Re: US for OB/Gyn

From: bouthina ibrahim (bouthina_ibrahim@yahoo.com)
Thu Jun 15 09:18:40 2006


thank you muchabout screening for NFnd MRscreeningin first trimeser for detectionT18 AND21 James Smeltzer <James.Smeltzer@wellstar.org> wrote: Hi! Check out the latest issue of US in OB/Gyn:

http://www.ingentaconnect.com/content/jws/uog/2006/00000027/00000006

The thing I find most intriguing is the terrific tying together of the heart and nuchal lucency observations in Down Syndrome:

Devore has seen a large right atrium in about 85 percent of Down Syndrome babies (pers comm).

Now Falcon & al from nicolaides group finds TR in half the 10 to 13 week fetuses with Down Syndrome and correlates this finding with nuchal lucency in normal fetuses. The last finding diluted the power of the early fetal echo to independently detect Down syndrome, but it goes a long way to putting things together in the findings with this entity.

Jim

James S. Smeltzer, MD, FACOG, SMFM Consultant, Maternal Fetal Medicine Wellstar Physicians' Group Northwest Women's Care 787 Campbell Hill St Marietta GA 30060 James.Smeltzer@wellstar.org VM 678-290-3035 Off 770-528-0260 Page 404-318-3451

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