultrasonic volume blood flow measurements in the human fetus was evaluated in this study. A new approach, simultaneous measurement of the vessel diameter and the flow velocity with a pulsed-wave Doppler ultrasound synchronized with a real-time ultrasound phase-locked echo-tracking system, was used to estimate volume blood flow (VBF) in the fetal descending aorta. Measurements were performed in a longitudinal study on 20 normally grown fetuses. Intraobserver reproducibility of repeated estimations of mean blood flow velocities throughout gestation was very good, with high values of intraclass correlation coefficient (IntraCC 0.80-0.91) and low values of coefficient of variation (CV 4-11%). The IntraCC of... (More)
The intraobserver reproducibility of ultrasonic volume blood flow measurements in the human fetus was evaluated in this study. A new approach, simultaneous measurement of the vessel diameter and the flow velocity with a pulsed-wave Doppler ultrasound synchronized with a real-time ultrasound phase-locked echo-tracking system, was used to estimate volume blood flow (VBF) in the fetal descending aorta. Measurements were performed in a longitudinal study on 20 normally grown fetuses. Intraobserver reproducibility of repeated estimations of mean blood flow velocities throughout gestation was very good, with high values of intraclass correlation coefficient (IntraCC 0.80-0.91) and low values of coefficient of variation (CV 4-11%). The IntraCC of repeated vessel diameter measurements throughout gestation was low (0.30-0.68), whereas the values of CV were acceptable (< 12%), with the exception of the period between 140 and 167 gestational days (CV > 12%). The lower reproducibility of vessel diameter measurement contributed directly to the relatively low reproducibility of VBF estimations overall (IntraCC 0.25-0.70; CV 17-28%), as these are calculated from a formula using both flow velocity and vessel diameter. Nevertheless, the synchronized approach gives absolute values of vessel diameter, flow velocity and VBF comparable with values reported in the human fetus previously. The new method provides, by taking the vessel wall pulsations into consideration and by measuring diameter and velocity simultaneously, a more complete information on fetal haemodynamics and fetal physiology. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Doppler ultrasound, fetal blood flow, intraobserver agreement, ultrasound, velocity, vessel diameter
in
Clinical Physiology
volume
18
issue
5
pages
479 - 485
publisher
Wiley-Blackwell
external identifiers
  • pmid:9784945
  • scopus:0031682208
ISSN
1365-2281
DOI
10.1046/j.1365-2281.1998.00127.x
language
English
LU publication?
yes
id
09c5cec7-18de-49b4-b4c6-03e2727e67bd (old id 1113833)
date added to LUP
2008-07-16 12:16:59
date last changed
2017-01-01 04:38:15
@article{09c5cec7-18de-49b4-b4c6-03e2727e67bd,
  abstract     = {The intraobserver reproducibility of ultrasonic volume blood flow measurements in the human fetus was evaluated in this study. A new approach, simultaneous measurement of the vessel diameter and the flow velocity with a pulsed-wave Doppler ultrasound synchronized with a real-time ultrasound phase-locked echo-tracking system, was used to estimate volume blood flow (VBF) in the fetal descending aorta. Measurements were performed in a longitudinal study on 20 normally grown fetuses. Intraobserver reproducibility of repeated estimations of mean blood flow velocities throughout gestation was very good, with high values of intraclass correlation coefficient (IntraCC 0.80-0.91) and low values of coefficient of variation (CV 4-11%). The IntraCC of repeated vessel diameter measurements throughout gestation was low (0.30-0.68), whereas the values of CV were acceptable (&lt; 12%), with the exception of the period between 140 and 167 gestational days (CV &gt; 12%). The lower reproducibility of vessel diameter measurement contributed directly to the relatively low reproducibility of VBF estimations overall (IntraCC 0.25-0.70; CV 17-28%), as these are calculated from a formula using both flow velocity and vessel diameter. Nevertheless, the synchronized approach gives absolute values of vessel diameter, flow velocity and VBF comparable with values reported in the human fetus previously. The new method provides, by taking the vessel wall pulsations into consideration and by measuring diameter and velocity simultaneously, a more complete information on fetal haemodynamics and fetal physiology.},
  author       = {Brodszki, Jana and Gardiner, H M and Eriksson, A and Stale, Håkan and Marsal, Karel},
  issn         = {1365-2281},
  keyword      = {Doppler ultrasound,fetal blood flow,intraobserver agreement,ultrasound,velocity,vessel diameter},
  language     = {eng},
  number       = {5},
  pages        = {479--485},
  publisher    = {Wiley-Blackwell},
  series       = {Clinical Physiology},
  title        = {Reproducibility of ultrasonic fetal volume blood flow measurements},
  url          = {http://dx.doi.org/10.1046/j.1365-2281.1998.00127.x},
  volume       = {18},
  year         = {1998},
}