Diagnosis and significance of cystic hygroma in the first trimester

Thirty cases of cervical cystic hygroma were diagnosed in the first trimester of pregnancy. Karyotype analysis was available in 29 (97 per cent). Fifteen (52 per cent) had a chromosomal abnormality. The ultrasound appearance was described as posterior cervical, lateral cervical, or cervical hygroma with hydrops. Of the 14 euploid embryos, six were electively aborted, two are undelivered, and six have been delivered as phenotypically normal infants. In cases in which the chromosomes were normal and the pregnancy continued, all lesions resolved by 18 weeks.     

Cardiotocographic and sonographic findings in two cases of antenatally diagnosed intrauterine fetal brain death

Intrauterine fetal brain death is a rare cause of a fixed fetal heart rate pattern. Seven cases have been previously reported in the literature, but only two of them were diagnosed prenatally and all the newborns died soon after delivery. Two additional cases of antepartum diagnosis of intrauterine fetal brain death, managed expectantly, are reported. We had the unique opportunity to document progressive sonographic cerebral changes during the follow-up period, following the neurological event, while the fetus continued life and growth in utero. The cardiographic and sonographic findings suggesting intrauterine fetal brain death were a prolonged fixed fetal heart rate, even following a vibroacoustic and contraction stress test; an atonic fetus without breathing and body movement; and the appearance of hydramnios and the development of ventriculomegaly.     

Mapping River Bathymetry With a Small Footprint Green LiDAR: Applications and Challenges1

Kinzel, Paul J., Carl J. Legleiter, and Jonathan M. Nelson, 2012. Mapping River Bathymetry with a Small Footprint Green LiDAR: Applications and Challenges. Journal of the American Water Resources Association (JAWRA) 1‐22. DOI: 10.1111/jawr.12008 Abstract: Airborne bathymetric Light Detection And Ranging (LiDAR) systems designed for coastal and marine surveys are increasingly sought after for high‐resolution mapping of fluvial systems. To evaluate the potential utility of bathymetric LiDAR for applications of this kind, we compared detailed surveys collected using wading and sonar techniques with measurements from the United States Geological Survey’s hybrid topographic/bathymetric Experimental Advanced Airborne Research LiDAR (EAARL). These comparisons, based upon data collected from the Trinity and Klamath Rivers, California, and the Colorado River, Colorado, demonstrated that environmental conditions and postprocessing algorithms can influence the accuracy and utility of these surveys and must be given consideration. These factors can lead to mapping errors that can have a direct bearing on derivative analyses such as hydraulic modeling and habitat assessment. We discuss the water and substrate characteristics of the sites, compare the conventional and remotely sensed river‐bed topographies, and investigate the laser waveforms reflected from submerged targets to provide an evaluation as to the suitability and accuracy of the EAARL system and associated processing algorithms for riverine mapping applications.     

Antenatal ultrasonic diagnosis of dyssegmental dysplasia: A case report

Sonographic prenatal diagnosis and management of a pregnancy complicated by dys-segmental dysplasia of the Silverman-Handmaker type are presented. This is a documented case of this type of short-limbed dwarfism presenting in a family of Hispanic-American ancestry.     

Experimental measurements of aerosol concentrations in offices

A new automated version of the piezoelectric microbalance measures the mass concentration of airborne particles smaller than a preselected aerodynamic cutoff diameter. It is designed for near-real-time, unattended, round-the-clock measurements of nearly any aerosol environment inhabited by humans. The instrument uses an electrostatic precipitator to deposit particles with greater than 95% efficiency onto a piezoelectric quartz crystal sensor which is able to detect a deposit of 0.005 μg. The precipitator and sensor are nearly identical to those in the portable instrument reported previously. Measurements comparing within ± 15% with gravimetrically measured filter samples are documented for a wide variety of aerosols in the 50 μg/m³ to 5.5 mg/m³ range. The instrument measures particles from 10 μm down to 0.01 μm in diameter, including submicron combustion smokes and metallic fumes. The piezoelectric microbalance technique senses the mass concentration of the aerosol, rather than light scattering properties as is done by photometers and nephelometers. The piezobalance, with 1 L/min sample flow, is more sensitive than any other mass-sensing instrument, making it especially suited for low concentration indoor measurements, even below 50 μg/m³. An automatic piezobalance recently measured respirable aerosol mass concentrations in several offices. Each measurement was the average concentration during a 30-min period. The 24-h/day measurements continued for several days. Especially interesting is the diurnal pattern, both for offices with and without smokers. The effect of a single nearby smoker was clearly illustrated when the smoker was absent one day in the middle of a week. Normal daytime peak concentrations in that office reached 80–110 μg/m³ with a smoker present, but only 50–60 μg/m³ when the smoker was absent. Curious smokers who briefly stopped byt o see the instrument caused single half-hour averages to triple, to values as high as 294 μg/m³ in one office.     

Ultrasonographic scanning of placental thickness and the prenatal diagnosis of homozygous alpha-thalassaemia 1 in the second trimester

In order to evaluate the association between placental thickness (PT) and fetal homozygous alpha-thalassaemia 1 before the appearance of classic ultrasound findings of haemoglobin (Hb) Bart's hydrops fetalis, a total of 473 pregnancies were collected. The control group included 422 normal pregnancies with a gestational age from 14 to 23 weeks and the study group included 51 affected fetuses in the same gestational period. Fetal biparietal diameter (BPD) and PT were measured by high-resolution ultrasound. PT was evaluated against BPD. In the control group, the PT generally increased in parallel with the advancement of gestational age. All PT measurements in the study group were above the mean PT of their respective gestational week in the control group. Forty-six (90 per cent) of the pregnancies in the study group had PT larger than the mean plus two standard deviations of the control group. This study suggests that ultrasound measurement of PT may be a useful aid in the prenatal diagnosis of Hb Bart's hydrops fetalis before its classic findings become apparent in the late second trimester or third trimester.     

Survival and growth of bivalve larvae under heavy-metal stress

In a study of the toxicity of mercury, silver, copper, nickel, and zinc to larvae of the American oyster Crassostrea virginica and hard clam Mercenaria mercenaria, the concentrations at which 5% (LC₅), 50% (LC₅₀), and 95% (LC₉₅) of the larvae died were determined, as well as growth at the LC₅ and LC₅₀ values. The order of toxicity for oyster larvae was Hg>Ag>Cu>Ni, and for clam larvae Hg>Cu>Ag>Zn>Ni. Growth of larvae of both species, with the exception of clam larvae in nickel-treated water, was not reduced at the LC₅ values, but was markedly reduced at the LC₅₀ values.     

The normal fetus of an acardiac twin pregnancy: Perinatal management based on echocardiographic and sonographic evaluation

Experience with three prenatally diagnosed pregnancies complicated by an acardiac twin reveals that ultrasonography and echocardiography are helpful in detecting early signs of in-utero congestive heart failure in the normal twin. The use of Doppler blood flow analysis to determine direction of blood flow, post-mortem placental and fetal angiography, and umbilical cord blood gas determination provided proof that retrograde arterial perfusion occurs in the acardiac fetus. In a fourth pregnancy, an experimental approach to occlude the acardiac twin's umbilical cord was attempted, but was unsuccessful.     

Congenital malformations subsequent to chorionic villus sampling: Outcome analysis of 1048 consecutive procedures

We wished to identify the types and frequencies of malformations among continuing pregnancies exposed to chorionic villus sampling (CVS) and to determine whether selected procedure-related variables differ between the normal and anomalous cohorts. CVS was performed in 1048 patients between May 1988 and January 1992. Prospective assessment of perinatal outcome was ascertained by (1) physician—patient phone contact within 1 week of sampling, (2) ultrasound evaluation of the fetal anatomy at mid-gestation, (3) a detailed post-partum questionnaire completed by the referring obstetrician, and (4) a telephone interview with each patient after the expected date of confinement. Twenty-seven major malformations were documented among 938 pregnancies (live born, n=934; electively terminated, n=4), and included cardiac malformations (5), hypospadias (5), craniosynostosis (2), pyloric stenosis (2), inguinal hernia (2), polydactyly (2), syndactyly, distal extremely hemimelia, anencephaly, hydrocephalus, cleft lip and palate, omphalocele, diaphragmatic hernia, thanatophoric dysplasia, and unilateral cataract. Normal and anomalous cohorts were similar with respect to sampling method (transabdominal/transcervical ratio), mean gestational age at CVS, single-pass success rate, and mean total sample weight. No relationship between any procedure-related variable and the risk of malformation was observed.     

First-trimester ultrasonic diagnosis of twin reversed arterial perfusion sequence

Twin reversed arterial perfusion (TRAP) syndrome sequence is a rare specific anomaly of twin gestation with fused placentae and umbilical anastomosis. This syndrome occurs once in very 35 000–48 000 births and has been described in the second trimester (23-29 weeks of gestation). We report on early sonographic diagnosis (10 and 12 weeks' gestation) of two cases of TRAP sequence, together with their umbilical cord Doppler studies.