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Clinical and Experimental Obstetrics & Gynecology  2021, Vol. 48 Issue (1): 66-72    DOI: 10.31083/j.ceog.2021.01.2228
Original Research Previous articles | Next articles
Difference between near-field and far-field of middle cerebral artery doppler pulsatility index and peak systolic velocity: a prospective study
Duygu Adıyaman1, *(), Bahar Konuralp Atakul1, Melda Kuyucu1, Hakan Gölbasi1, Atalay Ekin1
1Tepecik Training and Research Hospital, Department of Obstetrics and Gynecology, Division of Perinatology, 35170 Izmir, Turkey
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Abstract  
Objective: We purposed to investigate the difference between near-field and far-field of PI (pulsatility index) and peak systolic velocity (PSV) of the middle cerebral artery (MCA) that are important in the management of fetal growth restriction and fetal anemia. Methods: This prospective study was conducted with 130 single uncomplicated pregnancies. Doppler was applied to near-and far-field of proximal MCA while PSV and PI were recorded and compared between two sides as well as according to body mass index (BMI) and gestational weeks of participants. Results: There was no statistically significant difference between near and far-fields of MCA PI (P = 0.75). However, a statistically significant difference in PSV was observed (P = 0.03), and this was especially noticeable in women with normal BMI (P = 0.009). On the other hand, there was no difference between MCA PI or PSV in women with a BMI higher than 25. Also, no significant difference was observed between groups, which were subcategorized according to gestational weeks. Conclusions: Our data suggest that the far-field PSV values may be higher higher than near-field MCA PSV values; sonographers should bear in mind that while far and near-field PSV can differ, MCA PI can safely be assessed from both the near and far-fields of MCA in case of technical difficulty.
Key words:  Doppler ultrasound      Middle cerebral artery      Peak systolic velocity      Pulsatility index     
Submitted:  17 July 2020      Revised:  19 October 2020      Accepted:  21 October 2020      Published:  15 February 2021     
*Corresponding Author(s):  Duygu Adıyaman     E-mail:  duyguagca@gmail.com

Cite this article: 

Duygu Adıyaman, Bahar Konuralp Atakul, Melda Kuyucu, Hakan Gölbasi, Atalay Ekin. Difference between near-field and far-field of middle cerebral artery doppler pulsatility index and peak systolic velocity: a prospective study. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(1): 66-72.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2021.01.2228     OR     https://ceog.imrpress.com/EN/Y2021/V48/I1/66

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[6] P. Marcos-Figueiredo, D. Ferreira, C. Ferreira, E. Pereira, M. Branco. Fetal anaemia: two clinical cases with fetal blood transfusion[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(1): 164-167.
[7] D.H. Im, J.M. Byun, H.S. Jung, D.H. Jeong, B.J. Min, Y.N. Kim, E.J. Jung, K.B. Lee, M.S. Sung, K.T. Kim. The utility of Doppler ultrasonography in diagnosis of delayed postpartum hemorrhage: a case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(6): 946-948.
[8] A. Binet, S. Serriere, B. Morel, C. Blechet, F. Tranquart, F. Perrotin. Intrauterine growth restriction model by hyperthermia: quantitative analysis using Doppler and contrast-enhanced ultrasound imaging[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 586-590.
[9] R.N. Ergin, M. Yayla. Comparison of second trimester uterine artery pulsatility index between IVF and spontaneous twin pregnancies[J]. Clinical and Experimental Obstetrics & Gynecology, 2015, 42(5): 614-616.
[10] R.N. Ergin, M. Yayla. Uterine artery pulsatility index and diastolic notch laterality according to the placental location[J]. Clinical and Experimental Obstetrics & Gynecology, 2015, 42(5): 640-643.
[11] S.J. Wang, S.J. Zhao, Y.S. Wang, T. Yu, M. Luo. Effects of estrogen intervention on the biomechanical characteristics of serum SOD, MDA, and middle cerebral artery in aged female rats[J]. Clinical and Experimental Obstetrics & Gynecology, 2015, 42(3): 295-299.
[12] N. Vrachnis, S. Sifakis, E. Samoli, D. Kappou, K. Pavlakis, Z. Iliodromiti, D. Botsis. Three-dimensional ultrasound and three-dimensional power Doppler improve the preoperative evaluation of complex benign ovarian lesions[J]. Clinical and Experimental Obstetrics & Gynecology, 2012, 39(4): 474-478.
[13] A. Baloglu, D. Uysal, L. Karci, C. M. Guven, E. Yavuz. Effects of laparoscopic tubal ligation on ovarian blood flow and steroidogenesis[J]. Clinical and Experimental Obstetrics & Gynecology, 2005, 32(4): 230-232.
[14] Y. Jacquemyn, P. Verdonk. Doppler ultrasound of the fetomaternal circulation: a preliminary study on differences between ethnic groups[J]. Clinical and Experimental Obstetrics & Gynecology, 2001, 28(4): 277-279.
[15] R. Meyberg, I. Tossounidis, A. K. Ertan, M. Friedrich, W. Schmidt. The clinical significance of antenatal pathological Doppler findings in the fetal middle cerebral artery in cases with peripheral reduced diastolic Doppler flow but no absence of end-diastolic flow in the umbilical artery or fetal aorta[J]. Clinical and Experimental Obstetrics & Gynecology, 2001, 28(1): 17-19.
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