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Erschienen in:

2018 | OriginalPaper | Buchkapitel

4. Ersttrimesterultraschall

verfasst von : Prof. Dr. med. M. Hoopmann, Prof. Dr. med. MHBA K.-O. Kagan

Erschienen in: Ultraschalldiagnostik in Geburtshilfe und Gynäkologie

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Die Beurteilung des Feten im ersten Trimenon fokussierte lange Zeit auf die Detektion von Trisomien. Durch die wachsende Erfahrung in der anatomischen Untersuchung im Zeitfenster 11+0 bis 13+6 SSW und die zunehmend bessere Auflösung der Ultraschallgeräte verschiebt sich der Schwerpunkt der Ersttrimesteruntersuchung zu einer ganzheitlichen Beurteilung der fetalen Anatomie. Insbesondere im Zeitalter der diagnostischen Möglichkeiten der zellfreien plazentaren DNA aus maternalem Blut ist eine Weiterentwicklung des Ersttrimesterultraschalls von einer Nackentransparenzmessung zu einer weitreichenden strukturellen Gesamtbeurteilung zu erwarten.

Vorheriges Kapitel Embryologie und Frühschwangerschaft

Nächstes Kapitel Ersttrimesterscreening

Abele H, Wagner N, Hoopmann M, et al (2010) Effect of deviation from the mid-sagittal plane on the measurement of fetal nuchal translucency. Ultrasound Obstet Gynecol 35: 525–529

Axt-Fliedner R, Chiriac A, Gembruch U (2009) First and early second trimester fetal heart scanning. Ultraschall Med 30: 364–375

Axt-Fliedner R, Gembruch U (2010) Nuchal translucency and fetal cardiac malformations. Ultraschall Med 31: 144–150

Becker R, Wegner RD (2006) Detailed screening for fetal anomalies and cardiac defects at the 11–13-week scan. Ultrasound Obstet Gynecol 27: 613–618

Bilardo CM, Muller MA, Pajkrt E, et al (2007) Increased nuchal translucency thickness and normal karyotype: time for parental reassurance. Ultrasound Obstet Gynecol 30: 11–18

Bromley B, Shipp T, Lyons J, et al (2014) Detection of Fetal Structural Anomalies in a Basic First-Trimester Screening Program for Aneuploidy. J Ultrasound Med 33: 1737–1745

Bronshtein M, Amit A, Achiron R, et al (1994) The early prenatal sonographic diagnosis of renal agenesis: techniques and possible pitfalls. Prenat Diagn 14: 291–297

Carvalho MH, Brizot ML, Lopes LM, et al (2002) Detection of fetal structural abnormalities at the 11–14 week ultrasound scan. Prenat Diagn 22: 1–4

Cedergren M, Selbing A (2006) Detection of fetal structural abnormalities by an 11–14-week ultrasound dating scan in an unselected Swedish population. Acta Obstet Gynecol Scand 85: 912–915

Chaoui R, Benoit B, Mitkowska-Wozniak H, et al (2009) Assessment of intracranial translucency (IT) in the detection of spina bifida at the 11–13-week scan. Ultrasound Obstet Gynecol 34: 249–252

Chaoui R, Orosz G, Heling K, et al (2015) Maxillary gap at 11–13 weeks’ gestation: marker of cleft lip and palate. Ultrasound Obstet Gynecol (epub ahead of print)

Chen FCK, Gerhardt J, Entezami M, et al (2015) Detection of spina bifida by first trimester screening. Results of the Prospective Multicenter Berlin IT-Study. Ultraschall in Med (epub ahead of print)

Chen M, Lee CP, Lam YH, et al (2008) Comparison of nuchal and detailed morphology ultrasound examinations in early pregnancy for fetal structural abnormality screening: a randomized controlled trial. Ultrasound Obstet Gynecol 31: 136–146 (discussion 146)

Dane B, Dane C, Sivri D, et al (2007) Ultrasound screening for fetal major abnormalities at 11–14 weeks. Acta Obstet Gynecol Scand 86: 666–670

Daskalakis G, Sebire NJ, Jurkovic D, et al (1997) Body stalk anomaly at 10–14 weeks of gestation. Ultrasound Obstet Gynecol 10: 416–418

Dolk H, Loane M, Garne E (2010) The prevalence of congenital anomalies in Europe. Adv Exp Med Biol 686: 349–364

D’Ottavio G, Mandruzzato G, Meir YJ, et al (1998) Comparisons of first and second trimester screening for fetal anomalies. Ann N Y Acad Sci 847: 200–209

Drysdale K, Ridley D, Walker K, et al (2002) First-trimester pregnancy scanning as a screening tool for high-risk and abnormal pregnancies in a district general hospital setting. J Obstet Gynaecol 22: 159–165

Ebrashy A, El Kateb A, Momtaz M, et al (2010) 13–14-week fetal anatomy scan: a 5-year prospective study. Ultrasound Obstet Gynecol 35: 292–296

Economides DL, Braithwaite JM (1998) First trimester ultrasonographic diagnosis of fetal structural abnormalities in a low risk population. Br J Obstet Gynaecol 105: 53–57

Economides DL, Whitlow BJ, Braithwaite JM (1999) Ultrasonography in the detection of fetal anomalies in early pregnancy. Br J Obstet Gynaecol 106: 516–523

Economides DL, Whitlow BJ, Kadir R, et al (1998) First trimester sonographic detection of chromosomal abnormalities in an unselected population. Br J Obstet Gynaecol 105: 58–62

Fong KW, Toi A, Salem S, et al (2004) Detection of fetal structural abnormalities with US during early pregnancy. Radiographics 24: 157–174

Gembruch U, Knopfle G, Bald R, et al (1993) Early diagnosis of fetal congenital heart disease by transvaginal echocardiography. Ultrasound Obstet Gynecol 3: 310–317

Grande M, Arigita M, Borobio V, et al (2012) First-trimester detection of structural abnormalities and the role of aneuploidy markers. Ultrasound Obstet Gynecol 39: 157–163

Hafner E, Schuchter K, Liebhart E, et al (1998) Results of routine fetal nuchal translucency measurement at weeks 10–13 in 4233 unselected pregnant women. Prenat Diagn 18: 29–34

Hernadi L, Torocsik M (1997) Screening for fetal anomalies in the 12th week of pregnancy by transvaginal sonography in an unselected population. Prenat Diagn 17: 753–759

Hoopmann M, Sonek J, Esser T, et al (2015) The frontal space measurement in facial clefts and retrognathia at 11-13 weeks’ gestation. Ultrasound Obstet Gynecol (epub ahead of print)

Johnson SP, Sebire NJ, Snijders RJ, et al (1997) Ultrasound screening for anencephaly at 10–14 weeks of gestation. Ultrasound Obstet Gynecol 9: 14–16

Jouannic JM, Hyett JA, Pandya PP, et al (2003) Perinatal outcome in fetuses with megacystis in the first half of pregnancy. Prenat Diagn 23: 340–344

Kagan KO, Staboulidou I, Syngelaki A, et al (2010) The 11–13-week scan: diagnosis and outcome of holoprosencephaly, exomphalos and megacystis. Ultrasound Obstet Gynecol 36: 10–14

Lachmann R, Chaoui R, Moratalla J, et al (2011) Posterior brain in fetuses with open spina bifida at 11 to 13 weeks. Prenat Diagn 31: 103–106

Mangione R, Dhombres F, Lelong N, et al (2013) Screening for fetal spina bifida at the 11–13 week scan using three hallmarks of the posterior brain anatomy. Ultrasound Obstet Gynecol; 42: 416–420

McFadyen A, Gledhill J, Whitlow B, et al (1998) First trimester ultrasound screening, Carries ethical and psychological implications. BMJ 317: 694–695

Ngo C, Viot G, Aubry MC, et al (2007) First-trimester ultrasound diagnosis of skeletal dysplasia associated with increased nuchal translucency thickness. Ultrasound Obstet Gynecol 30: 221–226

Odeh M, Granin V, Kais M, et al (2009) Sonographic fetal sex determination. Obstet Gynecol Surv 64: 50–57

Oztekin O, Oztekin D, Tinar S, et al (2009) Ultrasonographic diagnosis of fetal structural abnormalities in prenatal screening at 11–14 weeks. Diagn Interv Radiol 15: 221–225

Pilu G, Visentin A, Valeri B (2000) The Dandy-Walker complex and fetal sonography. Ultrasound Obstet Gynecol 16: 115–117

Rosati P, Guariglia L, Bertuzzi A (2000) Transvaginal assessment of fetal anatomy at 11 to 16 weeks of gestation in relation to fetal position. Fetal Diagn Ther 15: 63–70

Saltvedt S, Almstrom H, Kublickas M, et al (2006) Detection of malformations in chromosomally normal fetuses by routine ultrasound at 12 or 18 weeks of gestation – a randomised controlled trial in 39,572 pregnancies. BJOG 113: 664–674

Schramm T, Gloning KP, Minderer S, et al (2009) Prenatal sonographic diagnosis of skeletal dysplasias. Ultrasound Obstet Gynecol 34: 160–170

Sebire NJ, Snijders RJ, Davenport M, et al (1997) Fetal nuchal translucency thickness at 10–14 weeks’ gestation and congenital diaphragmatic hernia. Obstet Gynecol 90: 943–946

Sebire NJ, Von Kaisenberg C, Rubio C, et al (1996) Fetal megacystis at 10–14 weeks of gestation. Ultrasound Obstet Gynecol 8: 387–390

Sepulveda W, Sebire NJ, Souka A, et al (1997) Diagnosis of the Meckel-Gruber syndrome at eleven to fourteen weeks’ gestation. Am J Obstet Gynecol 176: 316–319

Sepulveda W, Wong AE, Martinez-Ten P, et al (2010) Retronasal triangle: a sonographic landmark for the screening of cleft palate in the first trimester. Ultrasound Obstet Gynecol 35: 7–13

Souka AP, Von Kaisenberg CS, Hyett JA, et al (2005) Increased nuchal translucency with normal karyotype. Am J Obstet Gynecol 192: 1005–1021

Syngelaki A, Chelemen T, Dagklis T, et al (2011) Challenges in the diagnosis of fetal non-chromosomal abnormalities at 11–13 weeks. Prenat Diagn 31: 90–102

Taipale P, Ammala M, Salonen R, et al (2004) Two-stage ultrasonography in screening for fetal anomalies at 13–14 and 18–22 weeks of gestation. Acta Obstet Gynecol Scand 83: 1141–1146

Volpe P, Contro E, Fanelli T, et al (2015) Appearance of the fetal posterior fossa at 11-14 weeks in foetuses with Dandy-Walker complex or chromosomal anomalies. Ultrasound Obstet Gynecol (epub ehaed of print)

Weiner Z, Goldstein I, Bombard A, et al (2007) Screening for structural fetal anomalies during the nuchal translucency ultrasound examination. Am J Obstet Gynecol 197 (181): e181–e185

Whitlow BJ, Economides DL (1998) The optimal gestational age to examine fetal anatomy and measure nuchal translucency in the first trimester. Ultrasound Obstet Gynecol 11: 258–261

Whitlow BJ, Chatzipapas IK, Lazanakis ML, et al (1999) The value of sonography in early pregnancy for the detection of fetal abnormalities in an unselected population. Br J Obstet Gynaecol 106: 929–936

Yagel S, Cohen SM, Messing B (2007) First and early second trimester fetal heart screening. Curr Opin Obstet Gynecol 19: 183–190

Titel: Ersttrimesterultraschall
verfasst von: Prof. Dr. med. M. Hoopmann
Prof. Dr. med. MHBA K.-O. Kagan
Verlag: Springer Berlin Heidelberg
Buch: Ultraschalldiagnostik in Geburtshilfe und Gynäkologie
Print ISBN: 978-3-662-53661-2

Electronic ISBN: 978-3-662-53662-9

Copyright-Jahr: 2018
DOI: https://doi.org/10.1007/978-3-662-53662-9_4

Springerpflege

Zusammenfassung

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