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Carvalho JS, Axt-Fliedner R, Chaoui R, Copel JA, Cuneo BF, Goff D, Gordin Kopylov L, Hecher K, Lee W, Moon-Grady AJ, Mousa HA, Munoz H, Paladini D, Prefumo F, Quarello E, Rychik J, Tutschek B, Wiechec M, Yagel S. ISUOG Practice Guidelines (updated): fetal cardiac screening. Ultrasound Obstet Gynecol 2023; 61:788-803. [PMID: 37267096 DOI: 10.1002/uog.26224] [Citation(s) in RCA: 18] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Accepted: 04/05/2023] [Indexed: 06/04/2023]
Affiliation(s)
- J S Carvalho
- Royal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust; and Fetal Medicine Unit, St George's University Hospitals NHS Foundation Trust and Cardiovascular Clinical Academic Group, Molecular and Clinical Sciences Research Institute, St George's, University of London, London, UK
| | - R Axt-Fliedner
- Division of Prenatal Medicine & Fetal Therapy, Department of Obstetrics & Gynecology, Justus-Liebig-University Giessen, University Hospital Giessen & Marburg, Giessen, Germany
| | - R Chaoui
- Center of Prenatal Diagnosis and Human Genetics, Berlin, Germany
| | - J A Copel
- Departments of Obstetrics, Gynecology & Reproductive Sciences, and Pediatrics, Yale School of Medicine, New Haven, CT, USA
| | - B F Cuneo
- Children's Hospital Colorado, The Heart Institute, Aurora, CO, USA
| | - D Goff
- Pediatrix Cardiology of Houston and Loma Linda University School of Medicine, Houston, TX, USA
| | - L Gordin Kopylov
- Obstetrical Unit, Shamir Medical Center (formerly Assaf Harofeh Medical Center), Zerifin, Israel; and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - K Hecher
- Department of Obstetrics and Fetal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - W Lee
- Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital, Houston, TX, USA
| | - A J Moon-Grady
- Clinical Pediatrics, UC San Francisco, San Francisco, CA, USA
| | - H A Mousa
- Fetal Medicine Unit, University of Leicester, Leicester, UK
| | - H Munoz
- Obstetrics and Gynecology, Universidad de Chile and Clinica Las Condes, Santiago, Chile
| | - D Paladini
- Fetal Medicine and Surgery Unit, IRCCS Istituto G. Gaslini, Genoa, Italy
| | - F Prefumo
- Obstetrics and Gynecology Unit, IRCCS Istituto G. Gaslini, Genoa, Italy
| | - E Quarello
- Image 2 Center, Obstetrics and Gynecologic Department, St Joseph Hospital, Marseille, France
| | - J Rychik
- Fetal Heart Program at Children's Hospital of Philadelphia, and Perelman School of Medicine at University of Pennsylvania, Philadelphia, PA, USA
| | - B Tutschek
- Pränatal Zürich, Zürich, Switzerland; and Medical Faculty, Heinrich Heine University, Düsseldorf, Germany
| | - M Wiechec
- Department of Gynecology and Obstetrics, Jagiellonian University in Krakow, Krakow, Poland
| | - S Yagel
- Department of Obstetrics and Gynecology, Hadassah Medical Center, Mt. Scopus and the Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel
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Lesieur E, Zaffran S, Chaoui R, Quarello E. Prenatal screening and diagnosis of pulmonary artery anomalies. Ultrasound Obstet Gynecol 2023; 61:445-457. [PMID: 36178851 DOI: 10.1002/uog.26078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 09/08/2022] [Accepted: 09/11/2022] [Indexed: 06/16/2023]
Abstract
Congenital pulmonary artery anomalies are rare. Their antenatal diagnosis requires good knowledge of fetal cardiac anatomy because their clinical presentation varies depending on the type and severity of the underlying lesion. Screening of these vascular anomalies can be straightforward in some cases because of significant associated consequences that are detected easily on ultrasound, while other anomalies have considerably less obvious features. There may be an associated genetic syndrome. The aim of this review was to define anomalies of the main pulmonary artery and its branches and to propose, through the identification of suspicious findings during routine antenatal heart examination, an optimal screening method for the pulmonary artery pathway. We propose that pulmonary artery anomalies can be classified antenatally into four types of disorder. Herein we describe 14 cases subgrouped accordingly as: anomalies of the pulmonary valvular region, with stenosis or atresia of the valve (n = 4); conotruncal abnormalities (n = 4); anomalies associated with abnormal origin or course of the pulmonary artery (n = 4); and anomalies associated with abnormal growth of the pulmonary artery and its branches (n = 2). We highlight the need to differentiate the three-vessel view from the three-vessel-and-trachea view when assessing a fetus with a congenital pulmonary artery anomaly. © 2022 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.
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Affiliation(s)
- E Lesieur
- Prenatal Diagnosis Center, Department of Obstetrics and Gynecology, Timone Hospital, Aix-Marseille University, Marseille, France
- UMR 7268 ADES, Aix-Marseille University, CNRS, EFS, Marseille, France
| | - S Zaffran
- Aix-Marseille University, INSERM, MMG, U1251, Marseille, France
| | - R Chaoui
- Center for Prenatal Diagnosis and Human Genetics, Berlin, Germany
| | - E Quarello
- Screening and Diagnosis Unit, Department of Obstetrics and Gynecology, Saint Joseph Hospital, Marseille, France
- IMAGE2 Center, Marseille, France
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Labadini C, Macé P, Quarello E. Examination of fetal Sylvian fissure can and should be performed bilaterally during ultrasound screening. Ultrasound Obstet Gynecol 2022; 60:698-700. [PMID: 35656883 DOI: 10.1002/uog.24969] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Revised: 05/24/2022] [Accepted: 05/27/2022] [Indexed: 06/15/2023]
Affiliation(s)
- C Labadini
- IMAGE2 (Institut Méditerranéen d'Imagerie Médicale Appliquée à la Gynécologie, la Grossesse et à l'Enfant), Marseille, France
- Unité d'Échographie et de Diagnostic Prénatal, Hôpital Saint Joseph, Marseille, France
- Department of Obstetrics and Gynaecology, University of Parma, Parma, Italy
| | - P Macé
- IMAGE2 (Institut Méditerranéen d'Imagerie Médicale Appliquée à la Gynécologie, la Grossesse et à l'Enfant), Marseille, France
- Unité de Dépistage et de Diagnostic Prénatal, Hôpital Privé Marseille Beauregard, Marseille, France
| | - E Quarello
- IMAGE2 (Institut Méditerranéen d'Imagerie Médicale Appliquée à la Gynécologie, la Grossesse et à l'Enfant), Marseille, France
- Unité d'Échographie et de Diagnostic Prénatal, Hôpital Saint Joseph, Marseille, France
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Quarello E. [Why are heart defects still missed prenatally in 2022? State of the art and perspectives]. Gynecol Obstet Fertil Senol 2022; 50:697-699. [PMID: 36378257 DOI: 10.1016/j.gofs.2022.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Accepted: 09/26/2022] [Indexed: 06/16/2023]
Affiliation(s)
- E Quarello
- Centre Image2, 6, rue Rocca, 13008 Marseille, France; Service de gynécologie obstétrique et AMP, hôpital Saint-Joseph, 13285 Marseille cedex, France.
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Lesieur E, Riccardi F, Bault JP, Levaillant JM, Torrents J, Paternostre A, Couly G, Quarello E. [Antenatal ear examination: When, how and why?]. Gynecol Obstet Fertil Senol 2022; 50:624-637. [PMID: 35817342 DOI: 10.1016/j.gofs.2022.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Revised: 04/30/2022] [Accepted: 05/09/2022] [Indexed: 06/15/2023]
Abstract
Antenatal ear examination is an integral part of the thorough examination of the fetal face. The discovery of an anomaly, whether it is made by chance or during a complementary in-depth examination, leads the practitioner to determine its isolated or associated character, in order to characterise its possible belonging to a syndromic entity. In this context, the realization of genetic analysis more precise and wider allowing a return of the results in a time compatible with an evolutive pregnancy, gives to the geneticist a central role in the management of these couples. The main challenge lies in obtaining a set of concordant clinical and biological clues, enabling the genetic results identified to be interpreted correctly, the optimised functioning of the ultrasound practitioner - geneticist duo is therefore fundamental. This results in a complex information to deliver, in the fact that the clinical translation of an ear anomaly in antenatal can go from an isolated aesthetic anomaly to a genetic syndrome with neurodevelopmental disorder. The objective of this work is to describe, from a methodological analysis of antenatal ears, the accessible malformative entities, isolated or associated, and to discuss the problems in the need or not to propose their screening.
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Affiliation(s)
- E Lesieur
- Department of obstetrics and gynaecology, Prenatal Diagnosis Center, La Conception hospital, Aix Marseille university, boulevard Baille, 13005 Marseille, France; UMR 7268 ADES, Aix-Marseille université, CNRS, EFS, Marseille, France.
| | - F Riccardi
- MMG, Inserm, Aix-Marseille université, Marseille, France
| | - J-P Bault
- Department of gynaecology and obstetrics, CHI Poissy-St-Germain, 78300 Poissy, France; Centre d'échographie Ambroise-Paré, 68/70, rue Aristide-Briand, 78130 Les Mureaux, France; Plateforme Lumière, hôpital Necker-Enfant Malade, Paris, France
| | - J-M Levaillant
- Center for Woman and Fetal Imaging, 59000, France; Hôpital Privé Armand Brillard, Groupe Ramsay Générale De Santé, 94130 Nogent-sur-Marne, France
| | - J Torrents
- Department of Pathology and Neuropathology, La Timone Hospital, Aix Marseille University, Marseille, France
| | - A Paternostre
- Department of gynaecology and obstetrics, CHI Poissy-St-Germain, 78300 Poissy, France; European Center of Diagnosis and Exploration of the Woman, 78150 Le Chesnay, France
| | - G Couly
- Center for Woman and Fetal Imaging, 59800 Lille, France
| | - E Quarello
- Department of obstetrics and gynecology, screening and diagnosis unit, Saint Joseph hospital, 26, boulevard de Louvain, 13008 Marseille, France; IMAGE2 Center, 6, rue Rocca, 13008 Marseille, France
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Velly C, Quarello E, Bretelle F, Ovaert C. Postnatal diagnosis of congenital heart defects in Southeast of France: An audit of prenatal ultrasonographic practices and can we improve fetal screening by adding AI (artificial intelligence) solutions? Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2022.07.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Macé P, Bault JP, Quarello E. Tongue-filled pharynx sign: new simple ultrasound clue to assess glossoptosis in Pierre Robin sequence. Ultrasound Obstet Gynecol 2022; 59:270-272. [PMID: 34090312 DOI: 10.1002/uog.23700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Revised: 05/09/2021] [Accepted: 05/21/2021] [Indexed: 06/12/2023]
Affiliation(s)
- P Macé
- Institut Méditerranéen d'Imagerie Médicale Appliquée à la Gynécologie, la Grossesse et l'Enfance IMAGE2, Marseille, France
- Unité de Dépistage et de Diagnostic Prénatal, Hôpital Privé Marseille Beauregard, Marseille, France
| | - J-P Bault
- Centre Pluridisciplinaire de Diagnostic Prénatal de Poissy, Centre Hospitalier Intercommunal de Poissy Saint-Germain-en-Laye, Poissy, France
- Centre d'Echographie Ambroise Paré, Les Mureaux, France
| | - E Quarello
- Institut Méditerranéen d'Imagerie Médicale Appliquée à la Gynécologie, la Grossesse et l'Enfance IMAGE2, Marseille, France
- Unité de Dépistage et de Diagnostic Prénatal, Hôpital Saint-Joseph, Marseille Cedex, France
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Guilbaud L, Zerah M, Jouannic JM, Quarello E. [The paradoxes of spina bifida in the prenatal period]. Gynecol Obstet Fertil Senol 2021; 49:569-572. [PMID: 33989830 DOI: 10.1016/j.gofs.2021.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Indexed: 06/12/2023]
Affiliation(s)
- L Guilbaud
- Service de médecine fœtale, Sorbonne université, AP-HP, hôpital Armand-Trousseau, 26, avenue du Docteur Arnold Netter, 75012 Paris, France; Centre de référence maladies rares C-MAVEM, hôpital Armand-Trousseau, 26, avenue du Docteur Arnold Netter, 75012 Paris, France
| | - M Zerah
- Centre de référence maladies rares C-MAVEM, hôpital Armand-Trousseau, 26, avenue du Docteur Arnold Netter, 75012 Paris, France; Service de neurochirurgie pédiatrique, hôpital Necker, Université de Paris, 149, rue du Sèvres, 75015 Paris, France
| | - J-M Jouannic
- Service de médecine fœtale, Sorbonne université, AP-HP, hôpital Armand-Trousseau, 26, avenue du Docteur Arnold Netter, 75012 Paris, France; Centre de référence maladies rares C-MAVEM, hôpital Armand-Trousseau, 26, avenue du Docteur Arnold Netter, 75012 Paris, France
| | - E Quarello
- Institut méditerranéen d'imagerie médicale appliquée à la gynécologie, la grossesse et l'enfance IMAGE(2), 6, rue Rocca, 13008 Marseille, France; Unité de dépistage et de diagnostic prénatal, hôpital Saint-Joseph, 26, boulevard de Louvain, 13285 Marseille cedex, France.
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Beldjerd MH, Lafouge A, Le Corroller Soriano AG, Quarello E. [Asynchronous Tele-Expertise (ASTE) in obstetrical ultrasound: Is it equivalent to face-to-face consultation?]. ACTA ACUST UNITED AC 2021; 49:850-857. [PMID: 34146754 DOI: 10.1016/j.gofs.2021.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Indexed: 10/21/2022]
Abstract
INTRODUCTION The demand for remote advice has expanded since the advent of information and communication technology. This study aims to evaluate the use of asynchronous tele-expertise (ASTE) in providing a quality expert opinion in the field of obstetric ultrasound. MATERIALS AND METHODS Requests for expert opinions on pregnant patients were considered retrospectively over a 24-month period (01/09/2018 to 01/21/2020). All patients were initially seen in consultation with a midwife sonographer, located in Hyères, 82km from the expert's centre. In the event of unusual images, including one or more malformations on ultrasound screening, a second opinion was necessary. Responses were characterized as follows : possible or impossible to analyse images; ASTE alone or combined with a face-to-face consultation; and absence or presence of unusual images. Unusual images were classified as normal variants or recognised malformations. We analysed the outcomes of these pregnancies and assessed concordance between prenatal advice and postnatal outcome. RESULTS During the study period, we identified 174 referrals from 141 patients. Requests for advice were made by 3/174 (1.7%), 69/174 (39.7%), and 102/174 (58.6%) in the first, second, and third trimester of pregnancy, respectively. Overall, 115/141 (81.6%), 21/141 (14.9%), 4/141 (2.8%), and 1/141 (0.7%) patients were provided with one, two, three, and five opinions, respectively. In total, 37/141 (26.2%) patients required a face-to-face consultation, resulting in 38/174 (21.8%) opinions (one patient was seen twice). At least one unusual image was found for 27/141 (19.2%) patients and no unusual images were reported for 114/141 (80.8%) patients. Analysis of the pregnancy outcomes revealed a perfect correlation between prenatal advice and postnatal data, both for cases with unusual images and those without. CONCLUSION The preliminary results of our study reveal that ASTE is safe in terms of enabling an expert to answer a precise question formulated by a screener when confronted with images deemed to be unusual. Using this mode of communication, a tailored healthcare pathway may be defined for the mother and her foetus. This new type of practice cannot exist without establishing a genuine relationship of trust between the person requesting the opinion and the person who is asked to provide the opinion.
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Affiliation(s)
- M H Beldjerd
- Inserm, Aix Marseille Univ, IRD, SESSTIM, ISSPAM, Marseille, France
| | - A Lafouge
- Cabinet de gynécologie et obstétrique, Hyères, France
| | | | - E Quarello
- Centre Image 2, 6, rue Rocca, 13008 Marseille, France; Service de gynécologie-obstétrique, hôpital-Saint Joseph, 26, boulevard de Louvain, Marseille, France.
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Beldjerd M, Quarello E, Lafouge A, Giorgi R, Le Coroller-Soriano A. Une étude de minimisation des coûts du recours à la télé-expertise asynchrone par rapport une consultation en face à face pour le diagnostic prénatal par échographies obstétricales. Rev Epidemiol Sante Publique 2021. [DOI: 10.1016/j.respe.2021.04.102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Macé P, Ville Y, Bessière B, Quarello E. Early diagnosis of rhombencephalosynapsis: the limits of intracranial translucency at first-trimester screening and a plea for assessment of aqueduct of Sylvius. Ultrasound Obstet Gynecol 2021; 57:846-848. [PMID: 32349173 DOI: 10.1002/uog.22064] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Revised: 04/23/2020] [Accepted: 04/24/2020] [Indexed: 06/11/2023]
Affiliation(s)
- P Macé
- Institut Méditerranéen d'Imagerie Médicale Appliquée à la Gynécologie, la Grossesse et l'Enfance IMAGE2, Marseille, France
- Unité de Dépistage et de Diagnostic Prénatal, Hôpital Privé Marseille Beauregard, Marseille, France
| | - Y Ville
- Maternité, Hôpital Necker-Enfants Malades, Assistance Publique, Hôpitaux de Paris, Université Paris Descartes, Paris, France
| | - B Bessière
- Unité d'Embryofœtopathologie, Service d'Histologie-Embryologie-Cytogénétique, Hôpital Necker-Enfants Malades, APHP, Paris, France
| | - E Quarello
- Institut Méditerranéen d'Imagerie Médicale Appliquée à la Gynécologie, la Grossesse et l'Enfance IMAGE2, Marseille, France
- Unité de Dépistage et de Diagnostic Prénatal, Hôpital Saint-Joseph, Marseille, France
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Quarello E, Macé P, Bernard JP. Coronal suture: ultrasonographic window of fetal cranial and brain abnormalities. Ultrasound Obstet Gynecol 2021; 57:648-649. [PMID: 32449266 DOI: 10.1002/uog.22094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2020] [Revised: 05/01/2020] [Accepted: 05/17/2020] [Indexed: 06/11/2023]
Affiliation(s)
- E Quarello
- IMAGE2 Centre, Institut Méditerranéen d'Imagerie Médicale Appliquée à la Gynécologie, la Grossesse, et à l'Enfant, Marseille, France
- Unité d'Échographie et de Diagnostic Prénatal, Hôpital Saint Joseph, Marseille, France
| | - P Macé
- IMAGE2 Centre, Institut Méditerranéen d'Imagerie Médicale Appliquée à la Gynécologie, la Grossesse, et à l'Enfant, Marseille, France
- Hôpital Privé Beauregard, Marseille, France
| | - J P Bernard
- Service de Gynécologie Obstétrique, Hôpital Necker-Enfants Malades, Paris, France
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Lesieur E, Degardin N, Develay-Morice JE, Quarello E. [Ultrasound scan of a fetus with facial cleft must be done from the lip to the uvula: What's new?]. ACTA ACUST UNITED AC 2021; 49:767-781. [PMID: 33766791 DOI: 10.1016/j.gofs.2021.03.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Indexed: 10/21/2022]
Abstract
Facial cleft are the most frequent craniofacial anomalies with an incidence of one for 1000 births, all births combined, and require specialized multidisciplinary care. Since 2005, the systematic realization of two ultrasound views (nose-lip and profile) is recommended for the exploration of the fetal face in the 2nd trimester of pregnancy. Application of these recommendations should allow screening of the majority of cleft lip and palate. However, cleft palates, without labiomaxillary involvement, are currently largely underdiagnosed at prenatal ultrasound, although they can be associated with a syndromic diagnosis in up to 30% of cases. The aim of this work is to describe, from embryology to surgical consultation, the complete ultrasound examination of a fetus with a classic facial cleft.
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Affiliation(s)
- E Lesieur
- Screening and Diagnosis Unit, Department of Obstetrics and Gynecology, Saint-Joseph Hospital, 26, boulevard de Louvain, 13008 Marseille, France.
| | - N Degardin
- Department of Pediatric Plastic Surgery, Public Assistance Hospital of Marseille, University Hospital Center Timone, 278, rue Saint-Pierre, 13005 Marseille, France
| | - J-E Develay-Morice
- Department of Gynecology and Obstetrics, Gynepole, Assistance Publique-Hôpitaux de Marseille, chemin des Bourrely, 13015 Marseille, France
| | - E Quarello
- Screening and Diagnosis Unit, Department of Obstetrics and Gynecology, Saint-Joseph Hospital, 26, boulevard de Louvain, 13008 Marseille, France; IMAGE2 Center, 6, rue Rocca, 13008 Marseille, France
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Quarello E, Guibaud L. Prenatal sonographic assessment of Sylvian fissure operculization (SFO): importance of distinguishing between screening and diagnostic tools and selecting precise anatomical landmarks. Ultrasound Obstet Gynecol 2020; 56:786-788. [PMID: 33136324 DOI: 10.1002/uog.23113] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Accepted: 02/27/2020] [Indexed: 06/11/2023]
Affiliation(s)
- E Quarello
- Image2 (Institut Méditerranéen d'Imagerie Médicale Appliquée à la Gynécologie, la Grossesse, et à l'Enfant), Marseille, France
- Unité d'Échographie et de Diagnostic Prénatal, Hôpital Saint Joseph, Marseille, France
| | - L Guibaud
- Département d'Imagerie Pédiatrique et Fœtale, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
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Mace P, Mancini J, Gorincour G, Quarello E. Accuracy of qualitative and quantitative cranial ultrasonographic markers in first-trimester screening for open spina bifida and other posterior brain defects: a systematic review and meta-analysis. BJOG 2020; 128:354-365. [PMID: 32966672 DOI: 10.1111/1471-0528.16530] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/14/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND The significant number of qualitative and quantitative ultrasound markers described for first-trimester screening of open spina bifida (OSB) and other posterior brain defects (oPBD) has resulted in their complex implementation and interpretation for a widespread screening and in a lack of consensus regarding diagnostic accuracy. OBJECTIVES To assess and compare the accuracy of qualitative and quantitative cranial sonographic markers at 11-14 weeks of gestation for the detection of OSB and oPBD. SEARCH STRATEGY A systematic literature search was performed in MEDLINE and COCHRANE from 2009 to April 2020. SELECTION CRITERIA Studies assessing the diagnostic accuracy of quantitative and/or qualitative ultrasound signs to predict OSB and oPBD were included. Cohort studies and case-control studies were also considered. DATA COLLECTION AND ANALYSIS Two reviewers independently extracted data and assessed the risk of bias. The overall pooled estimate and a summary receiver operating characteristic curve was estimated for each subgroup (qualitative and quantitative assessment). MAIN RESULTS Twenty-three studies were included in our meta-analysis. The pooled sensitivity and specificity for qualitative assessment were 76.5% and 99.6%, and for quantitative assessment were 84.5% and 96.3%, respectively; specificity for the qualitative ultrasound signs was significantly higher (P = 0.001). The overall sensitivity of cranial sonographic markers for the screening of oPBD was 76.7% and specificity was 97.5%. CONCLUSIONS The qualitative approach demonstrated greater specificity, so this would appear to be more appropriate for daily screening, as a first-line tool, whereas the quantitative approach should be reserved for expert ultrasound. TWEETABLE ABSTRACT This study highlights the relevance of first-trimester qualitative ultrasound signs in the screening of open spina bifida.
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Affiliation(s)
- P Mace
- Institut méditerranéen d'imagerie médicale appliquée à la gynécologie, la grossesse et l'enfance IMAGE2, Marseille, France.,Unité de dépistage et de diagnostic prénatal, Hôpital Privé Marseille Beauregard, Marseille, France
| | - J Mancini
- Public Health Department (BIOSTIC), APHM, INSERM, IRD, SESSTIM, Hop Timone, Aix Marseille Univ, Marseille, France
| | - G Gorincour
- Institut méditerranéen d'imagerie médicale appliquée à la gynécologie, la grossesse et l'enfance IMAGE2, Marseille, France.,Elsan, Clinique Bouchard, Marseille, France
| | - E Quarello
- Institut méditerranéen d'imagerie médicale appliquée à la gynécologie, la grossesse et l'enfance IMAGE2, Marseille, France.,Elsan, Clinique Bouchard, Marseille, France
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Hazelzet T, Brasseur-Daudruy M, Quarello E. [The left outflow tract: Abnormal features]. Gynecol Obstet Fertil Senol 2020; 48:211-218. [PMID: 31715281 DOI: 10.1016/j.gofs.2019.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/05/2019] [Indexed: 06/10/2023]
Abstract
The good knowledge of the characteristics of the left outflow tract allows us to detect but also to identify anomalies such as conal VSD and conotruncal anomalies. The analysis of this specific area of the heart must always be performed as part of a global analysis of the outflow tracts, combining the analysis of the right outflow tract with the assessment of the three vessel and trachea view.
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Affiliation(s)
- T Hazelzet
- Service de pédiatrie, CHU de Rouen, Rouen, France
| | | | - E Quarello
- Institut méditerranéen d'imagerie médicale appliquée à la gynécologie, la grossesse, et à l'enfant, 6, rue Rocca, 13008, Marseille, France; Unité d'échographie et de diagnostic prénatal, hôpital Saint-Joseph, 26, boulevard de Louvain, 13285 Marseille cedex 08, France.
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17
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Quarello E. [The left outflow tract: Normal features]. ACTA ACUST UNITED AC 2019; 47:680-688. [PMID: 31352143 DOI: 10.1016/j.gofs.2019.07.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2018] [Indexed: 10/26/2022]
Abstract
Congenital heart disease remains an important cause of perinatal morbidity and mortality. Screening for these is based on a good knowledge of normal fetal heart anatomy and ultrasound views to be performed. After recommending the use of the four chambers and the right outflow tract views in 2005, CNEOF proposes recently adding the left outflow tract assessment. The use of this one should sensitize the operator to the notion of sweeping essential to obtain all these views and make it possible to improve the detection of the conal VSD and conotruncal pathologies.
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Affiliation(s)
- E Quarello
- Unité d'échographie et de diagnostic prénatal, hôpital Saint-Joseph, 26, boulevard de Louvain, 13285 Marseille cedex 08, France; Image(2), 6, rue Rocca, 13008 Marseille, France.
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18
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Tosello B, Blanc J, Kelway C, Pellegrin V, Quarello E, Comte F, Zakarian C, D'Ercole C. [Medical simulation as a tool in the training of perinatal professionals]. ACTA ACUST UNITED AC 2018; 46:530-539. [PMID: 29776841 DOI: 10.1016/j.gofs.2018.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2017] [Indexed: 11/29/2022]
Abstract
Though technology plays an increasingly important role in modern health systems, human performance remains a major determinant of safety, effectiveness and efficiency of patient care. This is especially true in the delivery room. Thus, the training of professionals must aim not only for the acquisition of theory and practical skills on an individual basis, but also for the learning of teamwork systematically. Training health professionals with simulation enhances their theoretical knowledge and meets formal requirements in literacy, technical skills and communication. Therefore, we intend to explore how, in perinatal care, training with simulation is actually a key teaching tool in initial education and in perpetuation of knowledge. We will approach three main aspects: individual, collective (team) and the impact of simulation in medical practice. The choice of this educational strategy improves the clinical skills that are required for optimal performance in complex, unpredictable and high-stake environments such as the delivery room. Nonetheless, the long term clinical impact of simulation and whether it's modalities, technical or not, are beneficial to the mother and the newborn are areas still to be explored.
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Affiliation(s)
- B Tosello
- Service de médecine néonatale, hôpital Nord, AP-HM, chemin des Bourrely, 13015 Marseille, France; UMR 7268 ADÉS, faculté de médecine de marseille, Aix-Marseille université-EFS-CNRS, 51, boulevard Pierre-Dramard, 13344 Marseille cedex 15, France.
| | - J Blanc
- Service de gynécologie-obstétrique, hôpital Nord, AP-HM, chemin des Bourrely, 13015 Marseille, France; EA 3279 - Public Health, Chronic Diseases and Quality of Life - Research Unit, Aix-Marseille université, 13284 Marseille, France
| | - C Kelway
- Service d'anesthésie-réanimation, hôpital de la Conception, AP-HM, 147, boulevard Baille, 13005 Marseille, France
| | - V Pellegrin
- Service d'anesthésie-réanimation, hôpital de la Conception, AP-HM, 147, boulevard Baille, 13005 Marseille, France
| | - E Quarello
- Institut de médecine de la reproduction, 6, rue Rocca, 13008 Marseille, France; Unité d'échographie et de diagnostic prénatal, hôpital Saint-Joseph, 26, boulevard de Louvain, 13285 Marseille cedex 08, France
| | - F Comte
- École universitaire de Maïeutique Marseille Méditerranée, Aix-Marseille université, boulevard Pierre-Dramard, 13015 Marseille, France
| | - C Zakarian
- École universitaire de Maïeutique Marseille Méditerranée, Aix-Marseille université, boulevard Pierre-Dramard, 13015 Marseille, France
| | - C D'Ercole
- Service de gynécologie-obstétrique, hôpital Nord, AP-HM, chemin des Bourrely, 13015 Marseille, France
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19
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Quarello E, Gorincour G, Dabadie A. [Simulation in obstetrical ultrasound: Grail, trickery, or neither?]. Gynecol Obstet Fertil Senol 2018; 46:4-6. [PMID: 29289473 DOI: 10.1016/j.gofs.2017.11.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2017] [Indexed: 06/07/2023]
Affiliation(s)
- E Quarello
- Institut de médecine de la reproduction, 6, rue Rocca, 13008 Marseille, France; Unité d'échographie et de diagnostic prénatal, hôpital Saint-Joseph, 26, boulevard de Louvain, 13285 Marseille, cedex 08, France.
| | - G Gorincour
- LiiE EA 4264, centre européen de recherche en imagerie médicale (CERIMED), campus santé, boulevard Jean-Moulin, 13005 Marseille, France; Service d'imagerie pédiatrique et prénatale, hôpital de la Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille, France
| | - A Dabadie
- LiiE EA 4264, centre européen de recherche en imagerie médicale (CERIMED), campus santé, boulevard Jean-Moulin, 13005 Marseille, France; Service d'imagerie pédiatrique et prénatale, hôpital de la Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille, France
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20
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Mace P, Milh M, Girard N, Sigaudy S, Quarello E. [How to deal with a fetal head circumference lower than the third percentile?]. ACTA ACUST UNITED AC 2017; 45:491-511. [PMID: 28870427 DOI: 10.1016/j.gofs.2017.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2017] [Accepted: 07/17/2017] [Indexed: 11/29/2022]
Abstract
The prenatal finding of a head circumference (HC) below the 3rd percentile (p) remains, in the same way as short femur or increased nuchal translucency with normal karyotype, one the most difficult situations for the praticionner in the setting of prenatal diagnosis. Microcephaly is a gateway to possible cerebral pathologies, but the main objective is to identify serious prenatal situations. A standardized HC measurement, the use of adapted reference tools and charts, longitudinal following of cephalic biometrics in high-risk situations, and systematic central nervous system analysis can increase the diagnostic performance of ultrasound which is often disappointing for microcephaly. The early distinction between associated or isolated microcephaly makes it possible to quickly orient the prenatal management and counseling. Fetal MRI and genetic counseling are fundamental in this context, making it possible to specify at best the etiological diagnosis and to provide assistance to the neuropediatrician in the establishment of an often uncertain prognosis. The recent increase in cases of microcephaly concomitant with the epidemic of the ZIKA virus is an additional argument to improve our practices and the daily apprehension of HC<3rd p.
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Affiliation(s)
- P Mace
- Centre de diagnostic prénatal, hôpital La Timone enfant, AP-HM, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
| | - M Milh
- Centre de diagnostic prénatal, hôpital La Timone enfant, AP-HM, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France; Service de neurologie pédiatrique, hôpital La Timone enfants, AP-HM, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France; Inserm, GMGF UMR_S 910, Aix Marseille université, 13385 Marseille, France
| | - N Girard
- CRMBM UMR CNRS 7339, faculté de médecine, Aix Marseille université (AMU), 13385 Marseille, France; Service de neuroradiologie diagnostique et interventionnelle, hôpital La Timone, AP-HM, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
| | - S Sigaudy
- Centre de diagnostic prénatal, hôpital La Timone enfant, AP-HM, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France; Département de génétique médicale, hôpital La Timone enfant, AP-HM, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
| | - E Quarello
- Unité d'échographie et de diagnostic prénatal, hôpital Saint-Joseph, 26, boulevard de Louvain, 13285 Marseille cedex 08, France; Institut de médecine de la reproduction, 6, rue Rocca, 13008 Marseille, France.
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21
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Hamdaoui N, Dabadie A, Lesieur E, Quarello E, Kheiri M, Hery G, Guidicelli B, Bretelle F, Gorincour G. [Ultrasound of the fetal urinary system during the first trimester of pregnancy]. Gynecol Obstet Fertil Senol 2017; 45:373-380. [PMID: 28552751 DOI: 10.1016/j.gofs.2017.05.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2017] [Accepted: 05/02/2017] [Indexed: 12/27/2022]
Abstract
The detection of abnormalities of the fetal urinary system in the first trimester of pregnancy is constantly improving, namely owing to the improved resolution of the image, the use of the endovaginal approach and thanks to sonographers' constant training. The pathological aspects, usually detected in the second trimester of pregnancy, can be suspected early in the first trimester and range from kidneys' cavity dilation to bilateral renal agenesis, polycystic kidney disease, multi-cystic dysplasia and bladder megavessia or bladder exstrophy. A poly-malformative syndrome is to be found out. The detection of an abnormality of the urinary tract requires a close ultrasound check. Very often, the pathological aspects tend to disappear spontaneously. In particular, the non-visualization of the bladder requires repeated examinations during the same session or even a little later in the pregnancy. We will carry out a review of the literature by pointing out the usual and unusual aspects of the fetal urinary system visible in the first trimester and we will as well propose an algorithm describing how to deal with abnormalities of the urinary tract that can be found out at first trimester ultrasound.
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Affiliation(s)
- N Hamdaoui
- Centre de diagnostic prénatal, hôpital Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille, France.
| | - A Dabadie
- Service d'imagerie pédiatrique et prénatale, hôpital Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille, France
| | - E Lesieur
- Centre de diagnostic prénatal, hôpital Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille, France
| | - E Quarello
- Département d'échographies obstétricales, fondation-hôpital Saint-Joseph, 26, boulevard de Louvain, 13008 Marseille, France; Institut de médecine de la reproduction, 6, rue Rocca, 13008 Marseille, France
| | - M Kheiri
- Service d'imagerie pédiatrique et prénatale, hôpital Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille, France
| | - G Hery
- Centre de diagnostic prénatal, hôpital Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille, France; Service de chirurgie pédiatrique, hôpital Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille, France
| | - B Guidicelli
- Centre de diagnostic prénatal, hôpital Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille, France
| | - F Bretelle
- Centre de diagnostic prénatal, hôpital Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille, France
| | - G Gorincour
- Centre de diagnostic prénatal, hôpital Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille, France; Service d'imagerie pédiatrique et prénatale, hôpital Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille, France
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Thellier E, Levaillant JM, Roume J, Quarello E, Bault JP. Cornelia de Lange syndrome: specific features for prenatal diagnosis. Ultrasound Obstet Gynecol 2017; 49:668-670. [PMID: 26480950 DOI: 10.1002/uog.15788] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- E Thellier
- Centre Hospitalier Intercommunal de Poissy, St Germain, Poissy, France
- CHU Bicêtre, Paris, France
| | - J M Levaillant
- Centre Hospitalier Intercommunal de Poissy, St Germain, Poissy, France
- CHU Bicêtre, Paris, France
| | - J Roume
- Centre Hospitalier Intercommunal de Poissy, St Germain, Poissy, France
| | - E Quarello
- Unité d'Échographies Obstétricales, Service de Gynécologie Obstétrique, Pôle Parents Enfants, Hôpital Saint-Joseph, Marseille, France
| | - J P Bault
- Centre Hospitalier Intercommunal de Poissy, St Germain, Poissy, France
- CHU Bicêtre, Paris, France
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Lesieur E, Boubnova J, Héry G, Lafouge A, Quarello E, Bretelle F, Sigaudy S, Gorincour G. Prenatal imaging presentation of Meckel diverticulum. Diagn Interv Imaging 2017; 98:569-570. [PMID: 28412231 DOI: 10.1016/j.diii.2017.03.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2017] [Revised: 03/22/2017] [Accepted: 03/23/2017] [Indexed: 10/19/2022]
Affiliation(s)
- E Lesieur
- Center for Prenatal Diagnosis, La Timone Children Hospital, 13000 Marseille, France
| | - J Boubnova
- Department of Pediatric Surgery, La Timone Children Hospital, 13000 Marseille, France
| | - G Héry
- Department of Pediatric Surgery, La Timone Children Hospital, 13000 Marseille, France
| | - A Lafouge
- Cabinet de radiologie, Toulon, France
| | - E Quarello
- Institut méditerranéen de la reproduction, 13000 Marseille, France
| | - F Bretelle
- Center for Prenatal Diagnosis, La Timone Children Hospital, 13000 Marseille, France
| | - S Sigaudy
- Center for Prenatal Diagnosis, La Timone Children Hospital, 13000 Marseille, France
| | - G Gorincour
- Center for Prenatal Diagnosis, La Timone Children Hospital, 13000 Marseille, France; Department of Prenatal and Pediatric Imaging, La Timone Children Hospital, 13000 Marseille, France.
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Vialard F, Quarello E. [What strategies for prenatal screening and diagnosis in France?]. Gynecol Obstet Fertil Senol 2017; 45:129-130. [PMID: 28259706 DOI: 10.1016/j.gofs.2017.01.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2017] [Indexed: 06/06/2023]
Affiliation(s)
- F Vialard
- Fédération de génétique, CHI de Poissy Saint-Germain-en-Laye, Poissy, France; GIG, EA 7404, unité de formation et de recherche des sciences de la santé Simone-Veil, université de Versailles-Saint-Quentin-en-Yvelines, université Paris Saclay, 78180 Montigny-le-Bretonneux, France
| | - E Quarello
- Institut de médecine de la reproduction, 6, rue Rocca, 13008 Marseille, France; Unité de dépistage et de diagnostic prénatal, hôpital Saint-Joseph, 26, boulevard de Louvain, 13285 Marseille, France.
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Quarello E, Lafouge A, Fries N, Salomon LJ. Basic heart examination: feasibility study of first-trimester systematic simplified fetal echocardiography. Ultrasound Obstet Gynecol 2017; 49:224-230. [PMID: 26799640 DOI: 10.1002/uog.15866] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/23/2015] [Revised: 01/16/2016] [Accepted: 01/18/2016] [Indexed: 06/05/2023]
Abstract
OBJECTIVE First-trimester fetal cardiac screening examinations in low-risk populations should not have to meet the specifications required for high-risk populations. Our aim was to evaluate a simplified fetal echocardiographic ('basic heart') examination for early detection of severe congenital heart defects in a low-risk population. METHODS This was a first-trimester national 'flash study', performed over a 2-week period. Each observer was requested to perform simplified echocardiography without modifying the time and methods deemed necessary for the routine first-trimester ultrasound examination, in fetuses with crown-rump length between 45 and 84 mm. This basic heart assessment used targeted cross-sections of the four-chamber view (4CV) and of the three vessels and trachea (3VT) view, using color and/or directional power Doppler. All examinations were then reviewed offline and scored for quality by a qualified expert. RESULTS Sixty observers performed a total of 597 first-trimester ultrasound examinations, each performing an average of 10 (range, 1-26) procedures. Examinations were conducted transabdominally (79%; 472/597), transvaginally (3%; 17/597) or both (18%; 108/597). In 8% (45/597) of cases, the fetal back was anterior, in 18% (108/597) it was on the left side, in 63% (377/597) it was posterior and in 11% (67/597) it was on the right side. It became clear during scoring by the expert that, unlike the Herman quality score for nuchal translucency measurement, it was difficult to assess the quality of these images without taking into account normality of the heart itself. Analysis of scores showed that the 4CV was obtained successfully and was deemed normal in 86% (512/597) of the patients, in 7% (41/597) it was deemed technically infeasible and in 7% (44/597) it was deemed feasible but atypical, which may have been due to the presence of an abnormality or to poor quality of the image. The 3VT view was obtained successfully and was normal in 79% (472/597) of the patients, in 13% (78/597) it was technically infeasible and in 8% (47/597) it was deemed feasible but atypical. Both the 4CV and the 3VT view were obtained successfully and were normal in 73% (435/597) of patients. CONCLUSION It is possible for a trained operator to perform simplified fetal echocardiography during the routine first-trimester ultrasound examination in a low-risk population. In most cases, our basic heart examination can be used to reassure parents or identify potential problems to be clarified as early as possible in the second trimester. Copyright © 2016 ISUOG. Published by John Wiley & Sons Ltd.
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Affiliation(s)
- E Quarello
- Unité d'Échographies Obstétricales et de Diagnostic Anténatal, Hôpital Saint Joseph, Marseille, France
- Institut de Médecine de la Reproduction, Marseille, France
| | - A Lafouge
- Cabinet de Gynécologie et Obstétrique, Hyères, France
| | - N Fries
- Collège Français d'Échographie Fœtale, Chateaubriant, France
| | - L J Salomon
- Service d'Obstétrique et de Médecine Fœtale, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France
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Quarello E. [The screening of microdeletions/microduplications by studying the free fetal DNA in the maternal circulation: Is this just a matter of point of view?]. Gynecol Obstet Fertil Senol 2017; 45:43-44. [PMID: 28238315 DOI: 10.1016/j.gofs.2016.12.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/16/2016] [Indexed: 06/06/2023]
Affiliation(s)
- E Quarello
- Institut de médecine de la reproduction, 6, rue Rocca, 13008 Marseille, France; Unité de dépistage et de diagnostic prénatal, hôpital Saint-Joseph, 26, boulevard de Louvain, 13285 Marseille, France.
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Quarello E. Enlarged intracranial translucency and molar tooth sign in the first trimester as features of Joubert syndrome and related disorders. Ultrasound Obstet Gynecol 2016; 48:532-534. [PMID: 26748614 DOI: 10.1002/uog.15856] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2015] [Revised: 12/22/2015] [Accepted: 12/30/2015] [Indexed: 06/05/2023]
Affiliation(s)
- E Quarello
- Institut de Médecine de la Reproduction, 6 rue Rocca, Marseille, France and Unité d'Échographies Obstétricales et de Diagnostic Prénatal, Hôpital Saint Joseph, Marseille, France.
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Dabadie A, Quarello E, Degardin N, Desbriere R, Heckenroth H, Sigaudy S, Gorincour G. Added value of MRI for the prenatal diagnosis of isolated orofacial clefts and comparison with ultrasound. Diagn Interv Imaging 2016; 97:915-21. [DOI: 10.1016/j.diii.2015.11.015] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2014] [Revised: 09/03/2015] [Accepted: 11/20/2015] [Indexed: 10/22/2022]
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29
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Quarello E, Jacquemard F, Ville Y. [Screening of aneuploidies in twin pregnancies in 2016: We may miss the boat if we fail to take action]. ACTA ACUST UNITED AC 2016; 44:457-60. [PMID: 27363614 DOI: 10.1016/j.gyobfe.2016.05.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2016] [Indexed: 10/21/2022]
Affiliation(s)
- E Quarello
- Unité d'échographie et de diagnostic prénatal, hôpital Saint-Joseph, 26, boulevard de Louvain, 13285 Marseille cedex 08, France; Institut de médecine de la reproduction, 6, rue Rocca, 13008 Marseille, France.
| | - F Jacquemard
- Centre de diagnostic prénatal, hôpital américain de Paris, 63, boulevard Victor-Hugo, 92200 Neuilly-sur-Seine, France
| | - Y Ville
- Service d'obstétrique et de médecine fœtale, université Paris Descartes, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
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Quarello E, Lacoste R, Mancini J, Melot–Dusseau S, Gorincour G. ShearWave elastography of fetal lungs in pregnant baboons. Diagn Interv Imaging 2016; 97:605-10. [DOI: 10.1016/j.diii.2015.11.019] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2015] [Accepted: 11/23/2015] [Indexed: 10/21/2022]
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31
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Gach P, Dabadie A, Sorensen C, Quarello E, Bonello B, Pico H, Hugues N, Petit P, Gorincour G. Multimodality imaging of aortic coarctation: From the fetus to the adolescent. Diagn Interv Imaging 2016; 97:581-90. [PMID: 27132712 DOI: 10.1016/j.diii.2016.03.006] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2015] [Revised: 03/06/2016] [Accepted: 03/10/2016] [Indexed: 10/21/2022]
Abstract
Aortic coarctation is a local narrowing of the aortic lumen, which is located at the level of the isthmus in 95% of patients. Aortic coarctation accounts for 5 to 8% of all congenital heart diseases. It may have an acute presentation in the form of heart failure in the neonate or may be discovered incidentally in adult because of severe treatment-resistant hypertension. Ultrasound may reveal the presence of aortic coarctation during the antenatal period. In this situation, associated abnormalities should be investigated (including karyotype), because they influence prognosis and indicates whether or not the birth should occur in a center with pediatric cardiology expertise. Postnatally, ultrasound and chest radiography are the basic imaging work-up. Computed tomography is often the second line imaging investigation in infants and young children for whom magnetic resonance imaging fails to confirm the diagnosis. Magnetic resonance imaging with cardiac synchronization is the preferred imaging tool in the post-treatment period. Aortic coarctation may be treated surgically or by endovascular techniques. Potential complications should be searched for using ultrasound and magnetic resonance imaging.
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Affiliation(s)
- P Gach
- Service d'imagerie pédiatrique et prénatale, hôpital de la Timone-Enfants, 13005 Marseille, France.
| | - A Dabadie
- Service d'imagerie pédiatrique et prénatale, hôpital de la Timone-Enfants, 13005 Marseille, France
| | - C Sorensen
- Service d'imagerie pédiatrique et prénatale, hôpital de la Timone-Enfants, 13005 Marseille, France
| | - E Quarello
- Institut méditerranéen de la reproduction et fondation, hôpital Saint-Joseph, 13008 Marseille, France
| | - B Bonello
- Département de cardiopédiatrie médicochirurgicale, hôpital de la Timone-Enfants, 13005 Marseille, France
| | - H Pico
- Service d'imagerie pédiatrique et prénatale, hôpital de la Timone-Enfants, 13005 Marseille, France
| | - N Hugues
- Département de cardiopédiatrie médicochirurgicale, hôpital de la Timone-Enfants, 13005 Marseille, France
| | - P Petit
- Service d'imagerie pédiatrique et prénatale, hôpital de la Timone-Enfants, 13005 Marseille, France
| | - G Gorincour
- Service d'imagerie pédiatrique et prénatale, hôpital de la Timone-Enfants, 13005 Marseille, France
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Quarello E. [The focused ultrasound scan, everything but low-cost]. ACTA ACUST UNITED AC 2015; 43:468. [PMID: 25986398 DOI: 10.1016/j.gyobfe.2015.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2015] [Indexed: 11/25/2022]
Affiliation(s)
- E Quarello
- Unité d'échographie de diagnostic prénatal, hôpital Saint-Joseph, 26, boulevard de Louvain, 13285 Marseille cedex 08, France; Institut de médecine de la reproduction, 6, rue Rocca, 13008 Marseille, France.
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Quarello E, Jacquemard F. [E. Quarello et F. Jacquemard in reply to the article by M. Constant: Nuchal translucency: not so simple! Gynecol Obstet Fertil 2014;42:820-21]. Gynecol Obstet Fertil 2015; 43:332-333. [PMID: 25824713 DOI: 10.1016/j.gyobfe.2015.02.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/16/2015] [Indexed: 06/04/2023]
Affiliation(s)
- E Quarello
- Unité d'échographie de diagnostic prénatal, hôpital Saint-Joseph, 26, boulevard de Louvain, 13285 Marseille cedex 08, France; Institut de médecine de la reproduction, 6, rue Rocca, 13008 Marseille, France.
| | - F Jacquemard
- Centre de diagnostic prénatal, hôpital américain de Paris, 63, boulevard Victor-Hugo, 92200 Neuilly-sur-Seine, France
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Lafouge A, Quarello E. Right aortic arch and ductus arteriosus: A case diagnosed during the first trimester of pregnancy. Diagn Interv Imaging 2014; 95:877-9. [DOI: 10.1016/j.diii.2014.03.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Pico H, Dabadie A, Bourliere-Najean B, Philip N, Capelle M, Aschero A, Quarello E, Guys JM, Hery G, Petit P, Gorincour G. Contribution of the foetal uro-MRI in the prenatal diagnosis of uronephropathies. Diagn Interv Imaging 2014; 95:573-8. [DOI: 10.1016/j.diii.2014.02.011] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Quarello E, Bessis R, Devred P, Gorincour G. La fusion d’images, symbole moderne de collaboration entre obstétriciens et radiologues. ACTA ACUST UNITED AC 2014; 42:293-5. [DOI: 10.1016/j.gyobfe.2014.04.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2014] [Indexed: 11/30/2022]
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Vinurel N, Van Nieuwenhuyse A, Cagneaux M, Garel C, Quarello E, Brasseur M, Picone O, Ferry M, Gaucherand P, des Portes V, Guibaud L. Distortion of the anterior part of the interhemispheric fissure: significance and implications for prenatal diagnosis. Ultrasound Obstet Gynecol 2014; 43:346-352. [PMID: 23640781 DOI: 10.1002/uog.12498] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2013] [Revised: 04/07/2013] [Accepted: 04/25/2013] [Indexed: 06/02/2023]
Abstract
In order to illustrate the significance of a new anatomical finding, distortion of the interhemispheric fissure (DIHF) associated with impacted medial borders of the frontal lobes, we report a retrospective observational study of 13 fetuses in which DIHF was identified on prenatal imaging. In 10 cases there were associated anatomical anomalies, including mainly midline anomalies (syntelencephaly (n=2), lobar holoprosencephaly (n=1), Aicardi syndrome (n=2)), but also schizencephaly (n=1), cortical dysplasia (n=1) and more complex cerebral malformations (n=3), including neural tube defect in two cases. Chromosomal anomaly was identified in two cases, including 6p deletion in a case without associated central nervous system anomalies and a complex mosaicism in one of the cases with syntelencephaly. In two cases, the finding was apparently isolated on both pre- and postnatal imaging, and the children were doing well at follow-up, aged 4 and 5 years. The presence of DIHF on prenatal imaging may help in the diagnosis of cerebral anomalies, especially those involving the midline. If DIHF is apparently isolated on prenatal ultrasound, magnetic resonance imaging is recommended for careful analysis of gyration and midline, especially optic and olfactory structures. Karyotyping is also recommended.
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Affiliation(s)
- N Vinurel
- Département d'Imagerie Pédiatrique et Foetale, Hôpital Femme Mère Enfant, Lyon Bron, France
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Quarello E, Molho M, Garel C, Couture A, Legac MP, Moutard ML, Bault JP, Fallet-Bianco C, Guibaud L. Prenatal abnormal features of the fourth ventricle in Joubert syndrome and related disorders. Ultrasound Obstet Gynecol 2014; 43:227-232. [PMID: 23868831 DOI: 10.1002/uog.12567] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/19/2012] [Revised: 06/27/2013] [Accepted: 07/11/2013] [Indexed: 06/02/2023]
Abstract
Joubert syndrome and related disorders (JSRD) are characterized by absence or underdevelopment of the cerebellar vermis and a malformed brainstem. This family of disorders is a member of an emerging class of diseases called ciliopathies. We describe the abnormal features of the brain, particularly the fourth ventricle, in seven fetuses affected by JSRD. In three cases abnormality of the fourth ventricle was isolated and in four cases there were associated malformations. The molar tooth sign (MTS) was always present and visible on two-dimensional ultrasound and, when performed, on three-dimensional ultrasound and magnetic resonance imaging. The fourth ventricle was always abnormal, in both axial and sagittal views, presenting pathognomonic deformities. It is important to identify JSRD, preferably prenatally or at least postnatally, due to its high risk of recurrence of about 25%. A detailed prenatal assessment of the fourth ventricle in several views may help to achieve this goal.
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Affiliation(s)
- E Quarello
- Unité d'Échographies Obstétricales, Service de Gynécologie Obstétrique, Pôle Parents Enfants, Hôpital Saint-Joseph, Marseille, France; Institut de Médecine de la Reproduction, Marseille, France
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Giorgetti C, Vanden Meerschaut F, De Roo C, Saunier O, Quarello E, Hairion D, Penaranda G, Chabert-Orsini V, De Sutter P. Multivariate analysis identifies the estradiol level at ovulation triggering as an independent predictor of the first trimester pregnancy-associated plasma protein-A level in IVF/ICSI pregnancies. Hum Reprod 2013; 28:2636-42. [DOI: 10.1093/humrep/det295] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Lafouge A, Gorincour G, Desbriere R, Quarello E. Prenatal diagnosis of Blake's pouch cyst following first-trimester observation of enlarged intracranial translucency. Ultrasound Obstet Gynecol 2012; 40:479-480. [PMID: 22271517 DOI: 10.1002/uog.11099] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Menager N, Quarello E, Capelle M, Lacroze V, Coze C, De Lagausie P, Gorincour G. Prenatal diagnosis of atypical adrenal neuroblastoma with pulmonary metastases is possible: Impact on the assessment of prenatal prognosis. Diagn Interv Imaging 2012; 93:632-4. [PMID: 22483121 DOI: 10.1016/j.diii.2012.03.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- N Menager
- Department of Gynecology and Obstetrics, hôpital La Conception, 147 boulevard Baille, Marseille cedex 5, France
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Quarello E, Saada J, Desbriere R, Rousseau V, De Lagausie P, Benachi A. Prenatal diagnosis and evaluation of defect length in esophageal atresia using direct and indirect (tracheal print) signs. Ultrasound Obstet Gynecol 2011; 38:225-228. [PMID: 21105018 DOI: 10.1002/uog.8888] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/15/2010] [Indexed: 05/30/2023]
Abstract
The prenatal diagnosis of esophageal atresia is challenging. The length of the defect of the esophageal atretic portion is one of the parameters affecting outcome and prenatal evaluation of this length has not, to our knowledge, been described previously. We report on seven fetuses assessed prospectively which were suspected to have esophageal atresia. Targeted ultrasound examination of both fetal cervical and thoracic structures was performed in each case in order to assess prenatally the atretic portion. The length of the defect was assessed both directly, by visualizing the interruption of the hyperechoic lines representing the walls of the esophagus in a mid-sagittal view (n = 4), and indirectly, by means of the 'tracheal print' (n = 5). Both methods were used in three cases. Prenatal results were compared with postnatal or postmortem findings. The prenatal diagnosis of esophageal atresia was made correctly in six of the seven cases and in all of these there was concordance between prenatal and postnatal estimates of the esophageal defect lengths. Direct or indirect sonographic assessment of the esophagus in cases of suspected prenatal esophageal atresia improves the specificity of its diagnosis and aids prenatal evaluation.
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Affiliation(s)
- E Quarello
- Unité d'Échographies Obstétricales, Pôle Parents Enfants, Hôpital Saint Joseph, Marseille, France.
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Quarello E, Stos B, Fermont L. Diagnostic prénatal des coarctations de l’aorte. ACTA ACUST UNITED AC 2011; 39:442-53. [DOI: 10.1016/j.gyobfe.2011.04.014] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2011] [Accepted: 03/29/2011] [Indexed: 11/17/2022]
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Quarello E, Salomon LJ. Contrôle de qualité des échographies de dépistage de la trisomie 21 au premier trimestre de la grossesse en France : beaucoup de questions et encore peu de réponses. ACTA ACUST UNITED AC 2011; 39:335-8. [DOI: 10.1016/j.gyobfe.2011.04.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Colombani M, Rubesova E, Potier A, Quarello E, Barth R, Devred P, Petit P, Gorincour G. Conduite à tenir devant une déviation médiastinale fœtale : une approche pratique. ACTA ACUST UNITED AC 2011; 92:118-24. [DOI: 10.1016/j.jradio.2010.12.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2010] [Accepted: 12/03/2010] [Indexed: 11/29/2022]
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Abstract
OBJECTIVES To determine the most efficient and tailored screening method for aneuploidies in twins for the French population. MATERIAL AND METHODS Articles were searched using the PubMed and the Cochrane libraries. RESULTS In cases of twin pregnancies, the aneuploidy's risk related to maternal age as well as gestational age must be considered as being the same as in singletons. In bichorionic twins, we have to consider individually the nuchal translucency thickness of each twin. In monochorionic twins, we have to consider a range of risks related to the nuchal translucency measurements of each twins. The additional benefit of maternal serum biochemistry screening in twins is not as established as in singletons. CONCLUSION The most appropriate method of screening for aneuploidies in twin pregnancies is based during the first trimester of pregnancy on the risk related to maternal age combined with those related to the nuchal translucency measurement. In the absence of first-trimester screening, it is possible to offer a screening method based on the second trimester maternal serum biochemistry and/or by a targeted ultrasound.
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Affiliation(s)
- E Quarello
- Hôpital Saint-Joseph, Pôle Parents-Enfants, Unité d'échographie obstétricale, Service de gynécologie-obstétrique, 26, bd de Louvain, 13285 Marseille cedex 8, France.
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Quarello E. [First trimester screening of aneuploidy is coming to France: at last!...]. Gynecol Obstet Fertil 2009; 37:847-849. [PMID: 19828350 DOI: 10.1016/j.gyobfe.2009.09.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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Quarello E, Carvalho JS. Prenatal diagnosis of an aberrant right subclavian artery: four vessels arising from the aortic arch? Ultrasound Obstet Gynecol 2009; 33:492-494. [PMID: 19306475 DOI: 10.1002/uog.6335] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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Bault JP, Quarello E. Retinal coloboma: prenatal diagnosis using a new technique, the 'virtual fetal eyeground'. Ultrasound Obstet Gynecol 2009; 33:495-496. [PMID: 19308931 DOI: 10.1002/uog.6360] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Affiliation(s)
- J-P Bault
- Centre d'Echographie Ambroise Paré, Les Mureaux, France.
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Quarello E, Trabbia A. High-definition flow combined with spatiotemporal image correlation in the diagnosis of fetal coarctation of the aorta. Ultrasound Obstet Gynecol 2009; 33:365-367. [PMID: 19194864 DOI: 10.1002/uog.6270] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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