Publications by authors named "Ana Elizabeth Gomes de Melo Tavares Ferreira"

Introduction: Genome-wide non-invasive prenatal testing (gwNIPT) has screening limitations for detectable genetic conditions and cannot detect microdeletions/microduplications (MD) or triploidy. Nuchal translucency (NT) increases with gestation and with genetic or structural abnormalities. This study aims to determine the utility of NT measurement in detecting genetic abnormalities not identified by gwNIPT and the optimal NT threshold value.

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Article Synopsis
  • The study aimed to determine how many pulsed-wave Doppler (PWD) waveforms need to be averaged to minimize variability in Doppler indices during uncomplicated singleton pregnancies.
  • A total of 189 pregnancies were analyzed, focusing on the umbilical artery, middle cerebral artery, and uterine arteries, with findings showing that the pulsatility index (PI) was more variable than the resistance index (RI).
  • To achieve a 5% variability in PI, at least 14 waveforms needed to be averaged for both UA and MCA, while the RI required only 2 for UA, 1 for MCA, and 8 for UtAs, suggesting that RI may be a more stable indicator for maternal-fetal Doppler assessments
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Introduction: Maternal hyperoxygenation effects on fetal cerebral hemodynamics are largely unknown. This study aimed to determine efficacy and reliability of a validated power Doppler ultrasound (US) index, fractional moving blood volume (FMBV), at measuring fetal cerebral vasculature changes during maternal hyperoxia.

Methods: The fetal cerebral effects of 10 min of hyperoxygenation at 2 flow rates (52%/60% FiO2) were evaluated in women in their third trimester of pregnancy.

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Background: Placental perfusion can be evaluated by 3D power Doppler ultrasound (3D PD-US), particularly using the validated tool 3D Fractional Moving Blood Volume (3D-FMBV); however regional variability and size limitations beyond the first trimester mean that multiple 3D PD-US volumes are required to evaluate the whole organ.

Purpose: We assessed the feasibility of manual offline stitching of second trimester 3D PD-US volumes of the placenta to assess whole organ perfusion using 3D-FMBV.

Materials And Methods: This was a single-centre, prospective, observational cohort study of 36 normal second trimester singleton pregnancies with anterior placentas.

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The authors review the main concepts regarding the importance of cleaning/disinfection of ultrasonography probes, aiming a better comprehension by practitioners and thus enabling strategies to establish a safe practice without compromising the quality of the examination and the operator productivity. In the context of biosafety, it is imperative to assume that contact with blood or body fluids represents a potential source of infection. Thus, in order to implement cleaning/disinfection practice, it is necessary to understand the principles of infection control, to consider the cost/benefit ratio of the measures to be implemented, and most importantly, to comprehend that such measures will not only benefit the health professional and the patient, but the society as a whole.

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