Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 12 , ISSUE 1 ( January-March, 2018 ) > List of Articles


HDliveFlow with HDlive Silhouette Mode for Diagnosis of Persistent Right Umbilical Vein and Single Umbilical Artery

Tumur-Ochir Ganjiguur

Keywords : Fetus, HDliveFlow, HDliveFlow silhouette mode, Persistent right umbilical vein, Single umbilical artery.

Citation Information : Ganjiguur T. HDliveFlow with HDlive Silhouette Mode for Diagnosis of Persistent Right Umbilical Vein and Single Umbilical Artery. Donald School J Ultrasound Obstet Gynecol 2018; 12 (1):1-3.

DOI: 10.5005/jp-journals-10009-1545

License: CC BY-NC 4.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2018; The Author(s).


We present our first experience using HDliveFlow with the HDlive silhouette mode for the diagnosis of a persistent right umbilical vein (PRUV) and single umbilical artery (SUA) in a fetus at 28 weeks and 5 days of gestation. Two-dimensional color Doppler showed a single left umbilical artery around the bladder, and PRUV originating from the umbilical cord. HDliveFlow with the HDlive silhouette mode clearly demonstrated SUA and PRUV, and the spatial connection of PRUV to the inferior vena cava through the ductus venosus was detected. The course of the fetal intra-abdominal vasculatures was clarified in detail. Moreover, visualization of the anatomical landmarks, such as the spine was possible using the HDlive silhouette mode. This technique might be a beneficial adjunctive tool for diagnosing fetal peripheral vascular anomalies with advantages over the use of conventional color Doppler alone.

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  1. Wolman I, Gull I, Fait G, Amster R, Kupferming MJ, Lessing JB, Jaffa AJ. Persistent right umbilical vein: incidence and significance. Ultrasound Obstet Gynecol 2002 Jun;19(6):562-564.
  2. Lide B, Lindsley W, Foster MJ, Hale R, Haeri S. Intrahepatic persistent right umbilical vein and associated outcomes: a systematic review of the literature. J Ultrasound Med 2016 Jan;35(1):1-5.
  3. Martinez R, Gamez F, Bravo C, Sanchez P, Orizales C, Ortiz L, De Leon-Luis J. Perinatal outcome after ultrasound prenatal diagnosis of persistent right umbilical vein. Eur J Obstet Gynec Reprod Biol 2013 May;168(1):36-39.
  4. Weichert J, Hartge D, Germer U, Axt-Fliedner R, Gembruch U. Persistent right umbilical vein: a prenatal condition worth mentioning? Ultrasound Obstet Gynecol 2011 May;37(5): 543-548.
  5. Yang PY, Wu JL, Yeh GP, Chou PH, Hsu JC, Hsieh CT. Prenatal diagnosis of persistent right umbilical vein using three-dimensional sonography with power Doppler. Taiwan J Obstet Gynecol 2007 Mar;46(1):43-46.
  6. Sciaky-Tamir Y, Cohen SM, Hochner-Celnikier D, Valsky DV, Messing B, Yagel S. Three-dimensional power Doppler (3DPD) ultrasound in the diagnosis and follow-up of fetal vascular anomalies. Am J Obstet Gynecol 2006 Jan;194(1): 274-281.
  7. Shen O, Tadmor OP, Yagel S. Prenatal diagnosis of persistent right umbilical vein. Ultrasound Obstet Gynecol 1996 Jul;8(1):31-33.
  8. Leal DB, Maggiolini M, Bianchi A. Prenatal diagnosis and postnatal follow-up of patient with persistent right umbilical vein. Donald School J Ultrasound Obstet Gynecol 2012 Jan-Mar;6(1):104-108.
  9. AboEllail MA, Kanenishi K, Tenkumo C, Kawanishi K, Kaji T, Hata T. Diagnosis of truncus arteriosus in first trimester of pregnancy using transvaginal four-dimensional color Doppler ultrasound. Ultrasound Obstet Gynecol 2015 Jun;45(6):759-760.
  10. AboEllail MA, Kanenishi K, Tenkumo C, Mori N, Katayama T, Koyano K, Kusaka T, Hata T. Four-dimensional power Doppler sonography with the HDlive silhouette mode in antenatal diagnosis of a right aortic arch with an aberrant left subclavian artery. J Ultrasound Med 2016 Mar;35(3):661-663.
  11. Yang PY, Sajapala S, Yamamoto K, Mori N, Kanenishi K, Koyano K, Kusaka T, Hata T. Antenatal diagnosis of idiopathic dilatation of fetal pulmonary artery with 3D power Doppler imaging. J Clin Ultrasound 2017 Feb;45(2):121-123.
  12. Tenkumo C, Hanaoka U, AboEllail MA, Ishimura M, Morine M, Maeda K, Hata T. HDlive silhouette mode in diagnosis of fetal hepatic hemangioma. Ultrasound Obstet Gynecol 2017 Apr;49(4):541-542.
  13. Ito M, AboEllail MAM, Yamamoto K, Kanenishi K, Tanaka H, Masaoka H, Hata T. HDlive Flow silhouette mode and spatiotemporal image correlation for diagnosing congenital heart disease. Ultrasound Obstet Gynecol 2017 Sep;50(3):411-415.
  14. AboEllail MA, Ishimura M, Sajapala S, Yamamoto K, Tanaka K, Nitta E, Kanenishi K, Hata T. Three-dimensional color/ power Doppler sonography and HDlive silhouette mode for diagnosis of molar pregnancy. J Ultrasound Med 2016 Sep;35(9):2049-2052.
  15. Yamamoto K, AboEllail MA, Ito M, Mori N, Kanenishi K, Tanaka H, Hata T. HDlive imaging in diagnosis of uterine artery pseudoaneurysm during pregnancy. Ultrasound Obstet Gynecol 2016 Jul;48(1):127-128.
  16. Sajapala S, AboEllail MA, Tanaka T, Nitta E, Kanenishi K, Hata T. Three-dimesional power Doppler with silhouette mode for diagnosis of malignant ovarian tumors. Ultrasound Obstet Gynecol 2016 Dec;48(6):806-808.
  17. Tanaka T, AboEllail MA, Ishimura M, Yamamoto K, Ishibashi M, Mori N, Kanenishi K, Hata T. HDlive Flow with HDlive silhouette mode for diagnosis of malignant tumors of uterine cervix. Donald School J Ultrasound Obstet Gynecol 2016 Jan;10(4):409-412.
  18. Yamamoto K, AboEllail MA, Ishimura M, Tanaka T, Mori N, Kanenishi K, Hata T. HDlive silhouette inversion mode in diagnosis of complete hydatidiform mole. J Ultrasound Med 2017 Apr;36(4):833-835.
  19. Charnock BL, Lewis CL, Garrett WE Jr, Queen RM. Adductor longus mechanics during the maximal effort soccer kick. Sports Biomech 2009 Sep;8(3):223-234.
  20. Alcock AM, Gilleard W, Hunter AB, Baker J, Brown N. Curve and instep kick kinematics in elite female footballers. J Sports Sci 2012;30(4):387-394.
  21. Ishii H, Yanagiya T, Naito H, Katamoto S, Maruyama T. Numerical study of ball behavior in side-foot soccer kick based on impact dynamic theory. J Biomech 2009 Dec 11;42(16): 2712-2720.
  22. Chappell JD, Yu B, Kirkendall DT, Garrett WE. A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks. Am J Sports Med 2002 Mar- Apr;30(2):261-267.
  23. Ferber R, Davis IM, Williams DS 3rd. Gender differences in lower extremity mechanics during running. Clin Biomech (Bristol, Avon) 2003 May;18(4):350-357.
  24. McLean SG, Lipfert SW, van den Bogert AJ. Effect of gender and defensive opponent on the biomechanics of sidestep cutting. Med Sci Sports Exerc 2004 Jun;36(6):1008-1016.
  25. Pollard CD, Davis IM, Hamill J. Influence of gender on hip and knee mechanics during a randomly cued cutting maneuver. Clin Biomech (Bristol, Avon) 2004 Dec;19(10):1022-1031.
  26. Katis A, Kellis E, Lees A. Age and gender differences in kinematics of powerful instep kicks in soccer. Sports Biomech 2015 Sep;14(3):287-299.
  27. Smith T, Gilleard W. Three-dimensional analysis of a lofted instep kick by male and female footballers. Eur J Sport Sci 2016;16(1):57-64.
  28. Sigward SM, Pollard CD, Havens KL, Powers CM. Influence of sex and maturation on knee mechanics during side-step cutting. Med Sci Sports Exerc 2012 Aug;44(8):1497-1503.
  29. Sigward SM, Pollard CD, Powers CM. The influence of sex and maturation on landing biomechanics: implications for anterior cruciate ligament injury. Scand J Med Sci Sports 2012 Aug;22(4):502-509.
  30. Karimifar M, Esmaili F, Salari A, Kachuei A, Faragzadegan Z, Karimifar M. Effects of Levothyroxine and thyroid stimulating hormone on bone loss in patients with primary hypothyroidism. J Res Pharm Pract 2014 Jul;3(3):83-87.
  31. Tárraga López PJ, López CF, de Mora FN, Montes JA, Albero JS, Mañez AN, Casas AG. Osteoporosis in patients with subclinical hypothyroidism treated with thyroid hormone. Clin Cases Miner Bone Metab 2011 Sep;8(3):44-48.
  32. Porsch M, Galm R, Hovy L, Starker M, Kerschbaumer F. Total femur replacement following multiple periprosthetic fractures between ipsilateral hip and knee replacement in chronic rheumatoid arthritis. Case report of 2 patients. Z Orthop Ihre Grenzgeb 1996 Jan-Feb;134(1):16-20.
  33. Cram P, Lu X, Kates SL, Singh JA, Li Y, Wolf BR. Total knee arthroplasty volume, utilization, and outcomes among Medicare beneficiaries, 1991-2010. JAMA 2012 Sep 26;308(12): 1227-1236.
  34. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). JAMA 2001 May 16;285(19): 2486-2497.
  35. Baek SH. Identification and preoperative optimization of risk factors to prevent periprosthetic joint infection. World J Orthop 2014 Jul 18;5(3):362-367.
  36. Sehgal V, Bajwa SJ, Sehgal R, Eagan J, Reddy P, Lesko SM. Predictors of acute kidney injury in geriatric patients undergoing total knee replacement surgery. Int J Endocrinol Metab 2014 Jul 1;12(3):e16713.
  37. Bozic KJ, Bashyal RK, Anthony SG, Chiu V, Shulman B, Rubash HE. Is administratively coded comorbidity and complication data in total joint arthroplasty valid? Clin Orthop Relat Res 2013 Jan;471(1):201-205.
  38. Brattstroem H. Shape of the intercondylar groove normally and in recurrent dislocation of patella. A clinical and x-ray-anatomical investigation. Acta Orthop Scand Suppl 1964;68(Suppl 68):61-148.
  39. Davies AP, Costa ML, Shepstone L, Glasgow MM, Donell S. The sulcus angle and malalignment of the extensor mechanism of the knee. J Bone Joint Surg Br 2000 Nov;82(8): 1162-1166.
  40. Smith TO, Cogan A, Patel S, Shakokani M, Toms AP, Donell ST. The intra- and inter-rater reliability of X-ray radiological measurements for patellar instability. Knee 2013 Mar;20(2):133-138.
  41. Merchant AC, Mercer PL, Jacobsen RH, Cool CR. Roentgenographic analysis of patellofemoral congruence. J Bone Joint Surg Am 1974 Oct;56(7:1391-1396.
  42. Caton JH, Dejour D. Tibial tubercle osteotomy in patellofemoral instability and in patellar height abnormality. Int Orthop 2010 Feb;34(2):305-309.
  43. Post WR. Anterior knee pain: diagnosis and treatment. J Am Acad Orthop Surg 2005 Dec;13(8):534-543.
  44. Laurin CA Lévesque HP, Dussault R, Labelle H, Peides JP. The abnormal lateral patellofemoral angle: a diagnostic roentgenographic sign of recurrent patellar subluxation. J Bone Joint Surg Am 1978 Jan;60(1):55-60.
  45. Audi L et al. Leptin in Relation to Resumption of Menses in Women with Anorexia Nervosa. Mol Psychiatry 1998;4:544-547.
  46. Mehanna HM, Moledina J, Travis J. “Refeeding syndrome: what it is, and how to prevent and treat it”. BMJ 2008; 336: 1495 8. doi:10.1136/bmj.a301.PMC 2440847. PMID 18583681.
  47. “The Physiology and Treatment of Starvation”. US national library of medicine. Retrieved 17 August 2012. chromeextension://mhjfbmdgcfjbbpaeojofohoefgiehjai/index.html
  48. Kreipe R et al. Eating Disorders in Adolescents and Older Children. Pediatrics in Review 1999; 20:12.
  49. Pike KM et al. Cognitive Behavior Therapy in the Posthospitalization. Treatment of Anorexia Nervosa. Am J Pyschiatry 2004; 11:2046-2049.
  50. Bender DA. Carbohydrates of Physiologic Significance. Murray RK, Bender DA, Botham KM, Kenelly PJ, Rodwell VW, Weil PA.. Harpers Illustrated Biochemistry 28th ed. New York:Mc Graw Hill publications; 2009. p 113-120.
  51. Koffler M, Kisch ES. Starvation diet and very-low-calorie diets may Induce insulin resistance and overt diabetes mellitus. J Diabetes Complications.1996;10(2):109-12.
  52. Hales CN, Barker DJ The thrifty phenotype hypothesis. Br Med Bull. 2001;60:5-20.
  53. Hales CN, Barker DJ (July 1992). “Type 2 (non-insulindependent) diabetes mellitus: the thrifty phenotype hypothesis”. Diabetologia. 35 (7): 595-601.
  54. Barker, D.J.P. (1997). “Maternal Nutrition, Fetal Nutrition, and Disease in Later Life”. Nutrition, ‘13’, pp. 807.
  55. Martin, Paul; Bateson, Patrick (1999). Design for a life: How behaviour develops. London: Jonathan Cape. ISBN 0-224- 05064-8 pp. 110-111.
  56. Barker, DJP. ed. (1992). Fetal and infant origins of adult disease. London: British Medical Journal. ISBN 0-7279-0743-3.
  57. Robinson R (February 2001). “The fetal origins of adult disease: No longer just a hypothesis and may be critically important in south Asia”. Editorial
  58. Mazur A. Why were “starvation diets” promoted for diabetes in the pre-insulin period? Nutrition Journal 2011;10:23.
  59. Goodacre CJ, Kan JY, Rungcharassaeng K. Clinical complications of osseointegrated implants. J Prosthet Dent 1999 May;81(5):537-552.
  60. Kois JC. Predictable single-tooth peri-implant esthetics: five diagnostic keys. Compend Contin Educ Dent 2004 Nov;25(11):895-900.
  61. Evans CD, Chen ST. Esthetic outcomes of immediate implant placements. Clin Oral Implants Res 2008 Jan;19(1):73-80.
  62. Romeo E, Lops D, Rossi A, Storelli S, Rozza R, Chiapasco M. Surgical and prosthetic management of interproximal region with single-implant restorations: 1-year prospective study. J Periodontol 2008 Jun;79(6):1048-1055.
  63. Nagaraj KR, Savadi CR, Savadi AR, Prashanth Reddy GT, Srilakshmi J, Dayalan M, John J. Gingival biotype— prosthodontic perspective. J Indian Prosthodont Soc 2010 Mar;10(1):27-30.
  64. Jung RE, Sailer I, Hämmerle CH, Attin T, Schmidlin P. In vitro color changes of soft tissues caused by restorative materials. Int J Periodontics Restorative Dent 2007 Jun;27(3): 251-257.
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