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Just Accepted by The Journal of Maternal-Fetal & Neonatal Medicine
Ultrasound Evaluation Of Cortical Brain Development In Fetuses With
Intrauterine Growth Restriction
Businelli C, De Wit C, Visser GHA, Pistorius LR
doi: 10.3109/14767058.2014.953474
Abstract
Objective. We evaluated the ultrasound appearance of brain volume and
cortical development in fetuses with early growth restriction and placental
insufficiency.
Methods. We examined a cohort of 20 fetuses with severe IntraUterine
Growth Restriction (IUGR) and evidence of placental insufficiency by three
dimensional (3D) ultrasound between 24 and 34 weeks. We graded
cortical development and measured the supratentorial intracranial volume.
The cortical grading and volume were compared to data obtained from a
reference population of 28 Adequate for Gestational Age (AGA) fetuses.
Results. Ultrasound examinations were performed in 20 fetuses with IUGR.
The biometry and brain volume were significantly reduced in IUGR fetuses.
There was evidence of accelerated cortical development in IUGR fetuses.
Conclusion. This study confirms that the smaller brain volume in IUGR fetuses, with normal or accelerated
cortical maturation as previously depicted with postnatal MRI examination, can be demonstrated by prenatal
3D ultrasound.
J Matern Fetal Neonatal Med Downloaded from informahealthcare.com by University Library Utrecht on 09/04/14
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