scholarly journals OC20.05: Quantitative lung index, contralateral lung area or lung-to-head ratio to predict neonatal outcome in isolated congenital diaphragmatic hernia?

2012 ◽  
Vol 40 (S1) ◽  
pp. 41-41
Author(s):  
R. Ruano ◽  
E. Takashi ◽  
M. M. Silva ◽  
S. Haeri ◽  
U. Tannuri ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Neonatal Outcome ◽  
Contralateral Lung ◽  
Lung Area

Quantitative Lung Index, Contralateral Lung Area, or Lung-to-Head Ratio to Predict the Neonatal Outcome in Isolated Congenital Diaphragmatic Hernia?

2013 ◽  
Vol 32 (3) ◽  
pp. 413-417 ◽  
Author(s):  
Rodrigo Ruano ◽  
Eduardo Takashi ◽  
Marcos Marques da Silva ◽  
Sina Haeri ◽  
Uenis Tannuri ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Neonatal Outcome ◽  
Contralateral Lung ◽  
Lung Area

scholarly journals Prenatal prognostic factors for isolated right congenital diaphragmatic hernia: a single center’s experience

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jiyoon Jeong ◽  
Byong Sop Lee ◽  
Teahyen Cha ◽  
Euiseok Jung ◽  
Ellen Ai-Rhan Kim ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Medical Records ◽  
Neonatal Outcome ◽  
Newborn Infants ◽  
Perinatal Outcomes ◽  
Fetal Lung ◽  
Prognostic Indicator ◽  
Lung Area ◽  
Large Cohort Study

Abstract Background Right-sided congenital diaphragmatic hernia (RCDH) is relatively rare compared with left-sided congenital diaphragmatic hernia (LCDH). Clinical data of RCDH, especially with respect to antenatal prediction of neonatal outcome, are lacking. The aim of this study was to report the treatment outcomes of patients with antenatally diagnosed RCDH and to evaluate the predictability of observed-to-expected lung area-to-head circumference ratio (O/E LHR) for perinatal outcomes, focused on mortality or extracorporeal membrane oxygenation (ECMO) requirement. Methods We retrospectively reviewed the medical records of newborn infants with isolated RCDH. We analyzed and compared the clinical and prenatal characteristics including the fetal lung volume, which was measured as the O/E LHR, between the survivors and the non-survivors. Results A total of 26 (66.7%) of 39 patients with isolated RCDH survived to discharge. The O/E LHR was significantly greater in survivors (64.7 ± 21.2) than in non-survivors (40.5 ± 23.4) (P =.027). It was greater in survivors without ECMO requirement (68.3 ± 15.1) than non-survivors or those with ECMO requirement (46.3 ± 19.4; P = .010). The best O/E LHR cut-off value for predicting mortality in isolated RCDH was 50. Conclusions The findings in this study suggest that O/E LHR, a well-characterized prognostic indicator in LCDH, could be applied to a fetus with antenatally diagnosed RCDH. A large cohort study is required to verify the association between O/E LHR values and the graded severity of RCDH.

scholarly journals Computed tomography based measurements to evaluate lung density and lung growth after congenital diaphragmatic hernia

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Timm Stoll-Dannenhauer ◽  
Gregor Schwab ◽  
Katrin Zahn ◽  
Thomas Schaible ◽  
Lucas Wessel ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Contralateral Side ◽  
Chest Ct ◽  
Control Group ◽  
P Value ◽  
Lung Density ◽  
Ipsilateral Lung ◽  
Contralateral Lung ◽  
Pediatric Chest

AbstractEmphysema-like-change of lung is one aspect of lung morbidity in children after congenital diaphragmatic hernia (CDH). This study aims to evaluate if the extent of reduced lung density can be quantified through pediatric chest CT examinations, if side differences are present and if emphysema-like tissue is more prominent after CDH than in controls. Thirty-seven chest CT scans of CDH patients (mean age 4.5 ± 4.0 years) were analyzed semi-automatically and compared to an age-matched control group. Emphysema-like-change was defined as areas of lung density lower than − 950 HU in percentage (low attenuating volume, LAV). A p-value lower than 0.05 was regarded as statistically significant. Hypoattenuating lung tissue was more frequently present in the ipsilateral lung than the contralateral side (LAV 12.6% vs. 5.7%; p < 0.0001). While neither ipsilateral nor contralateral lung volume differed between CDH and control (p > 0.05), LAV in ipsilateral (p = 0.0002), but not in contralateral lung (p = 0.54), was higher in CDH than control. It is feasible to quantify emphysema-like-change in pediatric patients after CDH. In the ipsilateral lung, low-density areas are much more frequently present both in comparison to contralateral and to controls. Especially the ratio of LAV ipsilateral/contralateral seems promising as a quantitative parameter in the follow-up after CDH.

OC01.01: Maternal hyperoxygenation test in fetuses with congenital diaphragmatic hernia as a predictor of neonatal outcome

2009 ◽  
Vol 34 (S1) ◽  
pp. 1-1
Author(s):  
E. Done ◽  
L. Gucciardo ◽  
T. Van Mieghem ◽  
A. Debeer ◽  
A. Sgro ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Neonatal Outcome

Three-dimensional sonographic measurement of contralateral lung volume in fetuses with isolated congenital diaphragmatic hernia

2008 ◽  
Vol 36 (5) ◽  
pp. 273-278 ◽  
Author(s):  
Rodrigo Ruano ◽  
Marie-Cécile Aubry ◽  
Bruno Barthe ◽  
Yves Dumez ◽  
Marcelo Zugaib ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Lung Volume ◽  
Three Dimensional ◽  
Contralateral Lung

Fetal preload index of the inferior vena cava and neonatal outcome of congenital diaphragmatic hernia

2009 ◽  
Vol 36 (2) ◽  
pp. 77-81
Author(s):  
Hiroshi Miura ◽  
Masaki Ogawa ◽  
Akira Sato ◽  
Jun Fukuda ◽  
Toshinobu Tanaka
Keyword(s):  
Inferior Vena Cava ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Inferior Vena ◽  
Neonatal Outcome ◽  
Vena Cava
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