European Journal of Ultrasound

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European Journal of Ultrasound 5-2020

Liver Stiffness Assessed by Ultrasound Shear Wave Elastography from General Electric Accurately Predicts Clinically Significant Portal Hypertension in Patients with Advanced Chronic Liver Disease

Horia Stefanescu et al.
Clinically significant portal hypertension (CSPH) is responsible for most of the complications in patients with cirrhosis. Liver stiffness (LS) measurement by vibration-controlled transient elastography (VCTE) is currently used to evaluate CSPH. Bi-dimensional shear wave elastography from General Electric (2D-SWE.GE) has not yet been validated for the diagnosis of PHT. Our aims were to test whether 2D-SWE.GE-LS is able to evaluate CSPH, to determine the reliability criteria of the method and to compare its accuracy with that of VCTE-LS in this clinical setting.

Outcome and Associated Findings in Individuals with Pre- andPostnatal Diagnosis of Tetralogy of Fallot (TOF) and Predictionof Early Postnatal Intervention

Aline Wolter et al.

Tetralogy of Fallot (TOF) affects about 3/10 000 live births. If there are no extracardiac anomalies and the pulmonary artery is without relevant stenosis with forward flow within the pulmonary trunk, i. e., uncomplicated classic TOF, the prognosis is optimistic. Early intervention is associated with more perioperative complications, a need for inotropic support and a longer duration of ventilatory support and increased but transient intensive care unit morbidity.

Updated DEGUM Quality Requirements for the Basic Prenatal Screening Ultrasound Examination (DEGUM Level I) between18+0 and 21+6 weeks of gestation

Christiane Kähler et al.

A precondition for the early detection of fetal abnormalities is the high quality of prenatal basic ultrasound (screening examination). The objective of ultrasound screening is the recognition of abnormal fetal growth and fetal anatomical anomalies. The prenatal detection of fetal abnormalities enables detailed prenatal counselling of parents, improved care at birth and potentially a reduction in morbidity and mortality. In the guidelines for maternity care in Germany ("Mutterschaftsrichtlinien"), the performance of basic ultrasound in pregnancy is not clearly defined. The required image documentation includes a few biometric measurements only.