Subscribe to RSS
DOI: 10.1055/s-0041-1740296
Imaging Assessment of Prognostic Parameters in Cases of Isolated Congenital Diaphragmatic Hernia: Integrative Review
Avaliação de fatores prognósticos por métodos de imagem em casos de hérnia diafragmática congênita isolada: Revisão integrativa
Abstract
Objective Antenatal recognition of severe cases of congenital diaphragmatic hernia (CDH) by ultrasound (US) and magnetic resonance imaging (MRI) may aid decisions regarding the indication of fetal endoscopic tracheal occlusion.
Methods An integrative review was performed. Searches in MEDLINE and EMBASE used terms related to CDH, diagnosis, MRI, and US. The inclusion criteria were reviews and guidelines approaching US and MRI markers of severity of CDH published in English in the past 10 years.
Results The search retrieved 712 studies, out of which 17 publications were included. The US parameters were stomach and liver positions, lung-to-head ratio (LHR), observed/expected LHR (o/e LHR), and quantitative lung index. The MRI parameters were total fetal lung volume (TFLV), observed/expected TFLV, relative fetal or percent predicted lung volumes, liver intrathoracic ratio, and modified McGoon index. None of the parameters was reported to be superior to the others.
Conclusion The most mentioned parameters were o/e LHR, LHR, liver position, o/e TFLV, and TFLV.
Resumo
Objetivo A identificação pré-natal de casos graves de hérnia diafragmática congênita (HDC) por ultrassonografia (US) e ressonância magnética (RM) pode ajudar a decidir sobre a indicação de oclusão traqueal endoscópica fetal.
Métodos Uma revisão integrativa foi realizada pesquisando nas bases MEDLINE e EMBASE com termos relativos a HDC, diagnóstico, RM, e US. Os critérios de inclusão foram revisões e diretrizes abordando marcadores ultrassonográficos e de ressonância para a gravidade de HDC publicados em inglês nos últimos 10 anos.
Resultados Foram obtidos 712 estudos, dos quais 17 foram incluídos. Os parâmetros de US foram posições do estômago e do fígado, relação pulmão-cabeça (LHR, na sigla em inglês), LHR observada/esperada (o/e LHR), e índice pulmonar quantitativo (QLI, na sigla em inglês). Os parâmetros de RM foram volume pulmonar fetal total (TFLV, na sigla em inglês), o/e TFLV, volume pulmonar fetal relativo e porcentagem predita, razão do fígado intratorácico (LiTR, na sigla em inglês) e índice de McGoon modificado. Nenhum dos parâmetros foi mencionado como superior aos demais.
Conclusão Os parâmetros mais citados foram o/e LHR, LHR, posição do fígado, o/e TFLV, e TFLV.
Keywords
hernias diaphragmatic congenital - ultrasonography prenatal - magnetic resonance imaging - patient selection - reference standardsPalavras-chave
hérnias diafragmáticas congênitas - ultrassonografia pré-natal - imagem por ressonância magnética - seleção de pacientes - padrões de referênciaPublication History
Received: 07 April 2021
Accepted: 20 September 2021
Article published online:
27 May 2022
© 2022. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
References
- 1 Russo FM, Cordier AG, De Catte L, Saada J, Benachi A, Deprest J. Workstream Prenatal Management, ERNICA European reference network. Proposal for standardized prenatal ultrasound assessment of the fetus with congenital diaphragmatic hernia by the European reference network on rare inherited and congenital anomalies (ERNICA). Prenat Diagn 2018; 38 (09) 629-637 DOI: 10.1002/pd.5297.
- 2 Deprest J, De Coppi P. Antenatal management of isolated congenital diaphragmatic hernia today and tomorrow: ongoing collaborative research and development. Journal of Pediatric Surgery Lecture. J Pediatr Surg 2012; 47 (02) 282-290 DOI: 10.1016/j.jpedsurg.2011.11.020.
- 3 Kosiński P, Wielgoś M. Congenital diaphragmatic hernia: pathogenesis, prenatal diagnosis and management – literature review. Ginekol Pol 2017; 88 (01) 24-30 DOI: 10.5603/GP.a2017.0005.
- 4 Badillo A, Gingalewski C. Congenital diaphragmatic hernia: treatment and outcomes. Semin Perinatol 2014; 38 (02) 92-96 DOI: 10.1053/j.semperi.2013.11.005.
- 5 Oluyomi-Obi T, Van Mieghem T, Ryan G. Fetal imaging and therapy for CDH-Current status. Semin Pediatr Surg 2017; 26 (03) 140-146 DOI: 10.1053/j.sempedsurg.2017.04.002.
- 6 Canadian Congenital Diaphragmatic Hernia Collaborative, Puligandla PS, Skarsgard ED, Offringa M, Adatia I, Baird R. et al; Canadian Congenital Diaphragmatic Hernia Collaborative. Diagnosis and management of congenital diaphragmatic hernia: a clinical practice guideline. CMAJ 2018; 190 (04) E103-E112 DOI: 10.1503/cmaj.170206.
- 7 Jancelewicz T, Brindle ME. Prediction tools in congenital diaphragmatic hernia. Semin Perinatol 2020; 44 (01) 151165 DOI: 10.1053/j.semperi.2019.07.004.
- 8 Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs 2005; 52 (05) 546-553 DOI: 10.1111/j.1365-2648.2005.03621.x.
- 9 Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev 2016; 5 (01) 210 DOI: 10.1186/s13643-016-0384-4.
- 10 Kline-Fath BM. Current advances in prenatal imaging of congenital diaphragmatic [corrected] hernia. Pediatr Radiol 2012; 42 (Suppl. 01) S74-S90 DOI: 10.1007/s00247-011-2183-3.
- 11 Shue EH, Miniati D, Lee H. Advances in prenatal diagnosis and treatment of congenital diaphragmatic hernia. Clin Perinatol 2012; 39 (02) 289-300 DOI: 10.1016/j.clp.2012.04.005.
- 12 Victoria T, Danzer E, Adzick NS. Use of ultrasound and MRI for evaluation of lung volumes in fetuses with isolated left congenital diaphragmatic hernia. Semin Pediatr Surg 2013; 22 (01) 30-36 DOI: 10.1053/j.sempedsurg.2012.10.006.
- 13 Deprest J, Brady P, Nicolaides K, Benachi A, Berg C, Vermeesch J. et al. Prenatal management of the fetus with isolated congenital diaphragmatic hernia in the era of the TOTAL trial. Semin Fetal Neonatal Med 2014; 19 (06) 338-348 DOI: 10.1016/j.siny.2014.09.006.
- 14 McHoney M. Congenital diaphragmatic hernia. Early Hum Dev 2014; 90 (12) 941-946 DOI: 10.1016/j.earlhumdev.2014.09.013.
- 15 Kovler ML, Jelin EB. Fetal intervention for congenital diaphragmatic hernia. Semin Pediatr Surg 2019; 28 (04) 150818 DOI: 10.1053/j.sempedsurg.2019.07.001.
- 16 Cordier AG, Russo FM, Deprest J, Benachi A. Prenatal diagnosis, imaging, and prognosis in Congenital Diaphragmatic Hernia. Semin Perinatol 2020; 44 (01) 51163 DOI: 10.1053/j.semperi.2019.07.002.
- 17 Tsao K, Johnson A. Fetal tracheal occlusion for congenital diaphragmatic hernia. Semin Perinatol 2020; 44 (01) 151164 DOI: 10.1053/j.semperi.2019.07.003.
- 18 Oluyomi-Obi T, Kuret V, Puligandla P, Lodha A, Lee-Robertson H, Lee K. et al. Antenatal predictors of outcome in prenatally diagnosed congenital diaphragmatic hernia (CDH). J Pediatr Surg 2017; 52 (05) 881-888 DOI: 10.1016/j.jpedsurg.2016.12.008.
- 19 Mayer S, Klaritsch P, Petersen S, Done E, Sandaite I, Till H. et al. The correlation between lung volume and liver herniation measurements by fetal MRI in isolated congenital diaphragmatic hernia: a systematic review and meta-analysis of observational studies. Prenat Diagn 2011; 31 (11) 1086-1096 DOI: 10.1002/pd.2839.
- 20 Deshmukh S, Rubesova E, Barth R. MR assessment of normal fetal lung volumes: a literature review. AJR Am J Roentgenol 2010; 194 (02) W212-7 DOI: 10.2214/AJR.09.2469.