Startseite Medizin Three dimensional power Doppler of the placenta and its clinical applications
Artikel
Lizenziert
Nicht lizenziert Erfordert eine Authentifizierung

Three dimensional power Doppler of the placenta and its clinical applications

  • Kelly Yamasato EMAIL logo und Ivica Zalud
Veröffentlicht/Copyright: 17. März 2017

Abstract:

The aim of this review is to discuss three dimensional (3D) power Doppler of the placenta and its clinical applications. There is a strong clinical need to develop noninvasive, simple and widely available methods of evaluating in vivo placental function to assess fetal wellbeing. While conventional ultrasound is a proven tool in the evaluation of fetal structural anomalies and health, its ability to assess placental function, especially prior to the onset of fetal compromise, is the subject of ongoing investigation. Three dimensional power Doppler has the ability to detect vascularity and blood flow with greater detail than conventional ultrasound, which has led to its investigation in preeclampsia, fetal growth restriction, and other placental vascular abnormalities. While more data are needed on the optimal imaging protocol and its predictive ability for clinical outcomes, 3D power Doppler is emerging as a promising new technology that will improve the evaluation of placental function.


Corresponding author: Kelly Yamasato, MFM Fellow and Clinical Instructor, Department of Obstetrics/Gynecology and Women’s Health, John A Burns School of Medicine, University of Hawaii, 1319 Punahou Street, Suite 824, Honolulu, HI 96826, USA, Tel.: (808) 203-6500, Fax: (808) 955-2174

  1. Author’s statement

  2. Conflict of interest: Authors state no conflict of interest.

  3. Material and methods: Informed consent: Informed consent has been obtained from all individuals included in this study.

  4. Ethical approval: The research related to human subject use has complied with all the relevant national regulations, and institutional policies, and is in accordance with the tenets of the Helsinki Declaration, and has been approved by the authors’ institutional review board or equivalent committee.

References

[1] Guttmacher AE, Spong CY. The human placenta project: it's time for real time. Am J Obstet Gynecol. 2015;213:S3–5.10.1016/j.ajog.2015.08.037Suche in Google Scholar

[2] McDicken WN, Hoskins PR. Chapter 1: Physics. In: Allan PLP, editor. Clinical Doppler ultrasound. 3rd ed. Oxford: Churchill Livingstone/Elsevier; 2014. p. 1–25.Suche in Google Scholar

[3] Martinoli C, Pretolesi F, Crespi G, Bianchi S, Gandolfo N, Valle M, et al. Power Doppler sonography: clinical applications. Eur J Radiol. 1998;27(Suppl 2):S133–40.10.1016/S0720-048X(98)00054-0Suche in Google Scholar

[4] Hudson-Dixon CM, Long BW, Cox LA. Power Doppler imaging: principles and applications. Radiol Technol. 1999;70:235–43.Suche in Google Scholar

[5] American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 101: Ultrasonography in pregnancy. Obstet Gynecol. 2009;113:451–61.10.1097/00006250-200902000-00033Suche in Google Scholar

[6] American Institute of Ultrasound in Medicine. Statement on the safe use of Doppler ultrasound during 11–14 week scans (or earlier in pregnancy) 2016 [August 30, 2016]. Available from: http://www.aium.org/officialStatements/42.Suche in Google Scholar

[7] Guimaraes Filho HA, da Costa LL, Araujo Junior E, Nardozza LM, Nowak PM, Moron AF, et al. Placenta: angiogenesis and vascular assessment through three-dimensional power Doppler ultrasonography. Arch Gynecol Obstet. 2008;277:195–200.10.1007/s00404-007-0453-ySuche in Google Scholar PubMed

[8] Wang Y, Zhao S. Vascular Biology of the Placenta. San Rafael: Morgan & Claypool Life Sciences; 2010.10.4199/C00016ED1V01Y201008ISP009Suche in Google Scholar

[9] Zalud I, Shaha S. Evaluation of the utero-placental circulation by three-dimensional Doppler ultrasound in the second trimester of normal pregnancy. J Matern Fetal Neonatal Med. 2007;20:299–305.10.1080/14767050601158206Suche in Google Scholar PubMed

[10] Matijevic R, Kurjak A. The assessment of placental blood vessels by three-dimensional power Doppler ultrasound. J Perinat Med. 2002;30:26–32.10.1515/JPM.2002.004Suche in Google Scholar PubMed

[11] Hata T, Tanaka H, Noguchi J, Hata K. Three-dimensional ultrasound evaluation of the placenta. Placenta. 2011;32:105–15.10.1016/j.placenta.2010.11.001Suche in Google Scholar PubMed

[12] Noguchi J, Hata K, Tanaka H, Hata T. Placental vascular sonobiopsy using three-dimensional power Doppler ultrasound in normal and growth restricted fetuses. Placenta. 2009;30:391–7.10.1016/j.placenta.2009.02.010Suche in Google Scholar PubMed

[13] Tuuli MG, Houser M, Odibo L, Huster K, Macones GA, Odibo AO. Validation of placental vascular sonobiopsy for obtaining representative placental vascular indices by three-dimensional power Doppler ultrasonography. Placenta. 2010;31:192–6.10.1016/j.placenta.2009.12.018Suche in Google Scholar PubMed

[14] Pomorski M, Zimmer M, Fuchs T, Florjanski J, Pomorska M, Tomialowicz M, et al. Quantitative assessment of placental vasculature and placental volume in normal pregnancies with the use of 3D Power Doppler. Adv Med Sci. 2014;59:23–7.10.1016/j.advms.2013.06.002Suche in Google Scholar PubMed

[15] Pairleitner H, Steiner H, Hasenoehrl G, Staudach A. Three-dimensional power Doppler sonography: imaging and quantifying blood flow and vascularization. Ultrasound Obstet Gynecol. 1999;14:139–43.10.1046/j.1469-0705.1999.14020139.xSuche in Google Scholar PubMed

[16] Morel O, Pachy F, Chavatte-Palmer P, Bonneau M, Gayat E, Laigre P, et al. Correlation between uteroplacental three-dimensional power Doppler indices and true uterine blood flow: evaluation in a pregnant sheep model. Ultrasound Obstet Gynecol. 2010;36:635–40.10.1002/uog.7741Suche in Google Scholar PubMed

[17] Zalud I, Shaha S. Three-dimensional sonography of the placental and uterine spiral vasculature: influence of maternal age and parity. J Clin Ultrasound. 2008;36:391–6.10.1002/jcu.20485Suche in Google Scholar PubMed

[18] de Paula CF, Ruano R, Campos JA, Zugaib M. Quantitative analysis of placental vasculature by three-dimensional power Doppler ultrasonography in normal pregnancies from 12 to 40 weeks of gestation. Placenta. 2009;30:142–8.10.1016/j.placenta.2008.11.010Suche in Google Scholar PubMed

[19] Rizzo G, Capponi A, Pietrolucci ME, Arduini D. Effects of maternal cigarette smoking on placental volume and vascularization measured by 3-dimensional power Doppler ultrasonography at 11+0 to 13+6 weeks of gestation. Am J Obstet Gynecol. 2009;200:415 e1–5.10.1016/j.ajog.2008.10.041Suche in Google Scholar PubMed

[20] Odibo AO, Goetzinger KR, Huster KM, Christiansen JK, Odibo L, Tuuli MG. Placental volume and vascular flow assessed by 3D power Doppler and adverse pregnancy outcomes. Placenta. 2011;32:230–4.10.1016/j.placenta.2011.01.010Suche in Google Scholar PubMed PubMed Central

[21] Raine-Fenning NJ, Nordin NM, Ramnarine KV, Campbell BK, Clewes JS, Perkins A, et al. Evaluation of the effect of machine settings on quantitative three-dimensional power Doppler angiography: an in-vitro flow phantom experiment. Ultrasound Obstet Gynecol. 2008;32:551–9.10.1002/uog.6138Suche in Google Scholar PubMed

[22] Jones NW, Raine-Fenning N, Mousa H, Bradley E, Bugg G. Evaluation of the intraobserver and interobserver reliability of data acquisition for three-dimensional power Doppler angiography of the whole placenta at 12 weeks gestation. Ultrasound Med Biol. 2010;36:1405–11.10.1016/j.ultrasmedbio.2010.05.023Suche in Google Scholar PubMed

[23] Huster KM, Haas K, Schoenborn J, McVean D, Odibo AO. Reproducibility of placental volume and vasculature indices obtained by 3-dimensional power Doppler sonography. J Ultrasound Med. 2010;29:911–6.10.7863/jum.2010.29.6.911Suche in Google Scholar PubMed

[24] Merce LT, Barco MJ, Bau S. Reproducibility of the study of placental vascularization by three-dimensional power Doppler. J Perinat Med. 2004;32:228–33.10.1515/JPM.2004.043Suche in Google Scholar PubMed

[25] Lai PK, Wang YA, Welsh AW. Reproducibility of regional placental vascularity/perfusion measurement using 3D power Doppler. Ultrasound Obstet Gynecol. 2010;36:202–9.10.1002/uog.7608Suche in Google Scholar PubMed

[26] Martins WP, Lima JC, Welsh AW, Araujo Junior E, Miyague AH, Filho FM, et al. Three-dimensional Doppler evaluation of single spherical samples from the placenta: intra- and interobserver reliability. Ultrasound Obstet Gynecol. 2012;40:200–6.10.1002/uog.11076Suche in Google Scholar PubMed

[27] Zalud I. Placenta blood flow by three-dimensional Doppler ultrasound. Donald School J Ultrasound Obstet Gynecol. 2016;10:55–62.10.5005/jp-journals-10009-1443Suche in Google Scholar

[28] Neto RM, Ramos JG. 3D power Doppler ultrasound in early diagnosis of preeclampsia. Pregnancy Hypertens. 2016;6:10–6.10.1016/j.preghy.2015.11.003Suche in Google Scholar PubMed

[29] de Almeida Pimenta EJ, Silva de Paula CF, Duarte Bonini Campos JA, Fox KA, Francisco R, Ruano R, et al. Three-dimensional sonographic assessment of placental volume and vascularization in pregnancies complicated by hypertensive disorders. J Ultrasound Med. 2014;33:483–91.10.7863/ultra.33.3.483Suche in Google Scholar PubMed

[30] Yuan T, Zhang T, Han Z. Placental vascularization alterations in hypertensive disorders complicating pregnancy (HDCP) and small for gestational age with HDCP using three-dimensional power doppler in a prospective case control study. BMC Pregnancy Childbirth. 2015;15:240.10.1186/s12884-015-0666-1Suche in Google Scholar PubMed PubMed Central

[31] Guiot C, Gaglioti P, Oberto M, Piccoli E, Rosato R, Todros T. Is three-dimensional power Doppler ultrasound useful in the assessment of placental perfusion in normal and growth-restricted pregnancies? Ultrasound Obstet Gynecol. 2008;31:171–6.10.1002/uog.5212Suche in Google Scholar PubMed

[32] Pomorski M, Zimmer M, Florjanski J, Michniewicz J, Wiatrowski A, Fuchs T, et al. Comparative analysis of placental vasculature and placental volume in normal and IUGR pregnancies with the use of three-dimensional Power Doppler. Arch Gynecol Obstet. 2012;285:331–7.10.1007/s00404-011-1968-9Suche in Google Scholar PubMed PubMed Central

[33] Luria O, Barnea O, Shalev J, Barkat J, Kovo M, Golan A, et al. Two-dimensional and three-dimensional Doppler assessment of fetal growth restriction with different severity and onset. Prenat Diagn. 2012;32:1174–80.10.1002/pd.3980Suche in Google Scholar PubMed

[34] Molnar A, Suranyi A, Nyari T, Nemeth G, Pal A. Examination of placental three-dimensional power Doppler indices and perinatal outcome in pregnancies complicated by intrauterine growth restriction. Int J Gynaecol Obstet. 2015;129:5–8.10.1016/j.ijgo.2014.10.035Suche in Google Scholar

[35] Harmon AC, Cornelius DC, Amaral LM, Faulkner JL, Cunningham MW Jr, Wallace K, et al. The role of inflammation in the pathology of preeclampsia. Clin Sci (Lond). 2016;130:409–19.10.1042/CS20150702Suche in Google Scholar

[36] Chen CY, Wang KG, Chen CP. Alteration of vascularization in preeclamptic placentas measured by three-dimensional power Doppler ultrasound. J Matern Fetal Neonatal Med. 2013;26:1616–22.10.3109/14767058.2013.793661Suche in Google Scholar

[37] Andonotopo W, Kristanto H, Dewantiningrum J, Pramono BA. Difference between vascularization indexes of the placenta in severe pre-eclampsia and normal pregnancy by three-dimensional power Doppler ultrasound. Donald School J Ultrasound Obstet Gynecol. 2014;8:329–35.10.5005/jp-journals-10009-1372Suche in Google Scholar

[38] Society for Maternal-Fetal Medicine Publications Committee, Berkley E, Chauhan SP, Abuhamad A. Doppler assessment of the fetus with intrauterine growth restriction. Am J Obstet Gynecol. 2012;206:300–8.10.1016/j.ajog.2012.01.022Suche in Google Scholar

[39] Alfirevic Z, Neilson JP. Doppler ultrasonography in high-risk pregnancies: systematic review with meta-analysis. Am J Obstet Gynecol. 1995;172:1379–87.10.1016/0002-9378(95)90466-2Suche in Google Scholar

[40] Mansour GM, El-Mekkawi SF, Akl SA, Abd El Khalek SY. Three-dimensional power Doppler indices of preeclamptic placentas correlated to umbilical artery Doppler and albuminuria. J Matern Fetal Neonatal Med. 2015;28:149–52.10.3109/14767058.2014.905911Suche in Google Scholar PubMed

[41] Farina A. Placental vascular indices (VI, FI and VFI) in intrauterine growth retardation (IUGR). A pooled analysis of the literature. Prenat Diagn. 2015;35:1065–72.Suche in Google Scholar

[42] Wu S, Kocherginsky M, Hibbard JU. Abnormal placentation: twenty-year analysis. Am J Obstet Gynecol. 2005;192:1458–61.10.1016/j.ajog.2004.12.074Suche in Google Scholar PubMed

[43] Shih JC, Palacios Jaraquemada JM, Su YN, Shyu MK, Lin CH, Lin SY, et al. Role of three-dimensional power Doppler in the antenatal diagnosis of placenta accreta: comparison with gray-scale and color Doppler techniques. Ultrasound Obstet Gynecol. 2009;33:193–203.10.1002/uog.6284Suche in Google Scholar PubMed

[44] Cali G, Giambanco L, Puccio G, Forlani F. Morbidly adherent placenta: evaluation of ultrasound diagnostic criteria and differentiation of placenta accreta from percreta. Ultrasound Obstet Gynecol. 2013;41:406–12.10.1002/uog.12385Suche in Google Scholar PubMed

[45] Oyelese Y, Chavez MR, Yeo L, Giannina G, Kontopoulos EV, Smulian JC, et al. Three-dimensional sonographic diagnosis of vasa previa. Ultrasound Obstet Gynecol. 2004;24:211–5.10.1002/uog.1097Suche in Google Scholar PubMed

[46] Canterino JC, Mondestin-Sorrentino M, Muench MV, Feld S, Baum JD, Fernandez CO. Vasa previa: prenatal diagnosis and evaluation with 3-dimensional sonography and power angiography. J Ultrasound Med. 2005;24:721–4; quiz 5.10.7863/jum.2005.24.5.721Suche in Google Scholar PubMed

[47] Lee W, Kirk JS, Comstock CH, Romero R. Vasa previa: prenatal detection by three-dimensional ultrasonography. Ultrasound Obstet Gynecol. 2000;16:384–7.10.1046/j.1469-0705.2000.00188.xSuche in Google Scholar PubMed

[48] Wehrens XH, Offermans JP, Snijders M, Peeters LL. Fetal cardiovascular response to large placental chorioangiomas. J Perinat Med. 2004;32:107–12.10.1515/JPM.2004.020Suche in Google Scholar PubMed

[49] Taori K, Patil P, Attarde V, Singh A, Rangankar V. Chorioangioma of placenta: sonographic features. J Clin Ultrasound. 2008;36:113–5.10.1002/jcu.20366Suche in Google Scholar PubMed

[50] Shih JC, Ko TL, Lin MC, Shyu MK, Lee CN, Hsieh FJ. Quantitative three-dimensional power Doppler ultrasound predicts the outcome of placental chorioangioma. Ultrasound Obstet Gynecol. 2004;24:202–6.10.1002/uog.1081Suche in Google Scholar PubMed

[51] Hata T, Inubashiri E, Kanenishi K, Akiyama M, Tanaka H, Yanagihara T. Three-dimensional power Doppler angiographic features of placental chorioangioma. J Ultrasound Med. 2004;23:1517–20.10.7863/jum.2004.23.11.1517Suche in Google Scholar PubMed

Received: 2016-11-17
Accepted: 2017-2-9
Published Online: 2017-3-17
Published in Print: 2017-8-28

©2017 Walter de Gruyter GmbH, Berlin/Boston

Heruntergeladen am 1.1.2026 von https://www.degruyterbrill.com/document/doi/10.1515/jpm-2016-0366/html?lang=de
Button zum nach oben scrollen