Prognostic value of three-dimensional ultrasound for fetal hydronephrosis

Wang,Junmei; Ying,Weiwen; Tang,Daxing; Yang,Liming; Liu,Dongsheng; Liu,Yuanhui; Pan,Jiaoe; Xie,Xing

doi:10.3892/etm.2015.2168

Prognostic value of three-dimensional ultrasound for fetal hydronephrosis

Authors:
- Junmei Wang
- Weiwen Ying
- Daxing Tang
- Liming Yang
- Dongsheng Liu
- Yuanhui Liu
- Jiaoe Pan
- Xing Xie
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Affiliations: Department of Ultrasound, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310006, P.R. China, Department of Women's Health, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310006, P.R. China, Department of Urology, Children's Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310006, P.R. China, Department of Ultrasound, Naval Convalescent Zone, Hangzhou Sanatorium, Nanjing Military Command, Nanjing, Jiangsu 310002, P.R. China, Women's Reproductive Health Laboratory of Zhejiang, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310006, P.R. China
Published online on: January 5, 2015 https://doi.org/10.3892/etm.2015.2168
Pages: 766-772
Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The present study evaluated the prognostic value of three‑dimensional ultrasound for fetal hydronephrosis. Pregnant females with fetal hydronephrosis were enrolled and a novel three‑dimensional ultrasound indicator, renal parenchymal volume/kidney volume, was introduced to predict the postnatal prognosis of fetal hydronephrosis in comparison with commonly used ultrasound indicators. All ultrasound indicators of fetal hydronephrosis could predict whether postnatal surgery was required for fetal hydronephrosis; however, the predictive performance of renal parenchymal volume/kidney volume measurements as an individual indicator was the highest. In conclusion, ultrasound is important in predicting whether postnatal surgery is required for fetal hydronephrosis, and the three‑dimensional ultrasound indicator renal parenchymal volume/kidney volume has a high predictive performance. Furthermore, the majority of cases of fetal hydronephrosis spontaneously regress subsequent to birth, and the regression time is closely associated with ultrasound indicators.

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1	Wollenberg A, Neuhaus TJ, Willi UV and Wisser J: Outcome of fetal renal pelvic dilatation diagnosed during the third trimester. Ultrasound Obstet Gynecol. 25:483–488. 2005. View Article : Google Scholar : PubMed/NCBI
2	Woodward M and Frank D: Postnatal management of antenatal hydronephrosis. BJU Int. 89:149–156. 2002. View Article : Google Scholar : PubMed/NCBI
3	Wickstrom E, Maizels M, Sabbagha RE, Tamura RK, Cohen LC and Pergament E: Isolated fetal pyelectasis: assessment of risk for postnatal uropathy and Down syndrome. Ultrasound Obstet Gynecol. 8:236–240. 1996. View Article : Google Scholar : PubMed/NCBI
4	Shapiro SR, Wahl EF, Silberstein MJ and Steinhardt G: Hydronephrosis index: a new method to track patients with hydronephrosis quantitatively. Urology. 72:536–539. 2008. View Article : Google Scholar : PubMed/NCBI
5	Venkatesan K, Green J, Shapiro SR and Steinhardt GF: Correlation of hydronephrosis index to society of fetal urology hydronephrosis scale. Adv Urol. 9604902009.PubMed/NCBI
6	Duin LK, Willekes C, Vossen M, Beckers M, Offermans J and Nijhuis JG: Reproducibility of fetal renal pelvis volume measurement using three-dimensional ultrasound. Ultrasound Obstet Gynecol. 31:657–661. 2008. View Article : Google Scholar : PubMed/NCBI
7	Grignon A, Filion R, Filiatrault D, Robitaille P, Homsy Y, Boutin H and Leblond R: Urinary tract dilatation in utero: classification and clinical applications. Radiology. 160:645–647. 1986. View Article : Google Scholar : PubMed/NCBI
8	Ismaili K, Hall M, Donner C, Thomas D, Vermeylen D and Avni FE; Brussels Free University Perinatal Nephrology study group. Results of systematic screening for minor degrees of fetal renal pelvis dilation in an unselected population. Am J Obstet Gynecol. 188:242–246. 2003. View Article : Google Scholar : PubMed/NCBI
9	Thornburg LL, Pressman EK, Chelamkuri S, Hulbert W, Rabinowitz R and Mevorach R: Third trimester ultrasound of fetal pyelectasis: predictor for postnatal surgery. J Pediatr Urol. 4:51–54. 2008. View Article : Google Scholar : PubMed/NCBI
10	Toiviainen-Salo S, Garel L, Grignon A, et al: Fetal hydronephrosis: is there hope for consensus? Pediatr Radiol. 34:519–529. 2004. View Article : Google Scholar : PubMed/NCBI
11	Pates JA and Dashe JS: Prenatal diagnosis and management of hydronephrosis. Early Hum Dev. 82:3–8. 2006. View Article : Google Scholar
12	Filly RA and Feldstein VA: The fetal genitourinary tract. Ultrasonography in Obststrics and Gynecology. Callen PW: 4th edition. WB Saunders; Philadelphia, PA: pp. 515–550. 2000
13	Langer B: Fetal pyelectasis. Ultrasound Obstet Gynecol. 16:1–5. 2000. View Article : Google Scholar : PubMed/NCBI
14	Sairam S, Al-Habib A, Sasson S and Thilaganathan B: Natural history of fetal hydronephrosis diagnosed on mid-trimester ultrasound. Ultrasound Obstet Gynecol. 17:191–196. 2001. View Article : Google Scholar : PubMed/NCBI
15	Siemens DR, Prouse KA, MacNeily AE and Sauerbrei EE: Antenatal hydronephrosis: thresholds of renal pelvic diameter to predict insignificant postnatal pelviectasis. Tech Urol. 4:198–201. 1998.
16	Plevani C, Locatelli A, Paterlini G, Ghidini A, Tagliabue P, Pezzullo JC and Vergani P: Fetal hydronephrosis: natural history and risk factors for postnatal surgery. J Perinat Med. 42:385–391. 2014. View Article : Google Scholar : PubMed/NCBI
17	St Aubin M, Willihnganz-Lawson K, Varda BK, et al: Society for fetal urology recommendations for postnatal evaluation of prenatal hydronephrosis - will fewer voiding cystourethrograms lead to more urinary tract infections? J Urol. 190(4 Suppl): 1456–1461. 2013. View Article : Google Scholar : PubMed/NCBI
18	Zhan X, Tao G, Cheng L, Fu Q, Li H, Liu F and Liu S: Ultrasound scoring in predicting the prognosis of fetal hydronephrosis. Zhongguo Chaosheng Yixue Zazhi. 25:1176–1179. 2009.(In Chinese).
19	Dhillon H: Prenatally diagnosed hydronephrosis: the Great Ormond Street experience. Br J Urol. 81(Suppl 2): 39–44. 1998. View Article : Google Scholar : PubMed/NCBI
20	Coplen DE, Austin PF, Yan Y, Blanco VM and Dicke JM: The magnitude of fetal renal pelvic dilatation can identify obstructive postnatal hydronephrosis, and direct postnatal evaluation and management. J Urol. 176:724–727. 2006. View Article : Google Scholar : PubMed/NCBI
21	Coelho GM, Bouzada MC, Pereira AK, Figueiredo BF, Leite MR, Oliveira DS and Oliveira EA: Outcome of isolated antenatal hydronephrosis: a prospective cohort study. Pediatr Nephrol. 22:1727–1734. 2007. View Article : Google Scholar : PubMed/NCBI