Current methods for visual diagnosis in congenital diaphragmatic hernia


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

To carry out a systems analysis of the data available in the current literature on methods for visual diagnosis and prediction of outcomes in congenital diaphragmatic hernia. The review includes the articles by foreign and Russian authors, which have been published in the journals cited in PubMed on this topic in the past 15 years. There are currently at least 15 outcome-predicting procedures, most of which are based on direct or indirect lung volume calculations using echography and magnetic resonance imaging. Others include the evaluation of displacement of the abdominal organs into the chest, among which the assessment of the position of the liver is most commonly done. Correct estimation of the degree of lung tissue maturity is one of the key points in predicting the outcomes of the disease. There is a need for further studies of congenital diaphragmatic hernia and for visual diagnostic methods to be developed for its comprehensive assessment in order to determine the most informative criteria for predicting outcomes and management tactics in pregnant women.

Full Text

Restricted Access

About the authors

Egor M. Syrkashev

National; National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: e_syrkashev@oparina4.ru
MD, researcher of the Radiology Department

Artem A. Burov

National; National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: a_burov@oparina4.ru
MD, anesthesiologist, neonatal specialist of Pediatric Surgery Department

Alina E. Solopova

National; National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: a_solopova@oparina4.ru
PhD, leading researcher, Department of Radiology

Vladimir G. Bychenko

National; National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: v_bychenko@oparina4.ru
M.D., Ph.D., head of the Radiology Department

Alexander I. Gus

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: a_gus@oparina4.ru
MD, professor, head of the Department of Ultrasonic and Functional Diagnostics, Imaging Department

Dmitriy N. Degtyarev

I.M. Sechenov First Moscow State Medical University; Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: glav_neolog@yahoo.com,d_degtiarev@oparina4.ru
MD, professor, head of the Department of Neonatology; Deputy Director

References

  1. Hattori T., Hayakawa M., Ito MSato Y., Tamakoshi K., Kanamori Y. et al. The relationship between three signs of fetal magnetic resonance imaging and severity of congenital diaphragmatic hernia. J. Perinatol. 2017; 37(3): 265-9. doi: 10.1038/ jp.2016.208
  2. Morgan T.A., Shum D.J., Basta A.M., Filly R.A. Prognosis in congenital diaphragmatic hernia diagnosed during fetal life. J. Fetal Med. 2017; 4(2): 57-63. doi: 10.1007/s40556-017-0124-4
  3. Basurto D., Russo F.M., Van der Veeken L., Van der Merwe J., Hooper S., Benachi A. et al. Prenatal diagnosis and management of congenital diaphragmatic hernia. Best Pract. Res. Clin. Obstet. Gynaecol. 2019; Jan 5. doi: 10.1016/j.bpob-gyn.2018.12.010
  4. Колесников Э.М., Свирский А.А. Диагностика и лечение диафрагмальных грыж у детей. Минск: БГМУ; 2014.
  5. Bouchghoul H., Senat M.V., Storme L., de Lagausie P., Begue L., Khen-Dunlop N. et al. Congenital diaphragmatic hernia: does gestational age at diagnosis matter when evaluating morbidity and mortality? Am. J. Obstet. Gynecol. 2015; 213(4): 535. e1-7. doi: 10.1016/j.ajog.2015.06.012
  6. Mayer S., Klaritsch P., Petersen S., Done E., Sandaite I., Till H. et al. The correlation between lung volume and liver herniation measurements by fetal MRI in isolated congenital diaphragmatic hernia: a systematic review and meta-analysis of observational studies. Prenat. Diagn. 2011; 31(11): 1086-96. doi: 10.1002/pd.2839
  7. Ruano R., Takashi E., da Silva M.M., Haeri S., Tannuri U., Zugaib M. Quantitative lung index, contralateral lung area, or lung-to-head ratio to predict the neonatal outcome in isolated congenital diaphragmatic hernia? J. Ultrasound Med. 2013; 32(3): 413-7.
  8. Ruano R., Takashi E., da Silva M.M., Campos J.A.D.B., Tannuri U., Zugaib M. Prediction and probability of neonatal outcome in isolated congenital diaphragmatic hernia using multiple ultrasound parameters. Ultrasound Obstet. Gynecol. 2012; 39(1): 42-9. doi: 10.1002/uog.10095
  9. Cruz-Martinez R., Castanon M., Moreno-Alvarez O., Acosta-Rojas R., Martinez J.M., Gratacos E. Usefulness of lung-to-head ratio and intrapulmonary arterial Doppler in predicting neonatal morbidity in fetuses with congenital diaphragmatic hernia treated with fetoscopic tracheal occlusion. Ultrasound Obstet. Gynecol. 2013; 41(1): 59-65. doi: 10.1002/uog.11212
  10. Spaggiari E., Stirnemann J.J., Sonigo P., Khen-Dunlop N., De Saint Blanquat L., Ville Y. Prenatal prediction of pulmonary arterial hypertension in congenital diaphragmatic hernia. Ultrasound Obstet. Gynecol. 2015; 45(5): 572-7. doi: 10.1002/uog.13450
  11. Hagelstein C., Weidner M., Kilian A.K., Debus A., Walleyo A., Schoenberg S.O. et al. Repetitive MR measurements of lung volume in fetuses with congenital diaphragmatic hernia: individual development of pulmonary hypoplasia during pregnancy and calculation of weekly lung growth rates. Eur. Radiol. 2014; 24(2): 312-9. doi: 10.1007/s00330-013-3011-y
  12. Weidner M., Hagelstein C., Debus A., Walleyo A., Weiss C., Schoenberg S.O. et al. MRI-based ratio of fetal lung volume to fetal body volume as a new prognostic marker in congenital diaphragmatic hernia. AJR Am. J. Roentgenol. 2014; 202(6): 1330-6. doi: 10.2214/AJR.13.11023
  13. Lee T.C., Lim F.Y., Keswani S.G., Frischer J.S., Haberman B., Kingma P.S. et al. Late gestation fetal magnetic resonance imaging-derived total lung volume predicts postnatal survival and need for extracorporeal membrane oxygenation support in isolated congenital diaphragmatic hernia. J. Pediatr. Surg. 2011; 46(6): 1165-71. doi: 10.1016/j.jpedsurg.2011.03.046
  14. Madenci A.L., Sjogren A.R., Treadwell M.C., Ladino-Torres M.F., Drongowski R.A., Kreutzman J. et al. Another dimension to survival: predicting outcomes with fetal MRI versus prenatal ultrasound in patients with congenital diaphragmatic hernia. J. Pediatr. Surg. 2013; 48(6): 1190-7. doi: 10.1016/j.jpedsurg.2013.03.033
  15. Odibo A.O., Najaf T., Vachharajani A., Warner B., Mathur A., Warner B.W. Predictors of the need for extracorporeal membrane oxygenation and survival in congenital diaphragmatic hernia: a center’s 10-year experience. Prenat. Diagn. 2010; 30(6): 518-21. doi: 10.1002/pd.2508
  16. Walleyo A., Debus A., Kehl S., Weiss C., Schönberg S.O., Schaible T. et al. Periodic MRI lung volume assessment in fetuses with congenital diaphragmatic hernia: prediction of survival, need for ECMO, and development of chronic lung disease. AJR Am. J. Roentgenol. 2013; 201(2): 419-26. doi: 10.2214/AJR.12.8655
  17. Tsukimori K., Masumoto K., Morokuma S., Yoshimura T., Taguchi T., Hara T. et al. The lung-to-thorax transverse area ratio at term and near term correlates with survival in isolated congenital diaphragmatic hernia. J. Ultrasound Med. 2008; 27(5): 707-13.
  18. Lusk L.A., Wai K.C., Moon-Grady A.J., Basta A.M., Filly R., Keller R.L. Fetal ultrasound markers of severity predict resolution of pulmonary hypertension in congenital diaphragmatic hernia. Am. J. Obstet. Gynecol. 2015; 213(2): 216. e1-8. doi: 10.1016/j.ajog.2015.03.036
  19. Garcia A.V., Fingeret A.L., Thirumoorthi A.S., Hahn E., Leskowitz M.J., Aspelund G. et al. Lung to head ratio in infants with congenital diaphragmatic hernia does not predict long term pulmonary hypertension. J. Pediatr. Surg. 2013; 48(1): 154-7. doi: 10.1016/j.jpedsurg.2012.10.031
  20. Usui N., Kitano Y., Okuyama H., Saito M., Masumoto K., Morikawa N. et al. Prenatal risk stratification for isolated congenital diaphragmatic hernia: results of a Japanese multicenter study. J. Pediatr. Surg. 2011; 46(10): 1873-80. doi: 10.1016/j.jpedsurg.2011.06.007
  21. Akinkuotu A.C., Cruz S.M., Abbas P.I., Lee T.C., Welty S.E., Olutoye O.O. et al. Risk-stratification of severity for infants with CDH: Prenatal versus postnatal predictors of outcome. J. Pediatr. Surg. 2016; 51(1): 44-8. doi: https://doi. org/10.1016/j.jpedsurg.2015.10.009
  22. Winkler M.M., Weis M., Henzler C., Weiß C., Kehl S., Schoenberg S.O. et al. MRI-based ratio of fetal lung to body volume as new prognostic marker for chronic lung disease in patients with congenital diaphragmatic hernia. Klin. Padiatr. 2017; 229(2): 67-75. doi: 10.1055/s-0043-100599
  23. Kitano Y., Okuyama H., Saito M., Usui N., Morikawa N., Masumoto K. et al. Re-evaluation of stomach position as a simple prognostic factor in fetal left congenital diaphragmatic hernia: a multicenter survey in Japan. Ultrasound Obstet. Gynecol. 2011; 37(3): 277-82. doi: 10.1002/uog.8892
  24. Werneck Britto I.S., Olutoye O.O., Cass D.L., Zamora I.J., Lee T.C., Cassady C. et al. Quantification of liver herniation in fetuses with isolated congenital diaphragmatic hernia using two-dimensional ultrasonography. Ultrasound Obstet. Gynecol. 2015; 46(2): 150-4. doi: 10.1002/uog.14718
  25. Spaggiari E., Stirnemann J.J., Sonigo P., Khen-Dunlop N., De Saint Blanquat L., Ville Y. Prenatal prediction of pulmonary arterial hypertension in congenital diaphragmatic hernia. Ultrasound Obstet. Gynecol. 2015; 45(5): 572-7. doi: 10.1002/uog.13450
  26. Kehl S., Siemer J., Brunnemer S., Weiss C., Eckert S., Schaible T., Sütterlin M. Prediction of postnatal outcomes in fetuses with isolated congenital diaphragmatic hernias using different lung-to-head ratio measurements. J. Ultrasound Med. 2014; 33(5): 759-67. doi: 10.7863/ultra.33.5.759
  27. Cannie M., Jani J., Chaffiotte C., Vaast P., Deruelle P., Houfflin-Debarge V. et al. Quantification of intrathoracic liver herniation by magnetic resonance imaging and prediction of postnatal survival in fetuses with congenital diaphragmatic hernia. Ultrasound Obstet. Gynecol. 2008; 32(5): 627-32. doi: 10.1002/ uog.6146
  28. Cannie M.M., Cordier A.G., De Laveaucoupet J., Franchi-Abella S., Cagneaux M., Prodhomme O. et al. Liver-to-thoracic volume ratio: Use at MR imaging to predict postnatal survival in fetuses with isolated congenital diaphragmatic hernia with or without prenatal tracheal occlusion. Eur. Radiol. 2013; 23(5): 1299-305. doi: 10.1007/s00330-012-2709-6
  29. Oliver E.R., DeBari S.E., Adams S.E., Didier R.A., Horii S.C., Victoria T. et al. Congenital diaphragmatic hernia sacs : prenatal imaging and associated postnatal outcomes. Pediatr. Radiol. 2019; Jan 11. doi: 10.1007/ s00247-018-04334-9.
  30. Spaggiari E., Stirnemann J., Bernard J.P., De Saint Blanquat L., Beaudoin S., Ville Y. Prognostic value of a hernia sac in congenital diaphragmatic hernia. Ultrasound Obstet. Gynecol. 2013; 41(3): 286-90. doi: 10.1002/ uog.11189.
  31. Barnewolt C.E., Kunisaki S.M., Fauza D.O., Nemes L.P., Estroff J.A., Jennings R. W. Percent predicted lung volumes as measured on fetal magnetic resonance imaging: a useful biometric parameter for risk stratification in congenital diaphragmatic hernia. J. Pediatr. Surg. 2007; 42(1): 193-7. doi: 10.1016/j. jpedsurg.2006.09.018
  32. Metkus A.P., Filly R.A., Stringer M.D., Harrison M.R., Adzick N.S. Sonographic predictors of survival in fetal diaphragmatic hernia. J. Pediatr. Surg. 1996; 31(1): 142-8.
  33. Benachi A., Cordier A.G., Cannie M., Jani J. Advances in prenatal diagnosis of congenital diaphragmatic hernia. Semin. Fetal Neonatal Med. 2014; 19(6): 331 7. doi: 10.1016/j.siny.2014.09.005
  34. Демидов В.Н., Машинец Н.В., Подуровская Ю.Л., Буров А.А. Врожденная диафрагмальная грыжа плода - возможности ультразвуковой диагностики и прогнозирование постнатального исхода. Акушерство и гинекология. 2014; 4: 38-45.
  35. Heling K.S., Wauer R.R., Hammer H., Bollmann R., Chaoui R. Reliability of the lung-to-head ratio in predicting outcome and neonatal ventilation parameters in fetuses with congenital diaphragmatic hernia. Ultrasound Obstet. Gynecol. 2005; 25(2): 112-8. doi: 10.1002/uog.1837
  36. Basta A.M., Lusk L.A., Keller R.L., Filly R.A. Spleen behind the heart complicateslLung-to-head ratio measurement in left-sided congenital diaphragmatic hernia. J. Ultrasound Med. 2016; 35(12): 2717-21. doi: 10.7863/ultra.15.11063
  37. Туманова У.Н., Ляпин В.М., Буров А.А., Щеголев А.И., Дегтярев Д.Н. Посмертная характеристика гипоплазии легких при диафрагмальной грыже: МРТ - патоморфологические сопоставления. Медицинская визуализация. 2017; 3: 132-42. doi: 10.24835/1607-0763-2017-4-132-142.
  38. Рудакова Э.А., Опенышева А.В., Сандаков Я.П. Оптимизация диагностики и хирургической тактики при врожденных диафрагмальных грыжах у новорожденных. В. кн.: Новые технологии в детской хирургии. Сборник научных трудов, посвященный 100-летию медицинского образования в Пермском крае, 95-летию со дня рождения профессора А.А. Лишке. Пермь, 13-14 ноября 2014 г. Пермь: Книжный формат; 2014: 206-12.
  39. Moore R.J., Strachan B., Tyler D.J., Baker P.N., Gowland P.A. In vivo diffusion measurements as an indication of fetal lung maturation using echo planar imaging at 0.5T. Magn. Reson. Med. 2001; 45(2): 247-53.
  40. Balassy C., Kasprian G., Brugger P.C., Csapo B., Weber M., Hörmann M. et al. Diffusion-weighted MR imaging of the normal fetal lung. Eur. Radiol. 2008; 18(4): 700-6. doi: 10.1007/s00330-007-0784-x
  41. Cannie M., Jani J., De Keyzer F., Roebben I., Dymarkowski S., Deprest J. Diffusion-weighted MRI in lungs of normal fetuses and those with congenital diaphragmatic hernia. Ultrasound Obstet. Gynecol. 2009; 34(6): 678-86. doi: 10.1002/uog.7326
  42. Manganaro L., Perrone A., Sassi S., Fierro F., Savelli S., Di Maurizio M. et al. Diffusion-weighted MR imaging and apparent diffusion coefficient of the normal fetal lung: preliminary experience. Prenat. Diagn. 2008; 28(8): 745-8. doi: 10.1002/pd.2041
  43. Afacan O., Gholipour A., Mulkern R.V., Barnewolt C.E., Estroff J.A., Connolly S.A. et al. Fetal lung apparent diffusion coefficient measurement using diffusion-weighted MRI at 3 Tesla: Correlation with gestational age. J. Magn. Reson. Imaging. 2016; 44(6): 1650-5. doi: 10.1002/jmri.25294
  44. Kuwashima S., Nishimura G., Iimura F., Kohno T., Watanabe H., Kohno A., Fujioka M. Low-intensity fetal lungs on MRI may suggest the diagnosis of pulmonary hypoplasia. Pediatr. Radiol. 2001; 31(9): 669-72. doi: 10.1007/ s002470100512
  45. Yamoto M., Iwazaki T., Takeuchi K., Sano K., Fukumoto K., Takahashi T. et al. The fetal lung-to-liver signal intensity ratio on magnetic resonance imaging as a predictor of outcomes from isolated congenital diaphragmatic hernia. Pediatr. Surg. Int. 2018; 34(2): 161-8. doi: 10.1007/s00383-017-4184-2.
  46. Alfaraj M.A., Shah P.S., Bohn D., Pantazi S., O'Brien K., Chiu P.P. et al. Congenital diaphragmatic hernia: lung-to-head ratio and lung volume for prediction of outcome. Am. J. Obstet. Gynecol. 2011; 205(1): 43. e1-8. doi: 10.1016/j.ajog.2011.02.050
  47. Bebbington M., Victoria T., Danzer E., Moldenhauer J., Khalek N., Johnson M. et al. Comparison of ultrasound and magnetic resonance imaging parameters in predicting survival in isolated left-sided congenital diaphragmatic hernia. Ultrasound Obstet. Gynecol. 2014; 43(6): 670-4. doi: 10.1002/uog.13271
  48. Nünez V., Romo M., Encinas J.L., Bueno A., Herrero B., Antolin E. et al. The role of fetal magnetic resonance imaging in the study of congenital diaphragmatic hernia. Cir. Pediatr. 2018; 31(1): 15-20.
  49. Ruano R., Lazar D.A., Cass D.L., Zamora I.J., Lee T.C., Cassady C.I. et al. Fetal lung volume and quantification of liver herniation by magnetic resonance imaging in isolated congenital diaphragmatic hernia. Ultrasound Obstet. Gynecol. 2014; 43(6): 662-9. doi: 10.1002/uog.13223
  50. Puligandla P.S., Skarsgard E.D., Offringa M., Adatia I., Baird R., Bailey M. et al.; Canadian Congenital Diaphragmatic Hernia Collaborative. Diagnosis and management of congenital diaphragmatic hernia: a clinical practice guideline. CMAJ. 2018; 190(4): E103-E112. doi: 10.1503/cmaj.170206.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies