Ultrasonographic evaluation of fetal nasal bone in a low-risk population at 11-13 + 6 gestational weeks.

Abstract:

OBJECTIVE:To evaluate the utility of determining the presence/absence of nasal bone in a low-risk fetal population. METHODS:Prospective study of the presence/absence of nasal bone among 1800 consecutive unselected fetuses, with complete follow-up of results. RESULTS:An adequate sonographic evaluation of nasal bone was obtained in 1682 (93.44%) of the fetuses. Nasal bone was considered absent in 19 (1.06%) of 1790 fetuses with a normal karyotype and in 2 (28.57%) of the seven recorded cases of Down syndrome (DS). The overall first-trimester sensitivity for DS to the absence of nasal bone was two of the six cases (33.3%) and the false-positive rate was 1.13%. The positive predictive value for DS of the absence of nasal bone was 2/21 (9.52%). CONCLUSIONS:In a low-risk population, the evaluation of the presence/absence of nasal bone in DS screening during the first trimester has a low sensitivity. First-trimester assessment of the nasal bone in population screening may play a lesser role than in the re-evaluation of high-risk pregnancies.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Ramos-Corpas D,Santiago JC,Montoya F

doi

10.1002/pd.1345

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

112-7

issue

2

eissn

0197-3851

issn

1097-0223

journal_volume

26

pub_type

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