Re: PI umbilical cord doppler

From: Daniel Margulies (danymarg@movi.com.ar)
Fri Mar 23 04:21:08 2001


I am using Doppler in OB since 1989 Don't feel that any index is better than other. The patency and sufficiency of the placenta ( that is what you interrogate when doing umbilical doppler) is not change by little difference in a number. When You see pathology on the placenta the diastolic flow is low, there is an increase in the pulsatilitiy there is a change in the waveform with a thinner and sharper form over the peak sistole. There is no difference between IR 0.87 and 0.81. Remember the physiologic changes on the fetus. Breathing, etc.. There is a more bigger diference between healthy and sick placentas. Don´t forget the simple AB ratio which is simpler and absolutely the some as de RI . Remember You are using the same number in the formula......

-----Mensaje original----- De: DuboseTerryJ@uams.edu <DuboseTerryJ@uams.edu> Para: Multiple recipients of list ULTRASOUND <ultrasound@mail.medispecialty.com> Fecha: Jueves, 22 de Marzo de 2001 11:46 a.m. Asunto: RE: PI umbilical cord doppler

>Do you believe that the PI is better than the RI for evaluating fetal
>well-being? I realize that theoretically the PI may be more sensitive to
>changes in systolic vs diastolic flow, but it is much more difficult to
>calculate unless you have very new equipment that automatically traces out
>the wave form. On older machines it seems that the calculation of the PI
is >much more error prone and time consuming.
>
>As for the question "What is the accepted variance in PI for cord doppler?"
>Because it changes (negative correlation with age) as gestation progresses,
>wouldn't one need to refer to a chart or graph for the best evaluation of
>variance, depending upon the gestation age rather than using a single,
>arbitrary number?
>
>Any opinions?
>
>Terry J. DuBose, M.S., RDMS, Assistant Professor
>Director, Diagnostic Medical Sonography Program
>CHRP, University of Arkansas for Medical Sciences
>Little Rock, Arkansas, USA
>501-686-6510
>http://www.io.com/~dubose/
>http://www.uams.edu/CHRP/dmshome.htm
>http://www.obgyn.net/us/panel/panel.htm
>
>-----Original Message-----
>From: Kilavuz@aol.com [mailto:Kilavuz@aol.com]
>Sent: Wednesday, March 21, 2001 6:12 PM
>To: Multiple recipients of list ULTRASOUND
>Subject: Re: PI umbilical cord doppler
>
>Dear Debbie,
>I am senior register in a hospital in Berlin - Germany. In Germany the
>doctors are doing Ultrasound- Doppler examminations.
>We have here a lot experience about prenatal Doppler.
>Your question is one of the most important thing in our duty. So I think
you >should accept the best value of PI or S/D ratio in cases between 24-32 GWs.
>For the prevent very preterm deliveries. In cases with pathological
Doppler >above 32 GWs we should not to wait so long time.We should deliver them , so
>I think we should accept the highest values.
>
>Best regards,
>Ömer Kilavuz
>




recommended search...
Google
OBGYN.net forums endometriosis zone Web

use when must restrict search to only the ultrasound forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  Ultrasound Forum Mail a New Message to the Forum: ultrasound@obgyn.net
Forum Administrator: terry.dubose@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Tue Dec 2 05:15:36 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.