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- W2005118878 abstract "This study was undertaken to assess the variability in readings in prenatal ultrasound and MR in patients referred for fetuses with ventriculomegaly (VM). Some 200 patients with VM were recruited. Diagnoses on ultrasound (three readers) and MR (four readers) were compared. Etiology of disagreements was coded. Cases with ‘diagnosis disagreement’ were those coded as having new minor or major findings, or those with overcalls of minor or major findings. The table lists the diagnoses by ultrasound, MR and final diagnosis. There were 118/198 (60%) and 104/198 (53%) cases with consensus by the ultrasound readers and MR readers, respectively. Consensus was significantly more likely when VM was isolated than when other anomalies were present (P < 0.0001). There were 80 cases (153 disagreements) and 94 cases (223 disagreements) without consensus on the ultrasound and MR readings, respectively. There were 30 and 29 disagreements on ultrasound and MR regarding major findings either being present or absent. There was no effect on agreement when comparing cases with consensus/decision to call VM, or no clinical difference due to disagreements vs. all other disagreements with respect to BPD, HC, GA by ultrasound or GA by dates. There was a significant difference in these groups when comparing ventricular size; fetuses with larger ventricles were more likely to have clinically important disagreements. Comparing the prospective seven readings, there were 83/196 (42%) cases with complete agreement. Comparing the consensus ultrasound opinion to the consensus MR opinion there were 135/196 (69%) cases with complete agreement. There were 32/196 (16%) cases of diagnosis disagreement. Disagreements regarding major findings on prenatal ultrasound and MR are common in fetuses with VM. Individual training may contribute to these disagreements. This variability should be taken into account when counseling patients with fetuses with VM." @default.
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- W2005118878 date "2007-09-21" @default.
- W2005118878 modified "2023-10-14" @default.
- W2005118878 title "OC15: Concordance of prenatal ultrasound and MR diagnoses in fetuses referred for ventriculomegaly" @default.
- W2005118878 doi "https://doi.org/10.1002/uog.4121" @default.
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